Composite
78.9 / 100 percentile
Screener / 675958
C
Avir at Citizens Trail
snfTX
1008 CITIZENS TRAIL, TEXARKANA, TX 75501 · CCN 675958 · chain FANNIN COUNTY HOSPITAL AUTHORITY
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
114
Model
v1.2
Reads as: riskier than 78.9% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model8ML signals18Components20CHOW radar1Distress radar1Staffing16Penalties3Deficiencies52Licensure0Ownership33Related party5Transactions1Comps12Market rent35
Composite explanation
8| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 95.8 | 94.2 | 0.30 | 0.1714 | 16.42 | in index |
| staffing risk | 80.6 | 80.6 | 0.25 | 0.1429 | 11.51 | in index |
| state reg risk | 63.7 | 15.0 | 0.30 | 0.1714 | 10.92 | in index |
| financial risk | 41.6 | 40.5 | 0.30 | 0.1714 | 7.13 | in index |
| chow risk | 70.7 | 56.1 | 0.15 | 0.0857 | 6.06 | in index |
| billing conduct | 32.2 | 32.6 | 0.30 | 0.1714 | 5.52 | in index |
| lease risk | 27.7 | 46.1 | 0.15 | 0.0857 | 2.37 | in index |
| ownership opacity | 82.0 | 75.2 | excluded |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
18| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 33 chains | WELLTOWER OP LLC | 147 facilities |
| connection | Owner fleet risk far above national | +29.3 vs natl | KISSLING MONICA | 16 facilities |
| connection | Owner fleet risk far above national | +28.5 vs natl | TROMPLER KELLY | 16 facilities |
| connection | Owner fleet risk far above national | +28.5 vs natl | HOLT ERIN | 16 facilities |
| connection | Owner fleet risk far above national | +28.5 vs natl | KEETON WENDY | 16 facilities |
| connection | Owner fleet risk far above national | +28.5 vs natl | MCBEAN PATRICIA | 16 facilities |
| connection | Owner spans multiple chains | 27 chains | WELLTOWER NNN GROUP LLC | 102 facilities |
| connection | Owner fleet risk far above national | +22.4 vs natl | SANDERSON CLARK | 58 facilities |
| connection | Owner fleet risk far above national | +21.5 vs natl | FANNIN COUNTY HOSPITAL AUTHORITY | 54 facilities |
| connection | Owner spans multiple chains | 9 chains | FERGUSON CLAY | 12 facilities |
| connection | Buyer assembling a chain (5+ takeovers/24mo) | 8 facilities | FANNIN COUNTY HOSPITAL AUTHORITY | 8 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | FERGUSON CLAY | 14 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | HOLT ERIN | 16 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | KEETON WENDY | 16 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | KISSLING MONICA | 16 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | MCBEAN PATRICIA | 16 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | TROMPLER KELLY | 16 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | WELLTOWER NNN GROUP LLC | 111 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
20| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 32.5 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 45.0 | C | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 59.0 | C | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 64.4 | C | v0.6 | default · in composite | |
| financial risk | 40.5 | B | v0.5 | default · in composite | R18. |
| lease risk | 46.1 | C | v0.5 | default · in composite | |
| ownership opacity | 75.2 | D | v0.1-txhhsc | default · in composite | Texas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.1 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 94.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 80.6 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| state reg risk | 15.0 | A | v0.5 | default · in composite | |
| financial risk | 92.5 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 72.5 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 29.2 | B | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 46.2 | C | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 94.1 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 94.1 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 80.6 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 80.6 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
30.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 2.16 | -1.64 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.44 | +0.73 | |
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 26.00 | +0.46 | |
| Chain size (log) | 4.01 | +0.45 | |
| No PBJ staffing report | 0.00 | +0.42 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 26.00 | -3.39 | |
| Occupancy | 0.44 | +1.28 | |
| Chain size (log) | 4.01 | -1.13 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.16 | -0.27 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.79 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.39 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.71 | 2.56 | 3.11 | — |
| Weekday total | 2.81 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 50.7 | 2.79 | 0.39 | 0.90 | 1.49 | 2.71 | 8.7% |
| 2025Q3 | 92 | 50.3 | 2.83 | 0.35 | 0.89 | 1.60 | 2.73 | 1.6% |
| 2025Q2 | 91 | 51.4 | 2.86 | 0.45 | 0.90 | 1.51 | 2.70 | 1.9% |
| 2025Q1 | 90 | 57.0 | 2.90 | 0.65 | 0.79 | 1.47 | 2.63 | 2.1% |
| 2024Q4 | 92 | 57.2 | 2.71 | 0.57 | 0.83 | 1.31 | 2.45 | 2.5% |
| 2024Q3 | 92 | 54.8 | 2.60 | 0.54 | 0.72 | 1.35 | 2.52 | 2.6% |
| 2024Q2 | 91 | 51.5 | 3.30 | 0.60 | 1.02 | 1.68 | 2.79 | 1.1% |
| 2024Q1 | 91 | 53.0 | 3.07 | 0.53 | 0.82 | 1.72 | 2.76 | 4.7% |
| 2023Q4 | 92 | 59.7 | 2.77 | 0.40 | 0.90 | 1.47 | 2.54 | 5.1% |
| 2023Q3 | 92 | 62.7 | 2.42 | 0.31 | 0.77 | 1.33 | 2.00 | 5.1% |
| 2023Q2 | 91 | 66.0 | 2.55 | 0.08 | 0.98 | 1.49 | 2.30 | 2.6% |
| 2023Q1 | 90 | 54.3 | 2.91 | 0.05 | 1.17 | 1.69 | 2.47 | 2.9% |
| 2022Q4 | 92 | 53.9 | 2.39 | 0.08 | 1.02 | 1.29 | 2.11 | 0.4% |
| 2022Q3 | 92 | 48.8 | 1.93 | 0.02 | 1.10 | 0.81 | 1.60 | 4.3% |
| 2022Q2 | 91 | 44.4 | 2.04 | 0.15 | 1.02 | 0.86 | 1.72 | 19.0% |
| 2022Q1 | 90 | 45.8 | 2.27 | 0.26 | 0.96 | 1.05 | 1.95 | 20.8% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-07-17 | Fine | $16,055 | CMS provider data |
| 2024-02-24 | Fine | $104,696 | CMS provider data |
| 2023-07-12 | Fine | $10,062 | CMS provider data |
Total fines on record: $130,813
Deficiencies
52D × 29E × 11F × 5G × 1J × 3K × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-11-20 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-11-21 |
| 2025-11-20 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-11-21 |
| 2025-11-20 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2025-11-21 |
| 2025-11-20 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-11-21 |
| 2025-11-20 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-11-21 |
| 2025-11-20 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-11-21 |
| 2025-11-20 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-11-21 |
| 2025-11-20 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-21 |
| 2025-11-20 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-11-21 |
| 2025-11-20 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-11-21 |
| 2025-11-20 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2025-11-21 |
| 2025-11-20 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-11-21 |
| 2025-11-20 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-11-21 |
| 2025-11-20 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2025-11-21 |
| 2025-11-20 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-11-21 |
| 2025-11-20 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-11-21 |
| 2025-11-20 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-11-21 |
| 2025-11-20 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2025-11-21 |
| 2025-11-20 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-11-21 |
| 2025-11-20 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-11-21 |
| 2025-11-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-11-21 |
| 2025-11-20 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2025-11-21 |
| 2025-11-20 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-11-21 |
| 2025-11-20 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-11-21 |
| 2025-11-20 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2025-11-21 |
| 2025-11-20 | Health | F0926 | Have policies on smoking. | D | 2025-11-21 |
| 2024-08-21 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-08-22 |
| 2024-08-21 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2024-08-22 |
| 2024-08-21 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-08-22 |
| 2024-08-21 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-08-22 |
| 2024-08-21 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-08-22 |
| 2024-07-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2023-10-08 |
| 2024-07-17 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | 2023-10-08 |
| 2024-02-24 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2024-03-13 |
| 2024-02-24 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | 2024-03-13 |
| 2024-02-24 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | 2024-03-13 |
| 2024-02-24 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-03-13 |
| 2024-02-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-03-13 |
| 2023-07-12 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2023-08-09 |
| 2023-07-12 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2023-08-09 |
| 2023-07-12 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-08-09 |
| 2023-07-12 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-08-09 |
| 2023-07-12 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-08-09 |
| 2023-07-12 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-08-09 |
| 2023-07-12 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-08-09 |
| 2023-07-12 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-08-09 |
| 2023-07-12 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-08-09 |
| 2023-07-12 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-08-09 |
| 2023-07-12 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2023-08-09 |
| 2023-07-12 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-08-09 |
| 2023-07-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-08-09 |
| 2023-07-12 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-08-09 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
33| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-06-01 | current | pecos_ownership |
| 1008 CITIZENS TRAIL OPCO LLC | — | — | 2024-06-01 | current | tx_hhsc_directory |
| 1008 CITIZENS TRAIL OPCO, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-01 | current | pecos_ownership |
| 1008 CITIZENS TRAIL PROPERTY OWNER LLC | ADP OF THE SNF | — | 2025-08-01 | current | pecos_ownership |
| BRADFORD, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 | current | pecos_ownership |
| FANNIN COUNTY HOSPITAL AUTHORITY | — | — | 2024-06-01 | current | tx_hhsc_directory |
| FERGUSON, CLAY | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| HOLT, ERIN | CORPORATE DIRECTOR | — | 2020-02-25 | current | pecos_ownership |
| JOHNSON, JUSTIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 | current | pecos_ownership |
| KEETON, WENDY | CORPORATE DIRECTOR | — | 2012-10-29 | current | pecos_ownership |
| KISSLING, MONICA | CORPORATE DIRECTOR | — | 2017-06-27 | current | pecos_ownership |
| MCBEAN, PATRICIA | CORPORATE DIRECTOR | — | 2021-08-30 | current | pecos_ownership |
| OWENS, ANGELA | CORPORATE DIRECTOR | — | 2016-06-22 | current | pecos_ownership |
| SANDERSON, CLARK | CORPORATE OFFICER | — | 2012-10-29 | current | pecos_ownership |
| SLIMMER, CHRISTOPHER | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| TROMPLER, KELLY | CORPORATE DIRECTOR | — | 2022-02-22 | current | pecos_ownership |
| WELLTOWER NNN GROUP, LLC | ADP OF THE SNF | — | 2025-08-01 | current | pecos_ownership |
| WELLTOWER OP, LLC | ADP OF THE SNF | — | 2025-08-01 | current | pecos_ownership |
| ANGELA OWENS | CORPORATE DIRECTOR | 0% | 2016-06-22 | ended 2026-05-18 | pecos_ownership |
| CLARK SANDERSON | CORPORATE OFFICER | 0% | 2012-10-29 | ended 2026-05-18 | pecos_ownership |
| ERIN HOLT | CORPORATE DIRECTOR | 0% | 2020-02-25 | ended 2026-05-18 | pecos_ownership |
| KELLY TROMPLER | CORPORATE DIRECTOR | 0% | 2022-02-22 | ended 2026-05-18 | pecos_ownership |
| MONICA KISSLING | CORPORATE DIRECTOR | 0% | 2017-06-27 | ended 2026-05-18 | pecos_ownership |
| PATRICIA MCBEAN | CORPORATE DIRECTOR | 0% | 2021-08-30 | ended 2026-05-18 | pecos_ownership |
| WENDY KEETON | CORPORATE DIRECTOR | 0% | 2012-10-29 | ended 2026-05-18 | pecos_ownership |
| CHRISTOPHER SLIMMER | ADP OF THE SNF | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| CLAY FERGUSON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| JEFFREY BRADFORD | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| JUSTIN JOHNSON | ADP OF THE SNF | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| SUMMIT LTC HOLDCO LLC | ADP OF THE SNF | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| SUMMIT LTC TEXARKANA LLC | ADP OF THE SNF | — | 2024-11-21 | ended 2026-05-18 | pecos_ownership |
| SUMMIT LTC TEXARKANA LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| SUMMIY LTC TEXARKANA PROPERTY LLC | ADP OF THE SNF | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2024-06-01 | — | FANNIN COUNTY HOSPITAL AUTHORITY | HMS HOLDINGS AT TEXARKANA LLC | chow |
Comparable trades — TX snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | ST. ANTHONY'S CARE CENTER | — | — | — | 120 | SOUTH LIMESTONE HOSPITAL DISTRICT |
| 2025-10-01 | Avir at New Braunfels | — | — | — | 154 | 821 US HIGHWAY 81 W OPCO LLC |
| 2025-09-01 | Avir at Texarkana | — | — | — | 110 | GUADALUPE COUNTY HOSPITAL BOARD |
| 2025-09-01 | PARKS HEALTH CENTER | — | — | — | 90 | WEST COKE COUNTY HOSPITAL DISTRICT |
| 2025-09-01 | WINDMILL VILLAGE REHABILITATION & CARE CENTER | — | — | — | 120 | FANNIN COUNTY HOSPITAL AUTHORITY |
| 2025-08-31 | Las Ventanas De Socorro | — | — | — | 126 | SOCORRO HEALTH CARE LLC |
| 2025-08-01 | Avir at Mineola | — | — | — | 115 | HOPKINS COUNTY HOSPITAL DISTRICT |
| 2025-08-01 | Avir at Orem | — | — | — | 120 | 3730 W OREM DR OPCO LLC |
| 2025-08-01 | Avir at Courtyard | — | — | — | 120 | 7499 STANWICK DR OPCO LLC |
| 2025-08-01 | HILLSIDE MEDICAL LODGE | — | — | — | 128 | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY |
| 2025-08-01 | Avir at Pasadena | — | — | — | 131 | 4300 VISTA RD OPCO LLC |
| 2025-07-01 | Highland Meadows | — | — | — | 120 | NOCONA HOSPITAL DISTRICT |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48037 | acs median gross | 0 | $650 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 0 | $859 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 1 | $732 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 1 | $868 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 2 | $971 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 2 | $1,101 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 3 | $1,194 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 3 | $1,369 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 4 | $1,493 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 4 | $1,657 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 5 | $1,367 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | acs median gross | $988 | 2024-12-31 | CENSUS_ACS5 | |
| county 48037 | acs recent mover gross | $1,195 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75501 | acs median gross | 0 | $622 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75501 | acs median gross | 1 | $619 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75501 | acs median gross | 2 | $919 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75501 | acs median gross | 3 | $1,130 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75501 | acs median gross | 4 | $1,229 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75501 | acs median gross | $925 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75501 | acs recent mover gross | $1,134 | 2024-12-31 | CENSUS_ACS5 | |
| zip 75501 | payment standard 110 | 0 | $913 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | payment standard 90 | 0 | $747 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | safmr | 0 | $830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | payment standard 110 | 1 | $924 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | payment standard 90 | 1 | $756 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | safmr | 1 | $840 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | payment standard 110 | 2 | $1,166 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | payment standard 90 | 2 | $954 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | safmr | 2 | $1,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | payment standard 110 | 3 | $1,452 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | payment standard 90 | 3 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | safmr | 3 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | payment standard 110 | 4 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | payment standard 90 | 4 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75501 | safmr | 4 | $1,600 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.