Composite
65.8 / 100 percentile
Screener / 455700
C
WILLOWBROOK NURSING CENTER
snfTX
227 RUSSELL BLVD, NACOGDOCHES, TX 75965 · CCN 455700 · chain WINNIE STOWELL HOSPITAL DISTRICT
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
166
Model
v1.2
Reads as: riskier than 65.8% 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 signals5Components20CHOW radar1Distress radar1Staffing16Penalties1Deficiencies23Licensure0Ownership53Related party0Transactions1Comps12Market rent34
Composite explanation
8| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 81.2 | 68.0 | 0.30 | 0.1714 | 13.92 | in index |
| regulatory risk | 77.2 | 73.6 | 0.30 | 0.1714 | 13.23 | in index |
| staffing risk | 75.3 | 75.3 | 0.25 | 0.1429 | 10.76 | in index |
| billing conduct | 37.7 | 34.8 | 0.30 | 0.1714 | 6.46 | in index |
| lease risk | 71.7 | 59.4 | 0.15 | 0.0857 | 6.15 | in index |
| chow risk | 44.4 | 43.9 | 0.15 | 0.0857 | 3.81 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.1714 | 0.00 | in index |
| ownership opacity | 25.5 | 51.3 | 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
5| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 47 chains | FORVIS MAZARS LLP | 251 facilities |
| connection | Owner spans multiple chains | 15 chains | CIBC BANK USA | 155 facilities |
| connection | Buyer assembling a chain (5+ takeovers/24mo) | 6 facilities | WINNIE-STOWELL HOSPITAL DISTRICT | 6 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | MURRELL EDWARD | 76 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | SANDERS JAMES | 5 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 | 34.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.8 | A | 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 | 61.3 | C | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 45.5 | C | v0.6 | default · in composite | |
| financial risk | 68.0 | D | v0.5 | default · in composite | R18. |
| lease risk | 59.4 | C | v0.5 | default · in composite | |
| ownership opacity | 51.3 | C | 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 | 0.1 | — | 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 | 73.6 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 75.3 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| state reg risk | 0.0 | A | v0.5 | default · in composite | |
| financial risk | 80.8 | 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 | 60.8 | C | 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 | 58.7 | C | 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 | 70.4 | D | 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 | 73.5 | D | 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 | 73.5 | D | 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 | 75.3 | D | 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 | 75.3 | D | 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
32.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 6.57 | -1.21 | |
| For-profit ownership | 1.00 | +0.69 | |
| Chain size (log) | 4.34 | +0.52 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Occupancy | 0.65 | +0.13 |
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
38.3
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 | 0.00 | +1.43 | |
| Chain size (log) | 4.34 | -1.33 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.65 | +0.40 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 6.57 | -0.19 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
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 | 2.89 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.18 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.56 | 2.56 | 3.11 | — |
| Weekday total | 3.02 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 108.3 | 2.89 | 0.18 | 1.06 | 1.65 | 2.56 | 0.0% |
| 2025Q3 | 92 | 112.0 | 2.75 | 0.16 | 1.03 | 1.56 | 2.46 | 0.0% |
| 2025Q2 | 91 | 109.9 | 2.78 | 0.14 | 1.01 | 1.64 | 2.50 | 0.0% |
| 2025Q1 | 90 | 111.5 | 2.76 | 0.13 | 0.96 | 1.68 | 2.55 | 0.0% |
| 2024Q4 | 92 | 117.7 | 2.69 | 0.17 | 0.88 | 1.64 | 2.39 | 0.0% |
| 2024Q3 | 92 | 109.0 | 2.86 | 0.21 | 0.94 | 1.71 | 2.48 | 0.0% |
| 2024Q2 | 91 | 107.5 | 2.79 | 0.25 | 1.00 | 1.54 | 2.39 | 0.0% |
| 2024Q1 | 91 | 103.1 | 2.84 | 0.24 | 0.96 | 1.64 | 2.56 | 0.0% |
| 2023Q4 | 92 | 107.0 | 2.77 | 0.25 | 0.99 | 1.53 | 2.45 | 0.0% |
| 2023Q3 | 92 | 111.6 | 2.70 | 0.25 | 0.96 | 1.48 | 2.42 | 0.1% |
| 2023Q2 | 91 | 107.1 | 2.69 | 0.25 | 1.01 | 1.43 | 2.31 | 0.0% |
| 2023Q1 | 90 | 105.2 | 2.73 | 0.26 | 1.02 | 1.45 | 2.39 | 0.0% |
| 2022Q4 | 92 | 108.3 | 2.62 | 0.28 | 0.89 | 1.45 | 2.25 | 0.0% |
| 2022Q3 | 92 | 104.6 | 2.80 | 0.24 | 1.00 | 1.57 | 2.47 | 0.0% |
| 2022Q2 | 91 | 102.5 | 2.87 | 0.31 | 0.90 | 1.65 | 2.47 | 0.0% |
| 2022Q1 | 90 | 102.0 | 2.99 | 0.35 | 0.97 | 1.67 | 2.60 | 0.0% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-03-19 | Fine | $153,439 | CMS provider data |
Total fines on record: $153,439
Deficiencies
23C × 1D × 12E × 9J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-07-09 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-07-10 |
| 2025-07-09 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-07-10 |
| 2025-07-09 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-07-10 |
| 2025-07-09 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-07-10 |
| 2025-07-09 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-07-10 |
| 2025-07-09 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-07-10 |
| 2025-05-28 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-06-15 |
| 2025-03-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-03-20 |
| 2024-06-19 | 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. | E | 2024-07-05 |
| 2024-06-19 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2024-07-05 |
| 2024-06-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-07-05 |
| 2024-06-19 | 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 | 2024-07-05 |
| 2024-06-19 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2024-07-05 |
| 2024-06-19 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-07-05 |
| 2024-06-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-07-05 |
| 2024-06-19 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2024-07-05 |
| 2024-06-19 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-07-05 |
| 2024-06-19 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-07-05 |
| 2023-04-19 | 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. | E | 2023-05-05 |
| 2023-04-19 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-05-05 |
| 2023-04-19 | 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. | D | 2023-05-05 |
| 2023-04-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-05-05 |
| 2023-04-19 | Health | F0926 | Have policies on smoking. | E | 2023-05-05 |
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
53| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BALSAMO, KRYSTAL | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | current | pecos_ownership |
| BENAVIDES, RHONDA | OPERATIONAL/MANAGERIAL CONTROL | — | 2001-08-20 | current | pecos_ownership |
| CASPER, ANDREA | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-08-30 | current | pecos_ownership |
| CIBC BANK USA | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-01 | current | pecos_ownership |
| CIBC BANK USA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2018-04-01 | current | pecos_ownership |
| CULP, ROLAND | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | current | pecos_ownership |
| DASPIT, LAURENCE | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | current | pecos_ownership |
| DOHN, WILLIAM | ADP OF THE SNF | — | 2018-04-01 | current | pecos_ownership |
| FORVIS MAZARS LLP | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | current | pecos_ownership |
| HMG PARK MANOR OF WILLOWBROOK LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-01-01 | current | pecos_ownership |
| HMG PARK MANOR OF WILLOWBROOK, LLC | — | — | 2026-01-01 | current | tx_hhsc_directory |
| HMG PARTNERS II LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-01-01 | current | pecos_ownership |
| LINDEMANN, CAREY | ADP OF THE SNF | — | 2018-04-01 | current | pecos_ownership |
| MURRELL, EDWARD | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | current | pecos_ownership |
| MURRELL, EDWARD | CORPORATE OFFICER | — | 2012-11-01 | current | pecos_ownership |
| PICO, ANA | ADP OF THE SNF | — | 2018-04-01 | current | pecos_ownership |
| PRINCE, DEREK | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-09-12 | current | pecos_ownership |
| PRINCE, DEREK | ADP OF THE SNF | — | 2018-04-01 | current | pecos_ownership |
| REINARZ, CHRISTIAN | ADP OF THE SNF | — | 2018-04-01 | current | pecos_ownership |
| ROLLO, JEFFERY | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | current | pecos_ownership |
| ROLLO, JEFFERY | CORPORATE OFFICER | — | 2012-11-01 | current | pecos_ownership |
| SANDERS, JAMES | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-03 | current | pecos_ownership |
| STANBRIDGE, NORMA | ADP OF THE SNF | — | 2018-04-01 | current | pecos_ownership |
| STRAMECKI, ANTHONY | CORPORATE DIRECTOR | — | 2016-11-01 | current | pecos_ownership |
| STRAMECKI, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | current | pecos_ownership |
| VRATIS, KACEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | current | pecos_ownership |
| WAY, GEORGE | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | current | pecos_ownership |
| WAY, GEORGE | CORPORATE DIRECTOR | — | 2005-06-27 | current | pecos_ownership |
| WINNIESTOWELL HOSPITAL DISTRICT | — | — | 2026-01-01 | current | tx_hhsc_directory |
| ZIONS BANCORPORATION | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-01 | current | pecos_ownership |
| ZIONS BANCORPORATION | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2018-04-01 | current | pecos_ownership |
| ANTHONY STRAMECKI | CORPORATE DIRECTOR | 100% | 2016-11-01 | ended 2026-05-18 | pecos_ownership |
| EDWARD MURRELL | CORPORATE OFFICER | 100% | 2012-11-01 | ended 2026-05-18 | pecos_ownership |
| GEORGE WAY | CORPORATE DIRECTOR | 100% | 2005-06-27 | ended 2026-05-18 | pecos_ownership |
| JEFFERY ROLLO | CORPORATE OFFICER | 100% | 2012-11-01 | ended 2026-05-18 | pecos_ownership |
| ANA PICO | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| DEREK PRINCE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| LAURENCE DASPIT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| ROLAND CULP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| WINNIE-STOWELL HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 0% | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| ANDREA CASPER | ADP OF THE SNF | — | 2022-08-30 | ended 2026-05-18 | pecos_ownership |
| ANTHONY STRAMECKI | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| CAREY LINDEMANN | ADP OF THE SNF | — | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| CHRISTIAN REINARZ | ADP OF THE SNF | — | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| EDWARD MURRELL | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| GEORGE WAY | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| JAMES SANDERS | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-03 | ended 2026-05-18 | pecos_ownership |
| JEFFERY ROLLO | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| KACEY VRATIS | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| KRYSTAL BALSAMO | ADP OF THE SNF | — | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| NORMA STANBRIDGE | ADP OF THE SNF | — | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| RHONDA BENAVIDES | ADP OF THE SNF | — | 2001-08-20 | ended 2026-05-18 | pecos_ownership |
| WILLIAM DOHN | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 | 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 |
|---|---|---|---|---|
| 2020-01-01 | — | WINNIE-STOWELL HOSPITAL DISTRICT | NACOGDOCHES CSNHC ENTERPRISES, 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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48347 | acs median gross | 0 | $770 | 2024-12-31 | CENSUS_ACS5 |
| county 48347 | fmr | 0 | $850 | 2025-10-01 | HUD_USER_FMR |
| county 48347 | acs median gross | 1 | $823 | 2024-12-31 | CENSUS_ACS5 |
| county 48347 | fmr | 1 | $893 | 2025-10-01 | HUD_USER_FMR |
| county 48347 | acs median gross | 2 | $995 | 2024-12-31 | CENSUS_ACS5 |
| county 48347 | fmr | 2 | $1,067 | 2025-10-01 | HUD_USER_FMR |
| county 48347 | acs median gross | 3 | $1,159 | 2024-12-31 | CENSUS_ACS5 |
| county 48347 | fmr | 3 | $1,279 | 2025-10-01 | HUD_USER_FMR |
| county 48347 | acs median gross | 4 | $1,121 | 2024-12-31 | CENSUS_ACS5 |
| county 48347 | fmr | 4 | $1,696 | 2025-10-01 | HUD_USER_FMR |
| county 48347 | acs median gross | $965 | 2024-12-31 | CENSUS_ACS5 | |
| county 48347 | acs recent mover gross | $1,031 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75965 | acs median gross | 0 | $694 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75965 | acs median gross | 1 | $872 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75965 | acs median gross | 2 | $1,008 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75965 | acs median gross | 3 | $1,234 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75965 | acs median gross | 4 | $2,018 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75965 | acs median gross | $968 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75965 | acs recent mover gross | $1,080 | 2024-12-31 | CENSUS_ACS5 | |
| zip 75965 | payment standard 110 | 0 | $913 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | payment standard 90 | 0 | $747 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | safmr | 0 | $830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | payment standard 110 | 1 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | payment standard 90 | 1 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | safmr | 1 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | payment standard 110 | 2 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | payment standard 90 | 2 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | safmr | 2 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | payment standard 110 | 3 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | payment standard 90 | 3 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | safmr | 3 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | payment standard 110 | 4 | $1,815 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | payment standard 90 | 4 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75965 | safmr | 4 | $1,650 | 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.