CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 58,071 facilities
LIVE SIGNALS
ENFG & V HEALTH SERVICES LLCTX · 2026-10-06 · HHSC: ENFORCEMENT ACTION PENDENFCORNERSTONE CAREGIVING, LLCTX · 2026-10-05 · HHSC: ENFORCEMENT ACTION PENDENFPARLEW HEALTH INSTITUTE LLCTX · 2026-10-04 · HHSC: ENFORCEMENT ACTION PENDENFELOIS HEALTH CARE LLCTX · 2026-10-03 · HHSC: ENFORCEMENT ACTION PENDENFTOTAL TEAM HOME HEALTHTX · 2026-10-03 · HHSC: ENFORCEMENT ACTION PENDENFCORNERSTONE CAREGIVING, LLCTX · 2026-10-03 · HHSC: ENFORCEMENT ACTION PENDENFK & G QUALITY HEALTHCARE SERVICES INCTX · 2026-09-30 · HHSC: closure noticeENFTEXAS HEALTH STAFFING SERVICES INCTX · 2026-09-30 · HHSC: closure noticeENFOAK RIVER HEALTHCARE SERVICES INCTX · 2026-09-30 · HHSC: closure noticeENFCK TEXAS HOLDINGS INCTX · 2026-09-30 · HHSC: closure noticeENFMANAGEMENT & BUSINESS ASSOCIATES, INCTX · 2026-09-30 · HHSC: closure noticeENFSERENITY PLUS HOME HEALTH INCTX · 2026-09-30 · HHSC: ENFORCEMENT ACTION PENDENFAMAZING ANGELS HOSPICETX · 2026-09-30 · HHSC: ENFORCEMENT ACTION PENDENFUNITED CARE INCTX · 2026-09-30 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFG & V HEALTH SERVICES LLCTX · 2026-10-06 · HHSC: ENFORCEMENT ACTION PENDENFCORNERSTONE CAREGIVING, LLCTX · 2026-10-05 · HHSC: ENFORCEMENT ACTION PENDENFPARLEW HEALTH INSTITUTE LLCTX · 2026-10-04 · HHSC: ENFORCEMENT ACTION PENDENFELOIS HEALTH CARE LLCTX · 2026-10-03 · HHSC: ENFORCEMENT ACTION PENDENFTOTAL TEAM HOME HEALTHTX · 2026-10-03 · HHSC: ENFORCEMENT ACTION PENDENFCORNERSTONE CAREGIVING, LLCTX · 2026-10-03 · HHSC: ENFORCEMENT ACTION PENDENFK & G QUALITY HEALTHCARE SERVICES INCTX · 2026-09-30 · HHSC: closure noticeENFTEXAS HEALTH STAFFING SERVICES INCTX · 2026-09-30 · HHSC: closure noticeENFOAK RIVER HEALTHCARE SERVICES INCTX · 2026-09-30 · HHSC: closure noticeENFCK TEXAS HOLDINGS INCTX · 2026-09-30 · HHSC: closure noticeENFMANAGEMENT & BUSINESS ASSOCIATES, INCTX · 2026-09-30 · HHSC: closure noticeENFSERENITY PLUS HOME HEALTH INCTX · 2026-09-30 · HHSC: ENFORCEMENT ACTION PENDENFAMAZING ANGELS HOSPICETX · 2026-09-30 · HHSC: ENFORCEMENT ACTION PENDENFUNITED CARE INCTX · 2026-09-30 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-10-08 04:14 UTC
Screener / 675879
C

Terrell Healthcare Center

snfTXSFF: SFF
204 W Nash, Terrell, TX 75160 · CCN 675879 · chain EASTLAND MEMORIAL HOSPITAL DISTRICT
Composite
75.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 75.1% 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 model8Components20CHOW radar1Distress radar1Staffing16Penalties4Deficiencies93Licensure0Ownership18Related party0Transactions1Comps12Market rent35

Composite explanation

8
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk99.899.50.300.171417.11in index
state reg risk97.957.00.300.171416.78in index
financial risk50.445.70.300.17148.64in index
staffing risk55.755.70.250.14297.96in index
chow risk55.848.50.150.08574.78in index
billing conduct15.320.00.300.17142.62in index
lease risk3.623.40.150.08570.31in index
ownership opacity40.053.5excluded
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.

Component scores and registry models

20
Score typeScoreGradeModelStatusRegistry model notes
billing conduct20.0Av0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-posdefault · in compositeChange-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 risk31.4Bv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk56.8Cv0.6default · in composite
financial risk45.7Cv0.5default · in compositeR18.
lease risk23.4Av0.5default · in composite
ownership opacity53.1Cv0.1-txhhscdefault · in compositeTexas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history.
p adverse action 12m0.0—v0.1default · in compositeR23/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 12m0.3—v0.1default · in compositeR22/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 risk99.5Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk55.7Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk57.0Cv0.5default · in composite
financial risk68.0Dv0.1supersededPre-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 risk48.0Cv0.2supersededPre-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 risk39.8Bv0.3supersededPre-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 risk51.4Cv0.4supersededPre-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 risk99.5Fv0.1supersededPre-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 risk99.5Fv0.2supersededPre-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 risk55.7Cv0.1supersededPre-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 risk55.7Cv0.2supersededPre-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)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
48.5
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)8.33-1.04
Deficiencies, last 12 months39.00+0.78
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Chain size (log)3.50+0.34
Ownership changes, last 5 years0.00+0.20
Occupancy0.65+0.14
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
DriverValuePull on odds
Deficiencies, last 12 months39.00-5.80
Chain size (log)3.50-0.83
For-profit ownership1.00-0.69
Occupancy0.65+0.42
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Staffing trend, last 4 quarters0.56+0.24
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 HPRDThis facilityTX medianNational medianNational p25–p75
Total nurse3.202.673.282.90–3.77
RN0.400.240.390.25–0.58
Weekend total3.382.563.11—
Weekday total3.122.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49261.03.200.400.722.083.380.0%
2025Q39261.33.360.480.672.223.440.0%
2025Q29167.02.670.580.481.602.530.0%
2025Q19071.02.440.470.541.442.280.0%
2024Q49263.32.630.480.571.582.560.0%
2024Q39262.02.460.500.521.432.310.0%
2024Q29154.42.620.520.621.482.560.0%
2024Q19158.62.600.450.641.502.460.0%
2023Q49261.42.370.350.661.362.500.0%
2023Q39260.92.370.350.701.312.240.0%
2023Q29162.52.180.300.691.191.930.0%
2023Q19057.82.300.290.701.312.070.0%
2022Q49253.62.410.240.761.412.240.0%
2022Q39250.42.420.260.691.472.120.0%
2022Q29142.82.330.260.761.302.060.0%
2022Q19040.32.840.250.901.692.480.0%
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

4
fines by year
$247.1k$123.6k2425
DateTypeFineSource
2025-03-29Fine$91,910CMS provider data
2024-03-20Fine$103,109CMS provider data
2024-03-20Payment Denial—CMS provider data
2024-02-15Fine$144,027CMS provider data
Total fines on record: $339,046

Deficiencies

93
D × 54E × 26F × 2G × 1J × 3K × 7
deficiencies by survey year
422123242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-03HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-04-10
2026-04-03HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2026-04-10
2026-04-03HealthF0558Reasonably accommodate the needs and preferences of each resident.D2026-04-10
2026-04-03HealthF0583Keep residents' personal and medical records private and confidential.E2026-04-10
2026-04-03HealthF0641Ensure each resident receives an accurate assessment.D2026-04-10
2026-04-03HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.E2026-04-26
2026-04-03HealthF0659Provide care by qualified persons according to each resident's written plan of care.D2026-04-10
2026-04-03HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2026-04-10
2026-04-03HealthF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D2026-04-10
2026-04-03HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E2026-04-10
2026-04-03HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-04-10
2026-04-03HealthF0699Provide care or services that was trauma informed and/or culturally competent.D2026-04-10
2026-04-03HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-04-10
2026-04-03HealthF0761Ensure 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.E2026-04-10
2026-04-03HealthF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2026-04-10
2026-04-03HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2026-04-10
2026-04-03HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2026-04-10
2026-04-03HealthF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D2026-04-10
2026-04-03HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-04-10
2026-04-03HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2026-04-10
2026-04-03HealthF0880Provide and implement an infection prevention and control program.D2026-04-10
2026-04-03HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F2026-04-10
2026-03-05Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-03-06
2026-03-05Health · complaintF0761Ensure 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.E2026-03-06
2026-03-05Health · complaintF0880Provide and implement an infection prevention and control program.D2026-03-06
2025-12-03HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-12-10
2025-12-03HealthF0679Provide activities to meet all resident's needs.D2025-12-10
2025-12-03HealthF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D2025-12-10
2025-12-03HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-12-10
2025-12-03HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-12-10
2025-12-03HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.E2025-12-10
2025-12-03HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-12-10
2025-12-03HealthF0759Ensure medication error rates are not 5 percent or greater.E2025-12-10
2025-12-03HealthF0761Ensure 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.E2025-12-10
2025-12-03HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E2025-12-10
2025-12-03HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-12-19
2025-12-03HealthF0880Provide and implement an infection prevention and control program.E2025-12-10
2025-12-03HealthF0926Have policies on smoking.D2025-12-10
2025-11-19Health · complaintF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.E2025-11-20
2025-07-17Health · complaintF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.D2025-07-18
2025-07-17Health · complaintF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.D2025-07-18
2025-07-17Health · complaintF0946Provide training in compliance and ethics.D2025-07-18
2025-03-29HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-03-30
2025-03-29HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D2025-03-30
2025-03-29HealthF0584Honor 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.D2025-03-30
2025-03-29Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K2025-03-30
2025-03-29Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.K2025-03-30
2025-03-29Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.J2025-03-30
2025-03-29Health · complaintF0610Respond appropriately to all alleged violations.K2025-03-30
2025-03-29HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2025-03-30
2025-03-29HealthF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2025-03-30
2025-03-29HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-03-30
2025-03-29HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-03-30
2025-03-29HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E2025-03-30
2025-03-29HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-03-30
2025-03-29HealthF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2025-03-30
2025-03-29HealthF0697Provide safe, appropriate pain management for a resident who requires such services.G2025-03-30
2025-03-29HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-03-30
2025-03-29HealthF0699Provide care or services that was trauma informed and/or culturally competent.E2025-03-30
2025-03-29HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.K2025-03-30
2025-03-29HealthF0758Implement 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.D2025-03-30
2025-03-29HealthF0761Ensure 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.E2025-03-30
2025-03-29HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D2025-03-30
2025-03-29HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2025-03-30
2025-03-29HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-03-30
2025-03-29HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-03-30
2025-03-29HealthF0880Provide and implement an infection prevention and control program.E2025-03-30
2024-03-20Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2024-04-23
2024-03-20Health · complaintF0660Plan the resident's discharge to meet the resident's goals and needs.J2024-03-21
2024-03-20Health · complaintF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.E2024-04-23
2024-02-15Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-02-16
2024-02-15Health · complaintF0576Ensure residents have reasonable access to and privacy in their use of communication methods.E2024-02-16
2024-02-15Health · complaintF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2024-02-16
2024-02-15Health · complaintF0584Honor 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.E2024-02-16
2024-02-15Health · complaintF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E2024-02-16
2024-02-15Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K2024-02-16
2024-02-15Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.K2024-02-16
2024-02-15Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-02-16
2024-02-15Health · complaintF0679Provide activities to meet all resident's needs.D2024-02-16
2024-02-15Health · complaintF0680Ensure the activities program is directed by a qualified professional.D2024-02-16
2024-02-15Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2024-02-16
2024-02-15Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-02-16
2024-02-15Health · complaintF0761Ensure 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.E2024-02-16
2024-02-15Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2024-02-16
2024-02-15Health · complaintF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.E2024-02-16
2024-02-15Health · complaintF0880Provide and implement an infection prevention and control program.E2024-02-16
2024-02-15Health · complaintF0926Have policies on smoking.K2024-02-16
2023-12-04Health · complaintF0584Honor 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.D2023-12-21
2023-12-04Health · complaintF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2023-12-21
2023-12-04Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-12-21
2023-12-04Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-12-21
2023-12-04Health · complaintF0791Provide or obtain dental services for each resident.D2023-12-21
2023-12-04Health · complaintF0880Provide and implement an infection prevention and control program.D2023-12-21
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

0
No 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

18
OwnerRolePctFromStatusSource
EASTLAND MEMORIAL HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST—2018-04-01currentpecos_ownership
EASTLAND MEMORIAL HOSPITAL DISTRICT——2024-04-01currenttx_hhsc_directory
FALLON, JOHNOPERATIONAL/MANAGERIAL CONTROL—2018-04-01currentpecos_ownership
KIRLEY, FRANCISOPERATIONAL/MANAGERIAL CONTROL—2018-04-01currentpecos_ownership
LEE, BRIANOPERATIONAL/MANAGERIAL CONTROL—2018-04-01currentpecos_ownership
NEXION HEALTH AT TERRELL, INC——2024-04-01currenttx_hhsc_directory
NEXION HEALTH AT TERRELL, INC.OPERATIONAL/MANAGERIAL CONTROL—2018-04-01currentpecos_ownership
OSWALD, JOHNOPERATIONAL/MANAGERIAL CONTROL—2022-03-22currentpecos_ownership
PIERCE, DANIELOPERATIONAL/MANAGERIAL CONTROL—2021-03-16currentpecos_ownership
RINER, MEERAOPERATIONAL/MANAGERIAL CONTROL—2018-04-01currentpecos_ownership
WRIGHT, LABANW-2 MANAGING EMPLOYEE—2021-11-10currentpecos_ownership
BRIAN LEEOPERATIONAL/MANAGERIAL CONTROL—2018-04-01ended 2026-05-18pecos_ownership
DANIEL PIERCEOPERATIONAL/MANAGERIAL CONTROL—2021-03-16ended 2026-05-18pecos_ownership
FRANCIS KIRLEYOPERATIONAL/MANAGERIAL CONTROL—2018-04-01ended 2026-05-18pecos_ownership
JOHN FALLONOPERATIONAL/MANAGERIAL CONTROL—2018-04-01ended 2026-05-18pecos_ownership
JOHN OSWALDOPERATIONAL/MANAGERIAL CONTROL—2022-03-22ended 2026-05-18pecos_ownership
LABAN WRIGHTW-2 MANAGING EMPLOYEE—2021-11-10ended 2026-05-18pecos_ownership
MEERA RINEROPERATIONAL/MANAGERIAL CONTROL—2018-04-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2018-04-01—EASTLAND MEMORIAL HOSPITAL DISTRICTNEXION HEALTH AT TERRELL, INC.chow

Comparable trades — TX snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01ST. ANTHONY'S CARE CENTER———120SOUTH LIMESTONE HOSPITAL DISTRICT
2025-10-01Avir at New Braunfels———154821 US HIGHWAY 81 W OPCO LLC
2025-09-01Avir at Texarkana———110GUADALUPE COUNTY HOSPITAL BOARD
2025-09-01PARKS HEALTH CENTER———90WEST COKE COUNTY HOSPITAL DISTRICT
2025-09-01WINDMILL VILLAGE REHABILITATION & CARE CENTER———120FANNIN COUNTY HOSPITAL AUTHORITY
2025-08-31Las Ventanas De Socorro———126SOCORRO HEALTH CARE LLC
2025-08-01Avir at Mineola———115HOPKINS COUNTY HOSPITAL DISTRICT
2025-08-01Avir at Orem———1203730 W OREM DR OPCO LLC
2025-08-01Avir at Courtyard———1207499 STANWICK DR OPCO LLC
2025-08-01HILLSIDE MEDICAL LODGE———128CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
2025-08-01Avir at Pasadena———1314300 VISTA RD OPCO LLC
2025-07-01Highland Meadows———120NOCONA 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
GeoKindBRAmountAs ofSource
county 48257acs median gross0$1,1822024-12-31CENSUS_ACS5
county 48257fmr0$1,5822025-10-01HUD_USER_FMR
county 48257acs median gross1$1,3142024-12-31CENSUS_ACS5
county 48257fmr1$1,6482025-10-01HUD_USER_FMR
county 48257acs median gross2$1,2632024-12-31CENSUS_ACS5
county 48257fmr2$1,9312025-10-01HUD_USER_FMR
county 48257acs median gross3$1,9162024-12-31CENSUS_ACS5
county 48257fmr3$2,4312025-10-01HUD_USER_FMR
county 48257acs median gross4$2,2832024-12-31CENSUS_ACS5
county 48257fmr4$3,0912025-10-01HUD_USER_FMR
county 48257acs median gross5$2,4562024-12-31CENSUS_ACS5
county 48257acs median gross$1,5542024-12-31CENSUS_ACS5
county 48257acs recent mover gross$1,8942024-12-31CENSUS_ACS5
zcta 75160acs median gross0$6722024-12-31CENSUS_ACS5
zcta 75160acs median gross1$1,0962024-12-31CENSUS_ACS5
zcta 75160acs median gross2$1,2052024-12-31CENSUS_ACS5
zcta 75160acs median gross3$1,5052024-12-31CENSUS_ACS5
zcta 75160acs median gross4$2,0002024-12-31CENSUS_ACS5
zcta 75160acs median gross$1,2572024-12-31CENSUS_ACS5
zcta 75160acs recent mover gross$1,6962024-12-31CENSUS_ACS5
zip 75160payment standard 1100$1,3752025-10-01HUD_USER_SAFMR
zip 75160payment standard 900$1,1252025-10-01HUD_USER_SAFMR
zip 75160safmr0$1,2502025-10-01HUD_USER_SAFMR
zip 75160payment standard 1101$1,4302025-10-01HUD_USER_SAFMR
zip 75160payment standard 901$1,1702025-10-01HUD_USER_SAFMR
zip 75160safmr1$1,3002025-10-01HUD_USER_SAFMR
zip 75160payment standard 1102$1,6722025-10-01HUD_USER_SAFMR
zip 75160payment standard 902$1,3682025-10-01HUD_USER_SAFMR
zip 75160safmr2$1,5202025-10-01HUD_USER_SAFMR
zip 75160payment standard 1103$2,1012025-10-01HUD_USER_SAFMR
zip 75160payment standard 903$1,7192025-10-01HUD_USER_SAFMR
zip 75160safmr3$1,9102025-10-01HUD_USER_SAFMR
zip 75160payment standard 1104$2,6732025-10-01HUD_USER_SAFMR
zip 75160payment standard 904$2,1872025-10-01HUD_USER_SAFMR
zip 75160safmr4$2,4302025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Terrell Healthcare Center (675879) · generated 2026-10-08 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency