CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · 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)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · 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 2026-08-05 10:09 UTC
Screener / 455621
B

Valley Grande Manor

snfTX
1212 S Bridge, Weslaco, TX 78596 · CCN 455621 · chain BOOKER HOSPITAL DISTRICT
Composite
52.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 52.5% 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 model7ML signals7Components19CHOW radar1Distress radar1Staffing16Penalties4Deficiencies49Licensure0Ownership17Related party0Transactions1Comps12Market rent33

Composite explanation

7
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk95.293.40.300.187517.85in index
staffing risk92.392.30.250.156314.42in index
billing conduct46.638.00.300.18758.74in index
financial risk21.127.80.300.18753.96in index
state reg risk14.63.00.300.18752.74in index
chow risk17.323.30.150.09381.62in index
ownership opacity20.549.4excluded
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

7
KindFindingSignalSubjectFirst seen
connectionOwner fleet enforcement cluster80% finedSCHINDELE WILLIAM5 facilities
connectionOwner fleet enforcement cluster80% finedTRIDENT LTC INC 5 facilities
connectionOwner fleet enforcement cluster80% finedTRIDENT ONE LEASING LLC5 facilities
connectionOwner fleet enforcement cluster80% finedBILLY SCHINDELE 2020 IRRV TR5 facilities
connectionOwner fleet enforcement cluster80% finedSHERRY SCHINDELE IRRV TR5 facilities
connectionOwner fleet enforcement cluster43% finedBOOKER HOSPITAL DISTRICT7 facilities
connectionOwner fleet enforcement cluster43% finedHOOVER SHAWN7 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

19
Score typeScoreGradeModelStatusRegistry model notes
billing conduct38.0Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk24.5Av0.1-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 risk44.5Bv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk0.5Av0.6default · in composite
financial risk27.8Bv0.5default · in compositeR18.
ownership opacity49.4Cv0.1-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 12m0.0—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 risk93.4Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk92.3Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk3.0Av0.5default · in composite
financial risk84.8Fv0.1supersededPre-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 risk64.8Cv0.2supersededPre-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 risk24.0Av0.3supersededPre-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 risk31.4Bv0.4supersededPre-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 risk93.4Fv0.1supersededPre-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 risk93.4Fv0.2supersededPre-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 risk92.3Fv0.1supersededPre-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 risk92.3Fv0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
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)4.74-1.39
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months12.00+0.12
Total nurse staffing (HPRD)2.45+0.12
Facility size (log beds)5.00-0.10
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
27.7
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months12.00-0.80
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)2.45+0.32
Never sold on record0.00-0.28
Ownership changes, last 5 years1.00+0.23
Current owner tenure (years)4.74-0.22
Occupancy0.70+0.21
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 nurse2.452.673.282.90–3.77
RN0.040.240.390.25–0.58
Weekend total2.262.563.11—
Weekday total2.522.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492102.82.450.041.001.412.260.0%
2025Q39295.02.550.061.051.442.300.0%
2025Q29196.22.410.041.041.332.240.0%
2025Q19098.12.300.031.011.272.110.0%
2024Q49299.32.210.070.891.252.080.0%
2024Q392105.42.090.070.791.232.020.0%
2024Q291107.32.040.050.831.161.880.0%
2024Q191107.51.950.000.831.121.870.0%
2023Q492104.82.110.120.841.161.990.0%
2023Q392106.22.080.170.821.081.870.0%
2023Q29198.52.170.200.841.141.940.0%
2023Q190103.62.160.100.811.251.900.0%
2022Q492100.92.300.080.801.432.140.0%
2022Q392101.52.280.070.791.422.180.0%
2022Q291103.82.370.110.871.392.110.0%
2022Q190108.72.420.120.951.352.250.0%
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
$55.4k$27.7k232425
DateTypeFineSource
2025-07-25Fine$14,744CMS provider data
2025-06-05Fine$10,513CMS provider data
2024-04-30Fine$8,021CMS provider data
2023-12-21Fine$55,401CMS provider data
Total fines on record: $88,679

Deficiencies

49
D × 36E × 7G × 2J × 1K × 3
deficiencies by survey year
231223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-23Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2026-03-24
2026-03-23Health · complaintF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).D2026-03-24
2026-03-23Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-03-24
2026-03-23Health · complaintF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D2026-03-24
2026-03-23Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-03-24
2026-01-30Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2026-02-07
2026-01-30Health · complaintF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2026-02-07
2026-01-30Health · 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.D2026-02-07
2025-11-21Health · complaintF0641Ensure each resident receives an accurate assessment.D2025-11-22
2025-11-21Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-11-22
2025-11-21Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-11-22
2025-11-20Health · complaintF0880Provide and implement an infection prevention and control program.D2025-11-26
2025-07-25HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-08-01
2025-07-25HealthF0578Honor 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.D2025-08-01
2025-07-25Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K2025-06-28
2025-07-25HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-08-01
2025-07-25HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2025-08-01
2025-07-25HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-08-01
2025-07-25HealthF0693Ensure 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.D2025-08-01
2025-07-25HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-08-01
2025-07-25HealthF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D2025-08-01
2025-07-25HealthF0880Provide and implement an infection prevention and control program.E2025-08-01
2025-06-05Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2025-06-13
2025-06-05Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2025-06-13
2025-06-05Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-06-13
2025-06-05Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.G2025-06-13
2025-05-22Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-05-26
2025-05-22Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2025-05-26
2025-02-21Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-02-24
2025-02-21Health · complaintF0693Ensure 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.E2025-02-24
2025-02-21Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-02-24
2024-05-17Health · complaintF0578Honor 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.E2024-06-05
2024-05-17HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2024-06-11
2024-05-17HealthF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D2024-06-11
2024-05-17HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-06-11
2024-05-17HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-06-07
2024-05-17Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-05-18
2024-05-17HealthF0880Provide and implement an infection prevention and control program.D2024-06-14
2024-05-17HealthF0922Have enough backup water supply for essential areas of the nursing home.E2024-05-20
2024-04-30Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-05-16
2024-04-30Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-05-16
2024-04-30Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-05-16
2024-04-30Health · complaintF0610Respond appropriately to all alleged violations.D2024-05-16
2024-04-30Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2023-05-01
2023-12-21Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.K2023-12-22
2023-12-21Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K2023-12-22
2023-12-21Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2023-12-22
2023-12-21Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-12-22
2023-03-03HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-03-31
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

17
OwnerRolePctFromStatusSource
BOOKER HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-11-01currentpecos_ownership
ASUAJE, JUANOPERATIONAL/MANAGERIAL CONTROL—2025-01-01currentpecos_ownership
BILLY SCHINDELE 2020 IRRV TRADP OF THE SNF—2025-11-01currentpecos_ownership
BOOKER HOSPITAL DISTRICT——2024-11-01currenttx_hhsc_directory
HOOVER, SHAWNCORPORATE DIRECTOR—2021-11-01currentpecos_ownership
SCHINDELE, WILLIAMOPERATIONAL/MANAGERIAL CONTROL—2021-11-01currentpecos_ownership
SHERRY SCHINDELE IRRV TRADP OF THE SNF—2021-11-01currentpecos_ownership
TREVINO, JERRYADP OF THE SNF—2021-11-01currentpecos_ownership
TRIDENT LTC, INC.ADP OF THE SNF—2021-11-01currentpecos_ownership
TRIDENT ONE LEASING LLCADP OF THE SNF—2021-11-01currentpecos_ownership
VGL VALLEY GRANDE LEASING INCADP OF THE SNF—2021-11-01currentpecos_ownership
VGM VALLEY GRANDE MANOR WESLACO OPS INC.OPERATIONAL/MANAGERIAL CONTROL—2021-11-01currentpecos_ownership
VGM VALLEY GRANDE MANOR WESLACO OPS, INC——2024-11-01currenttx_hhsc_directory
WILLIAM SCHINDELEOPERATIONAL/MANAGERIAL CONTROL100%2021-11-01ended 2026-05-18pecos_ownership
JERRY TREVINOADP OF THE SNF—2021-11-01ended 2026-05-18pecos_ownership
JUAN ASUAJEOPERATIONAL/MANAGERIAL CONTROL—2025-01-01ended 2026-05-18pecos_ownership
SHAWN HOOVERCORPORATE DIRECTOR—2021-11-01ended 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
2021-11-01—BOOKER HOSPITAL DISTRICTVGM VALLEY GRANDE MANOR WESLACO OPS 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

33
GeoKindBRAmountAs ofSource
county 48215acs median gross0$8372024-12-31CENSUS_ACS5
county 48215fmr0$8422025-10-01HUD_USER_FMR
county 48215acs median gross1$7162024-12-31CENSUS_ACS5
county 48215fmr1$8472025-10-01HUD_USER_FMR
county 48215acs median gross2$9562024-12-31CENSUS_ACS5
county 48215fmr2$1,0602025-10-01HUD_USER_FMR
county 48215acs median gross3$1,1382024-12-31CENSUS_ACS5
county 48215fmr3$1,3762025-10-01HUD_USER_FMR
county 48215acs median gross4$1,3102024-12-31CENSUS_ACS5
county 48215fmr4$1,5222025-10-01HUD_USER_FMR
county 48215acs median gross5$1,4092024-12-31CENSUS_ACS5
county 48215acs median gross$9572024-12-31CENSUS_ACS5
county 48215acs recent mover gross$9962024-12-31CENSUS_ACS5
zcta 78596acs median gross1$4772024-12-31CENSUS_ACS5
zcta 78596acs median gross2$9472024-12-31CENSUS_ACS5
zcta 78596acs median gross3$1,0542024-12-31CENSUS_ACS5
zcta 78596acs median gross$9362024-12-31CENSUS_ACS5
zcta 78596acs recent mover gross$8692024-12-31CENSUS_ACS5
zip 78596payment standard 1100$9352025-10-01HUD_USER_SAFMR
zip 78596payment standard 900$7652025-10-01HUD_USER_SAFMR
zip 78596safmr0$8502025-10-01HUD_USER_SAFMR
zip 78596payment standard 1101$9462025-10-01HUD_USER_SAFMR
zip 78596payment standard 901$7742025-10-01HUD_USER_SAFMR
zip 78596safmr1$8602025-10-01HUD_USER_SAFMR
zip 78596payment standard 1102$1,1772025-10-01HUD_USER_SAFMR
zip 78596payment standard 902$9632025-10-01HUD_USER_SAFMR
zip 78596safmr2$1,0702025-10-01HUD_USER_SAFMR
zip 78596payment standard 1103$1,5292025-10-01HUD_USER_SAFMR
zip 78596payment standard 903$1,2512025-10-01HUD_USER_SAFMR
zip 78596safmr3$1,3902025-10-01HUD_USER_SAFMR
zip 78596payment standard 1104$1,6942025-10-01HUD_USER_SAFMR
zip 78596payment standard 904$1,3862025-10-01HUD_USER_SAFMR
zip 78596safmr4$1,5402025-10-01HUD_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 · Valley Grande Manor (455621) · generated 2026-08-05 · 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