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 09:19 UTC
Screener / 455597
B

MEMORIAL MEDICAL NURSING CENTER

snfTX
307 W CYPRESS ST, SAN ANTONIO, TX 78212 · CCN 455597 · chain UVALDE COUNTY HOSPITAL AUTHORITY
Composite
50.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 50.9% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model7ML signals3Components19CHOW radar1Distress radar1Staffing16Penalties2Deficiencies57Licensure0Ownership19Related party1Transactions1Comps12Market rent35

Composite explanation

7
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk88.585.90.300.187516.59in index
staffing risk96.096.00.250.156315.00in index
billing conduct58.142.80.300.187510.89in index
financial risk22.228.60.300.18754.16in index
chow risk22.130.70.150.09382.07in index
state reg risk0.00.00.300.18750.00in index
ownership opacity72.866.1excluded
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

3
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+20.2 vs natlBEWSEY MICHAEL31 facilities
connectionOwner spans multiple chains6 chainsBEWSEY MICHAEL29 facilities
connectionOwner fleet enforcement cluster48% finedBEWSEY MICHAEL31 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 conduct42.8Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk24.4Av0.1-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 risk65.8Dv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk43.4Bv0.6default · in composite
financial risk28.6Bv0.5default · in compositeR18.
ownership opacity66.1Dv0.1-txhhscdefault · in compositeTexas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history.
p adverse action 12m0.1—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 risk85.9Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk96.0Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk0.0Av0.5default · in composite
financial risk64.4Cv0.1supersededPre-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 risk44.4Bv0.2supersededPre-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 risk20.2Av0.3supersededPre-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 risk28.6Bv0.4supersededPre-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 risk85.8Fv0.1supersededPre-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 risk85.8Fv0.2supersededPre-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 risk96.0Fv0.1supersededPre-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 risk96.0Fv0.2supersededPre-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
For-profit ownership0.00-1.24
Current owner tenure (years)9.33-0.94
No PBJ staffing report0.00+0.42
Chain size (log)3.56+0.35
Ownership changes, last 5 years0.00+0.20
Total nurse staffing (HPRD)2.23+0.16
Contract staffing share0.00-0.10
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
54.9
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership0.00+1.62
Chain size (log)3.56-0.87
Total nurse staffing (HPRD)2.23+0.42
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Deficiencies, last 12 months9.00-0.24
Fine amount, 12m (log)0.00+0.18
Current owner tenure (years)9.33-0.15
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 nurse2.232.673.282.90–3.77
RN0.480.240.390.25–0.58
Weekend total1.982.563.11—
Weekday total2.322.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49297.52.230.480.481.271.980.1%
2025Q39289.62.450.360.651.442.080.1%
2025Q29184.82.200.210.581.411.980.1%
2025Q19085.92.240.260.551.432.170.1%
2024Q49286.02.260.190.621.452.200.0%
2024Q39298.12.290.220.771.312.100.1%
2024Q29199.22.120.200.751.172.027.1%
2024Q19196.42.120.220.751.151.9613.4%
2023Q49282.82.250.290.741.222.163.0%
2023Q39279.52.210.220.911.082.163.1%
2023Q29178.12.390.310.921.162.323.3%
2023Q19079.32.360.210.821.342.400.0%
2022Q49273.12.390.260.801.342.460.0%
2022Q39277.22.330.250.701.382.240.0%
2022Q29186.72.190.240.691.272.070.0%
2022Q19085.42.070.200.651.221.960.0%
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

2
DateTypeFineSource
2024-09-08Fine$21,769CMS provider data
2024-02-16Fine$13,627CMS provider data
Total fines on record: $35,396

Deficiencies

57
B × 3C × 1D × 25E × 23F × 3J × 2
deficiencies by survey year
251323242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-06Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-04-19
2026-03-06Health · complaintF0641Ensure each resident receives an accurate assessment.D2026-04-19
2026-03-06Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2026-04-19
2026-03-06Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-04-19
2026-01-17Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2026-01-18
2025-11-14Health · 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.E2025-11-15
2025-11-14Health · 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.E2025-11-15
2025-11-14Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-11-15
2025-11-14Health · complaintF0880Provide and implement an infection prevention and control program.D2025-11-15
2025-06-11Health · complaintF0583Keep residents' personal and medical records private and confidential.D2025-06-12
2025-06-11Health · complaintF0641Ensure each resident receives an accurate assessment.D2025-06-12
2025-06-11Health · complaintF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2025-06-12
2025-06-11Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-06-12
2025-06-11Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-06-12
2025-06-11Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-06-12
2025-06-11Health · 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.D2025-06-12
2025-06-11Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-06-12
2025-06-11Health · complaintF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D2025-06-12
2025-06-11Health · complaintF0814Dispose of garbage and refuse properly.B2025-06-12
2025-06-11Health · complaintF0880Provide and implement an infection prevention and control program.E2025-06-12
2025-06-11Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2025-06-12
2025-05-16Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-05-17
2025-05-16Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-05-17
2025-01-24Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2025-01-25
2025-01-24Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2025-01-25
2024-09-08Health · complaintF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C2024-09-09
2024-09-08Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-09-09
2024-08-09Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2024-08-10
2024-07-18Health · complaintF0732Post nurse staffing information every day.B2024-07-19
2024-06-02Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-06-30
2024-04-26Health · complaintF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.E2024-05-10
2024-04-26Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-06-01
2024-04-26Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-06-01
2024-04-26Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2024-06-01
2024-04-26Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2024-05-24
2024-04-26Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.E2024-05-24
2024-04-26Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-05-24
2024-04-26Health · complaintF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.E2024-05-24
2024-04-26Health · complaintF0880Provide and implement an infection prevention and control program.E2024-05-24
2024-04-26Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F2024-05-24
2024-04-26Health · complaintF0926Have policies on smoking.E2024-05-24
2024-02-16Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-03-09
2024-02-16Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-03-09
2024-02-16Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-03-09
2024-02-16Health · complaintF0880Provide and implement an infection prevention and control program.F2024-03-09
2024-01-25Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-03-01
2024-01-25Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-03-01
2024-01-25Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D2024-02-20
2024-01-25Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-03-01
2024-01-25Health · complaintF0880Provide and implement an infection prevention and control program.D2024-03-01
2023-03-10HealthF0641Ensure each resident receives an accurate assessment.D2023-04-12
2023-03-10HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.E2023-04-12
2023-03-10HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2023-04-12
2023-03-10HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-04-12
2023-03-10HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2023-04-12
2023-03-10HealthF0695Provide safe and appropriate respiratory care for a resident when needed.E2023-04-12
2023-03-10HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B2023-04-12
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

19
OwnerRolePctFromStatusSource
APOLINAR, ADAMCORPORATE OFFICER—2015-07-23currentpecos_ownership
APOLINAR, ADAMCORPORATE DIRECTOR—2022-07-01currentpecos_ownership
BEWSEY, MICHAELINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-07-25currentpecos_ownership
CONTRERAS, TERRICORPORATE OFFICER—2019-04-29currentpecos_ownership
JACA, ROSALINDAADP OF THE SNF—2024-10-01currentpecos_ownership
OLIVO, JOACIMADP OF THE SNF—2025-03-19currentpecos_ownership
SAN PEDRO NURSING AND REHAB CENTER LLCADP OF THE SNF—2025-07-25currentpecos_ownership
SAN PEDRO NURSING AND REHAB CENTER LLC——2023-03-31currenttx_hhsc_directory
SAN PEDRO NURSING AND REHAB CENTER LLCOPERATIONAL/MANAGERIAL CONTROL—2022-08-01currentpecos_ownership
SMV SAN ANTONIO MEMORIAL LLCADP OF THE SNF—2022-08-01currentpecos_ownership
UVALDE COUNTY HOSPITAL AUTHORITY——2023-03-31currenttx_hhsc_directory
ZARATE, JOCELYNOPERATIONAL/MANAGERIAL CONTROL—2024-12-01currentpecos_ownership
UVALDE COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-08-01ended 2026-05-18pecos_ownership
ADAM APOLINARCORPORATE OFFICER—2015-07-23ended 2026-05-18pecos_ownership
ADAM APOLINARCORPORATE DIRECTOR—2022-07-01ended 2026-05-18pecos_ownership
JOACIM OLIVOCORPORATE DIRECTOR—2025-03-19ended 2026-05-18pecos_ownership
JOCELYN ZARATEOPERATIONAL/MANAGERIAL CONTROL—2024-12-01ended 2026-05-18pecos_ownership
ROSALINDA JACAADP OF THE SNF—2024-10-01ended 2026-05-18pecos_ownership
TERRI CONTRERASCORPORATE OFFICER—2019-04-29ended 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
2017-03-31—UVALDE COUNTY HOSPITAL AUTHORITYSSC SAN ANTONIO MEMORIAL OPERATING COMPANY LLCchow

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 48029acs median gross0$1,0882024-12-31CENSUS_ACS5
county 48029fmr0$1,0772025-10-01HUD_USER_FMR
county 48029acs median gross1$1,1452024-12-31CENSUS_ACS5
county 48029fmr1$1,1772025-10-01HUD_USER_FMR
county 48029acs median gross2$1,3892024-12-31CENSUS_ACS5
county 48029fmr2$1,4262025-10-01HUD_USER_FMR
county 48029acs median gross3$1,6682024-12-31CENSUS_ACS5
county 48029fmr3$1,8302025-10-01HUD_USER_FMR
county 48029acs median gross4$1,9092024-12-31CENSUS_ACS5
county 48029fmr4$2,1322025-10-01HUD_USER_FMR
county 48029acs median gross5$2,3242024-12-31CENSUS_ACS5
county 48029acs median gross$1,3542024-12-31CENSUS_ACS5
county 48029acs recent mover gross$1,4272024-12-31CENSUS_ACS5
zcta 78212acs median gross0$7092024-12-31CENSUS_ACS5
zcta 78212acs median gross1$9142024-12-31CENSUS_ACS5
zcta 78212acs median gross2$1,3862024-12-31CENSUS_ACS5
zcta 78212acs median gross3$1,5792024-12-31CENSUS_ACS5
zcta 78212acs median gross4$2,0452024-12-31CENSUS_ACS5
zcta 78212acs median gross$1,1292024-12-31CENSUS_ACS5
zcta 78212acs recent mover gross$1,6072024-12-31CENSUS_ACS5
zip 78212payment standard 1100$1,1662025-10-01HUD_USER_SAFMR
zip 78212payment standard 900$9542025-10-01HUD_USER_SAFMR
zip 78212safmr0$1,0602025-10-01HUD_USER_SAFMR
zip 78212payment standard 1101$1,2762025-10-01HUD_USER_SAFMR
zip 78212payment standard 901$1,0442025-10-01HUD_USER_SAFMR
zip 78212safmr1$1,1602025-10-01HUD_USER_SAFMR
zip 78212payment standard 1102$1,5402025-10-01HUD_USER_SAFMR
zip 78212payment standard 902$1,2602025-10-01HUD_USER_SAFMR
zip 78212safmr2$1,4002025-10-01HUD_USER_SAFMR
zip 78212payment standard 1103$1,9802025-10-01HUD_USER_SAFMR
zip 78212payment standard 903$1,6202025-10-01HUD_USER_SAFMR
zip 78212safmr3$1,8002025-10-01HUD_USER_SAFMR
zip 78212payment standard 1104$2,2992025-10-01HUD_USER_SAFMR
zip 78212payment standard 904$1,8812025-10-01HUD_USER_SAFMR
zip 78212safmr4$2,0902025-10-01HUD_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 · MEMORIAL MEDICAL NURSING CENTER (455597) · 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