Composite
96.3 / 100 percentile
Screener / 676255
F
Fort Worth Transitional Care Center
snfTX
850 12Th Avenue, Fort Worth, TX 76104 · CCN 676255 · chain DECATUR HOSPITAL AUTHORITY
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 96.3% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model8ML signals25Components20CHOW radar1Distress radar1Staffing16Penalties5Deficiencies50Licensure0Ownership64Related party0Transactions0Comps12Market rent35
Composite explanation
8| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 96.8 | 87.8 | 0.30 | 0.1714 | 16.59 | in index |
| regulatory risk | 82.5 | 79.4 | 0.30 | 0.1714 | 14.14 | in index |
| staffing risk | 80.0 | 80.0 | 0.25 | 0.1429 | 11.43 | in index |
| state reg risk | 63.7 | 15.0 | 0.30 | 0.1714 | 10.92 | in index |
| billing conduct | 56.3 | 42.1 | 0.30 | 0.1714 | 9.65 | in index |
| lease risk | 93.4 | 80.8 | 0.15 | 0.0857 | 8.01 | in index |
| chow risk | 29.3 | 35.1 | 0.15 | 0.0857 | 2.51 | in index |
| ownership opacity | 22.5 | 50.2 | excluded |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +27.9 vs natl | SCROGGINS BRIAN | 10 facilities |
| connection | Owner fleet risk far above national | +27.1 vs natl | DECATUR HOSPITAL AUTHORITY | 9 facilities |
| connection | Owner fleet risk far above national | +22.0 vs natl | KAUFMAN NICOLE | 29 facilities |
| connection | Owner fleet risk far above national | +22.0 vs natl | CARVAJAL ANTONIO | 29 facilities |
| connection | Owner fleet risk far above national | +21.3 vs natl | GONZALES VERONICA | 28 facilities |
| connection | Owner fleet risk far above national | +20.8 vs natl | REG BRIDGE OPCO LLC | 20 facilities |
| connection | Owner fleet risk far above national | +20.1 vs natl | REG OPERATOR HOLDCO LLC | 65 facilities |
| connection | Owner fleet risk far above national | +20.1 vs natl | REGENCY TEXAS HOLDINGS LLC | 65 facilities |
| connection | Owner fleet risk far above national | +20.1 vs natl | DWD TX HOLDINGS LLC | 65 facilities |
| connection | Owner spans multiple chains | 8 chains | REGENCY IHS REHAB LLC | 68 facilities |
| connection | Owner spans multiple chains | 8 chains | REGENCY IHS CLINICAL CONSULTING LLC | 67 facilities |
| connection | Owner spans multiple chains | 7 chains | REGENCY TEXAS HOLDINGS LLC | 64 facilities |
| connection | Owner spans multiple chains | 7 chains | REG OPERATOR HOLDCO LLC | 64 facilities |
| connection | Owner spans multiple chains | 7 chains | DEKOWSKI DONOVAN | 66 facilities |
| connection | Owner spans multiple chains | 7 chains | MANDELBAUM ELLIOT | 61 facilities |
| connection | Owner spans multiple chains | 7 chains | DWD TX HOLDINGS LLC | 64 facilities |
| connection | Owner spans multiple chains | 7 chains | JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC | 65 facilities |
| connection | Owner spans multiple chains | 7 chains | CSV RHEA MANAGEMENT HOLDCO LLC | 63 facilities |
| connection | Owner spans multiple chains | 7 chains | SMITH MICHAEL | 12 facilities |
| connection | Owner spans multiple chains | 7 chains | CLAPP BARBARA | 66 facilities |
| connection | Owner spans multiple chains | 7 chains | REGENCY INTEGRATED HEALTH SERVICES LLC | 67 facilities |
| connection | Owner spans multiple chains | 6 chains | CORTESE DAREN | 59 facilities |
| connection | Owner spans multiple chains | 6 chains | GIBSON PATRICIA | 58 facilities |
| connection | Owner spans multiple chains | 6 chains | BAIRD DANIEL | 59 facilities |
| connection | Owner spans multiple chains | 5 chains | REG HG OPCO LLC | 40 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
20| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 42.1 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 26.8 | B | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 53.0 | C | v0.6 | default · in composite | |
| financial risk | 87.8 | F | v0.5 | default · in composite | R18. |
| lease risk | 80.8 | F | v0.5 | default · in composite | |
| ownership opacity | 50.2 | C | v0.1-txhhsc | default · in composite | Texas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history. |
| p adverse action 12m | 1.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 1.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 79.4 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 80.0 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| state reg risk | 15.0 | A | v0.5 | default · in composite | |
| financial risk | 68.8 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 48.8 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 72.8 | D | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 86.3 | F | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 79.4 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 79.4 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 80.0 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 80.0 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
1.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
60.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.62 | +0.22 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 2.00 | -0.12 | |
| Contract staffing share | 0.00 | -0.09 |
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)
1.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
85.4
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| Fine amount, 12m (log) | 10.47 | -0.59 | |
| Occupancy | 0.62 | +0.53 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.80 | +0.17 | |
| Chain size (log) | 2.30 | -0.14 | |
| Never sold on record | 1.00 | +0.12 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.80 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.54 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.54 | 2.56 | 3.11 | — |
| Weekday total | 2.90 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 84.7 | 2.80 | 0.54 | 0.77 | 1.49 | 2.54 | 0.4% |
| 2025Q3 | 92 | 81.3 | 2.81 | 0.62 | 0.69 | 1.51 | 2.73 | 0.3% |
| 2025Q2 | 91 | 84.3 | 2.69 | 0.76 | 0.51 | 1.43 | 2.64 | 0.0% |
| 2025Q1 | 90 | 89.8 | 2.65 | 0.56 | 0.67 | 1.42 | 2.59 | 0.0% |
| 2024Q4 | 92 | 84.7 | 2.75 | 0.37 | 0.86 | 1.52 | 2.79 | 0.0% |
| 2024Q3 | 92 | 87.6 | 2.64 | 0.39 | 0.82 | 1.43 | 2.51 | 0.0% |
| 2024Q2 | 91 | 78.2 | 3.00 | 0.45 | 0.90 | 1.65 | 2.93 | 0.0% |
| 2024Q1 | 91 | 80.6 | 2.99 | 0.45 | 0.91 | 1.63 | 2.81 | 0.0% |
| 2023Q4 | 92 | 77.0 | 2.96 | 0.26 | 1.05 | 1.65 | 2.86 | 0.0% |
| 2023Q3 | 92 | 71.7 | 3.00 | 0.24 | 1.18 | 1.58 | 3.03 | 0.0% |
| 2023Q2 | 91 | 74.3 | 3.17 | 0.28 | 1.26 | 1.64 | 3.11 | 3.8% |
| 2023Q1 | 90 | 76.3 | 3.09 | 0.15 | 1.25 | 1.68 | 2.87 | 3.6% |
| 2022Q4 | 92 | 81.4 | 2.92 | 0.21 | 1.15 | 1.56 | 2.92 | 9.1% |
| 2022Q3 | 92 | 82.0 | 2.72 | 0.35 | 0.87 | 1.51 | 2.52 | 2.3% |
| 2022Q2 | 91 | 72.6 | 2.29 | 0.44 | 0.64 | 1.22 | 2.09 | 0.0% |
| 2022Q1 | 90 | 73.7 | 2.35 | 0.27 | 0.58 | 1.50 | 1.95 | 0.0% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-04-08 | Fine | $35,220 | CMS provider data |
| 2025-06-24 | Fine | $8,964 | CMS provider data |
| 2024-08-16 | Fine | $6,032 | CMS provider data |
| 2023-07-21 | Fine | $13,735 | CMS provider data |
| 2023-07-21 | Payment Denial | — | CMS provider data |
Total fines on record: $63,951
Deficiencies
50D × 29E × 17F × 1G × 2J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-03 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-12-04 |
| 2025-09-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-04 |
| 2025-06-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-05-28 |
| 2025-06-24 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2025-06-25 |
| 2025-04-11 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-04-12 |
| 2025-02-13 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-02-14 |
| 2025-02-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-14 |
| 2025-02-13 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2025-02-14 |
| 2025-02-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-02-14 |
| 2025-02-13 | Health · complaint | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2025-02-14 |
| 2025-02-13 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2025-02-14 |
| 2025-02-13 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2025-02-14 |
| 2025-02-13 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2025-02-14 |
| 2025-02-13 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2025-02-14 |
| 2025-02-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-02-14 |
| 2025-02-13 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-02-14 |
| 2025-02-13 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-02-14 |
| 2025-02-13 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2025-02-14 |
| 2024-12-13 | Health · complaint | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | 2024-12-17 |
| 2024-10-30 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-11-04 |
| 2024-10-30 | Health · complaint | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2024-11-04 |
| 2024-10-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-11-04 |
| 2024-08-16 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2024-09-20 |
| 2024-06-26 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-07-19 |
| 2024-04-30 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-06-07 |
| 2024-04-30 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-06-07 |
| 2024-04-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-06-07 |
| 2024-04-30 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-06-07 |
| 2023-12-14 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2024-01-02 |
| 2023-12-14 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2024-01-02 |
| 2023-12-14 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-01-02 |
| 2023-12-14 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-01-02 |
| 2023-12-14 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-01-02 |
| 2023-12-14 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-01-02 |
| 2023-12-14 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-01-02 |
| 2023-11-30 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-12-01 |
| 2023-09-18 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-09-19 |
| 2023-08-21 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-08-22 |
| 2023-08-21 | Health · complaint | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2023-08-22 |
| 2023-07-21 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-07-22 |
| 2023-07-21 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-07-22 |
| 2023-07-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2023-07-22 |
| 2022-10-19 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2022-10-21 |
| 2022-10-19 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2022-10-21 |
| 2022-10-19 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2022-10-21 |
| 2022-10-19 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2022-10-21 |
| 2022-10-19 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2022-10-21 |
| 2022-10-19 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2022-10-21 |
| 2022-10-19 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2022-10-21 |
| 2022-10-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-10-21 |
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
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
64| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| DECATUR HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-07-25 | current | pecos_ownership |
| 850 12TH AVENUE, LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| BAIRD, DANIEL | MANAGING CONTROL - GOVERNING BODY | — | 2021-04-13 | current | pecos_ownership |
| BAKKER, JEFF | CORPORATE OFFICER | — | 2017-04-02 | current | pecos_ownership |
| CARVAJAL, ANTONIO | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-16 | current | pecos_ownership |
| CLAPP, BARBARA | MANAGING CONTROL - GOVERNING BODY | — | 2021-06-01 | current | pecos_ownership |
| COCANOUGHER, CHARLES | CORPORATE OFFICER | — | 2010-10-24 | current | pecos_ownership |
| COOK, WILLIAM | CORPORATE OFFICER | — | 2014-01-13 | current | pecos_ownership |
| CORTESE, DAREN | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-10 | current | pecos_ownership |
| CROW, BRADLEY | ADP OF THE SNF | — | 2025-07-14 | current | pecos_ownership |
| CSV RHEA MANAGEMENT HOLDCO, LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| DECATUR HOSPITAL AUTHORITY | — | — | 2024-07-25 | current | tx_hhsc_directory |
| DECATUR HOSPITAL AUTHORITY | ADP OF THE SNF | — | 2026-03-04 | current | pecos_ownership |
| DEKOWSKI, DONOVAN | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| DUNCUM, JOHN | CORPORATE OFFICER | — | 2010-03-08 | current | pecos_ownership |
| DWD TX HOLDINGS LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| FORBIS, CHRISTOPHER | CORPORATE OFFICER | — | 1994-10-03 | current | pecos_ownership |
| GESSNER, BRUCE | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| GIBSON, PATRICIA | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-01 | current | pecos_ownership |
| GONZALES, VERONICA | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-16 | current | pecos_ownership |
| JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| KAUFMAN, NICOLE | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-10 | current | pecos_ownership |
| MANDELBAUM, ELLIOT | MANAGING CONTROL - GOVERNING BODY | — | 2025-01-01 | current | pecos_ownership |
| REG BRIDGE OPCO LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REG HG OPCO LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REG OPERATOR HOLDCO LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY IHS CLINICAL CONSULTING, LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY IHS OF FORT WORTH LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY IHS OF FORT WORTH, LLC | — | — | 2024-07-25 | current | tx_hhsc_directory |
| REGENCY IHS REHAB LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY INTEGRATED HEALTH SERVICES LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY TEXAS HOLDINGS LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| SANCHEZ, CHRISTIAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| SANCHEZ, CHRISTIAN | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| SANDFORD, WILLIAM | CORPORATE OFFICER | — | 2007-12-10 | current | pecos_ownership |
| SCROGGINS, BRIAN | CORPORATE OFFICER | — | 2014-10-03 | current | pecos_ownership |
| SICKING, JEFFREY | CORPORATE OFFICER | — | 2015-12-15 | current | pecos_ownership |
| SMITH, MICHAEL | ADP OF THE SNF | — | 2025-06-10 | current | pecos_ownership |
| WAGGONER, DEBRA SUE | CORPORATE DIRECTOR | — | 2007-12-10 | current | pecos_ownership |
| WILLIAMS, CAREY | CORPORATE OFFICER | — | 2015-12-15 | current | pecos_ownership |
| BRIAN SCROGGINS | CORPORATE OFFICER | 0% | 2014-10-03 | ended 2026-05-18 | pecos_ownership |
| CAREY WILLIAMS | CORPORATE OFFICER | 0% | 2015-12-15 | ended 2026-05-18 | pecos_ownership |
| CHARLES COCANOUGHER | CORPORATE OFFICER | 0% | 2010-10-24 | ended 2026-05-18 | pecos_ownership |
| CHRISTOPHER FORBIS | CORPORATE OFFICER | 0% | 1994-10-03 | ended 2026-05-18 | pecos_ownership |
| DEBRA SUE WAGGONER | CORPORATE DIRECTOR | 0% | 2007-12-10 | ended 2026-05-18 | pecos_ownership |
| JEFF BAKKER | CORPORATE OFFICER | 0% | 2017-04-02 | ended 2026-05-18 | pecos_ownership |
| JEFFREY SICKING | CORPORATE OFFICER | 0% | 2015-12-15 | ended 2026-05-18 | pecos_ownership |
| JOHN DUNCUM | CORPORATE OFFICER | 0% | 2010-03-08 | ended 2026-05-18 | pecos_ownership |
| WILLIAM COOK | CORPORATE OFFICER | 0% | 2014-01-13 | ended 2026-05-18 | pecos_ownership |
| WILLIAM SANDFORD | CORPORATE OFFICER | 0% | 2007-12-10 | ended 2026-05-18 | pecos_ownership |
| ANTONIO CARVAJAL | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-16 | ended 2026-05-18 | pecos_ownership |
| BARBARA CLAPP | MANAGING CONTROL - GOVERNING BODY | — | 2021-06-01 | ended 2026-05-18 | pecos_ownership |
| BRADLEY CROW | ADP OF THE SNF | — | 2025-07-14 | ended 2026-05-18 | pecos_ownership |
| BRUCE GESSNER | ADP OF THE SNF | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| CHRISTIAN SANCHEZ | ADP OF THE SNF | — | 2018-10-01 | ended 2026-05-18 | pecos_ownership |
| CHRISTIAN SANCHEZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| DANIEL BAIRD | MANAGING CONTROL - GOVERNING BODY | — | 2021-04-13 | ended 2026-05-18 | pecos_ownership |
| DAREN CORTESE | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-10 | ended 2026-05-18 | pecos_ownership |
| DONOVAN DEKOWSKI | ADP OF THE SNF | — | 2018-10-01 | ended 2026-05-18 | pecos_ownership |
| ELLIOT MANDELBAUM | MANAGING CONTROL - GOVERNING BODY | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL SMITH | ADP OF THE SNF | — | 2025-06-10 | ended 2026-05-18 | pecos_ownership |
| NICOLE KAUFMAN | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-10 | ended 2026-05-18 | pecos_ownership |
| PATRICIA GIBSON | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-01 | ended 2026-05-18 | pecos_ownership |
| VERONICA GONZALES | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-16 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — TX snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | ST. ANTHONY'S CARE CENTER | — | — | — | 120 | SOUTH LIMESTONE HOSPITAL DISTRICT |
| 2025-10-01 | Avir at New Braunfels | — | — | — | 154 | 821 US HIGHWAY 81 W OPCO LLC |
| 2025-09-01 | Avir at Texarkana | — | — | — | 110 | GUADALUPE COUNTY HOSPITAL BOARD |
| 2025-09-01 | PARKS HEALTH CENTER | — | — | — | 90 | WEST COKE COUNTY HOSPITAL DISTRICT |
| 2025-09-01 | WINDMILL VILLAGE REHABILITATION & CARE CENTER | — | — | — | 120 | FANNIN COUNTY HOSPITAL AUTHORITY |
| 2025-08-31 | Las Ventanas De Socorro | — | — | — | 126 | SOCORRO HEALTH CARE LLC |
| 2025-08-01 | Avir at Mineola | — | — | — | 115 | HOPKINS COUNTY HOSPITAL DISTRICT |
| 2025-08-01 | Avir at Orem | — | — | — | 120 | 3730 W OREM DR OPCO LLC |
| 2025-08-01 | Avir at Courtyard | — | — | — | 120 | 7499 STANWICK DR OPCO LLC |
| 2025-08-01 | HILLSIDE MEDICAL LODGE | — | — | — | 128 | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY |
| 2025-08-01 | Avir at Pasadena | — | — | — | 131 | 4300 VISTA RD OPCO LLC |
| 2025-07-01 | Highland Meadows | — | — | — | 120 | NOCONA HOSPITAL DISTRICT |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48439 | acs median gross | 0 | $1,316 | 2024-12-31 | CENSUS_ACS5 |
| county 48439 | fmr | 0 | $1,427 | 2025-10-01 | HUD_USER_FMR |
| county 48439 | acs median gross | 1 | $1,287 | 2024-12-31 | CENSUS_ACS5 |
| county 48439 | fmr | 1 | $1,473 | 2025-10-01 | HUD_USER_FMR |
| county 48439 | acs median gross | 2 | $1,576 | 2024-12-31 | CENSUS_ACS5 |
| county 48439 | fmr | 2 | $1,723 | 2025-10-01 | HUD_USER_FMR |
| county 48439 | acs median gross | 3 | $1,885 | 2024-12-31 | CENSUS_ACS5 |
| county 48439 | fmr | 3 | $2,273 | 2025-10-01 | HUD_USER_FMR |
| county 48439 | acs median gross | 4 | $2,359 | 2024-12-31 | CENSUS_ACS5 |
| county 48439 | fmr | 4 | $2,815 | 2025-10-01 | HUD_USER_FMR |
| county 48439 | acs median gross | 5 | $2,682 | 2024-12-31 | CENSUS_ACS5 |
| county 48439 | acs median gross | $1,547 | 2024-12-31 | CENSUS_ACS5 | |
| county 48439 | acs recent mover gross | $1,700 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 76104 | acs median gross | 0 | $1,436 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76104 | acs median gross | 1 | $1,529 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76104 | acs median gross | 2 | $1,480 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76104 | acs median gross | 3 | $1,373 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76104 | acs median gross | 4 | $1,308 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76104 | acs median gross | $1,447 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 76104 | acs recent mover gross | $1,464 | 2024-12-31 | CENSUS_ACS5 | |
| zip 76104 | payment standard 110 | 0 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | payment standard 90 | 0 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | safmr | 0 | $1,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | payment standard 110 | 1 | $1,551 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | payment standard 90 | 1 | $1,269 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | safmr | 1 | $1,410 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | payment standard 110 | 2 | $1,815 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | payment standard 90 | 2 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | safmr | 2 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | payment standard 110 | 3 | $2,398 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | payment standard 90 | 3 | $1,962 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | safmr | 3 | $2,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | payment standard 110 | 4 | $2,970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | payment standard 90 | 4 | $2,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76104 | safmr | 4 | $2,700 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.