CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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 02:51 UTC
Screener / 675469
C

HARMONY CARE AT FLORESVILLE

snfTX
1811 SIXTH ST, FLORESVILLE, TX 78114 · CCN 675469 · chain FRIO HOSPITAL DISTRICT
Composite
77.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
144
Model
v1.2
Reads as: riskier than 77.3% 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 signals13Components20CHOW radar1Distress radar1Staffing12Penalties3Deficiencies49Licensure0Ownership28Related party0Transactions1Comps12Market rent32

Composite explanation

8
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk88.686.00.300.171415.19in index
staffing risk85.585.50.250.142912.21in index
financial risk62.053.60.300.171410.63in index
state reg risk40.29.00.300.17146.89in index
billing conduct37.334.70.300.17146.39in index
lease risk57.554.60.150.08574.93in index
chow risk34.436.80.150.08572.95in index
ownership opacity35.152.3excluded
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

13
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+34.8 vs natlBODANSKY HERSHEL6 facilities
connectionOwner fleet risk far above national+33.9 vs natlELITE HC INVESTORS LLC6 facilities
connectionOwner fleet risk far above national+33.6 vs natlWEISS CHAIM6 facilities
connectionOwner fleet risk far above national+32.4 vs natlHELLER YESHAYA5 facilities
connectionOwner fleet risk far above national+27.6 vs natlRUFF MICHAEL23 facilities
connectionOwner fleet risk far above national+27.5 vs natlFRIO HOSPITAL DISTRICT22 facilities
connectionBuyer assembling a chain (5+ takeovers/24mo)6 facilitiesFRIO HOSPITAL DISTRICT6 facilities
connectionOwner fleet enforcement cluster100% finedBODANSKY HERSHEL6 facilities
connectionOwner fleet enforcement cluster100% finedELITE HC INVESTORS LLC6 facilities
connectionOwner fleet enforcement cluster100% finedHELLER YESHAYA5 facilities
connectionOwner fleet enforcement cluster100% finedWEISS CHAIM6 facilities
connectionOwner fleet enforcement cluster59% finedFRIO HOSPITAL DISTRICT22 facilities
connectionOwner fleet enforcement cluster56% finedRUFF MICHAEL23 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 typeScoreGradeModelStatusRegistry model notes
billing conduct34.7Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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 risk44.9Bv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk40.5Bv0.6default · in composite
financial risk53.6Cv0.5default · in compositeR18.
lease risk54.6Cv0.5default · in composite
ownership opacity52.3Cv0.1-txhhscdefault · in compositeTexas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history.
p adverse action 12m0.3—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 risk86.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk85.5Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk9.0Av0.5default · in composite
financial risk68.2Dv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk48.2Cv0.2supersededPre-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 risk48.0Cv0.3supersededPre-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 risk58.1Cv0.4supersededPre-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 risk85.9Fv0.1supersededPre-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 risk85.9Fv0.2supersededPre-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 risk85.5Fv0.1supersededPre-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 risk85.5Fv0.2supersededPre-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
Current owner tenure (years)1.59-1.69
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Chain size (log)3.26+0.29
Occupancy0.62+0.23
Deficiencies, last 12 months1.00-0.15
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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
69.5
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months1.00+1.24
Staffing trend, last 4 quarters2.26+1.02
Chain size (log)3.26-0.69
For-profit ownership1.00-0.69
Occupancy0.62+0.56
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)1.59-0.28
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

12
2025Q4 HPRDThis facilityTX medianNational medianNational p25–p75
Total nurse2.682.673.282.90–3.77
RN0.090.240.390.25–0.58
Weekend total2.572.563.11—
Weekday total2.722.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49288.82.680.090.761.832.578.3%
2025Q39288.02.940.120.752.072.838.7%
2025Q29189.52.850.130.751.982.5512.1%
2025Q19099.62.260.030.651.582.154.4%
2024Q49291.20.420.000.120.300.360.0%
2023Q49297.30.760.020.190.540.690.0%
2023Q39293.02.260.010.721.532.120.0%
2023Q29194.92.860.060.851.952.740.0%
2023Q19098.02.640.040.821.792.430.0%
2022Q49297.72.380.030.751.602.180.0%
2022Q29196.11.820.150.641.031.630.0%
2022Q19096.51.970.180.621.161.640.0%
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

3
fines by year
$78.6k$39.3k2425
DateTypeFineSource
2025-03-21Fine$60,452CMS provider data
2025-01-31Fine$18,185CMS provider data
2024-05-15Fine$8,429CMS provider data
Total fines on record: $87,066

Deficiencies

49
B × 1C × 1D × 29E × 12F × 4J × 2
deficiencies by survey year
179232425
SurveyTypeTagDeficiencyScopeCorrected
2025-09-12Health · complaintF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D2025-09-27
2025-03-21HealthF0578Honor 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.D2025-04-01
2025-03-21HealthF0641Ensure each resident receives an accurate assessment.D2025-04-12
2025-03-21HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2025-04-12
2025-03-21HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-04-12
2025-03-21HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-04-12
2025-03-21HealthF0761Ensure 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.D2025-04-12
2025-03-21HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2025-04-12
2025-03-21HealthF0880Provide and implement an infection prevention and control program.E2025-04-12
2025-03-21HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.B2025-04-12
2025-01-31Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2025-02-28
2025-01-31Health · complaintF0583Keep residents' personal and medical records private and confidential.D2025-02-28
2025-01-31Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-02-28
2025-01-31Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-01-13
2025-01-31Health · complaintF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.E2025-02-28
2024-08-08Health · complaintF0583Keep residents' personal and medical records private and confidential.D2024-09-06
2024-08-08Health · 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.E2024-09-06
2024-08-08Health · 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.D2024-09-06
2024-05-15Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-06-07
2024-05-15Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-06-07
2024-02-16Health · complaintF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2024-03-18
2024-02-16Health · complaintF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2024-03-18
2024-02-16Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-03-18
2024-02-16Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-03-18
2024-02-16Health · complaintF0680Ensure the activities program is directed by a qualified professional.D2024-03-18
2024-02-16Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-03-18
2024-02-16Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-03-18
2024-02-16Health · 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.D2024-03-18
2024-02-16Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2024-03-18
2024-02-16Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-03-18
2024-02-16Health · complaintF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.D2024-03-18
2024-02-16Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2024-03-18
2023-12-07Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2024-01-03
2023-01-18HealthF0583Keep residents' personal and medical records private and confidential.E2023-02-28
2023-01-18HealthF0641Ensure each resident receives an accurate assessment.D2023-02-28
2023-01-18HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2023-02-28
2023-01-18HealthF0680Ensure the activities program is directed by a qualified professional.E2023-02-28
2023-01-18HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-02-28
2023-01-18HealthF0761Ensure 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.D2023-02-28
2023-01-18HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E2023-02-28
2023-01-18HealthF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.C2023-02-28
2023-01-18HealthF0880Provide and implement an infection prevention and control program.D2023-02-28
2023-01-18HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.E2023-02-28
2023-01-18HealthF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.F2023-02-28
2023-01-18HealthF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.E2023-02-28
2023-01-18HealthF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.F2023-02-28
2023-01-18HealthF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.E2023-02-28
2023-01-18HealthF0946Provide training in compliance and ethics.F2023-02-28
2023-01-18HealthF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.F2023-02-28
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

28
OwnerRolePctFromStatusSource
FRIO HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-12-25currentpecos_ownership
BODANSKY, HERSHELADP OF THE SNF—2025-01-08currentpecos_ownership
BODANSKY, HERSHEL5% OR GREATER MORTGAGE INTEREST—2024-12-25currentpecos_ownership
CURRIER, DARYLADP OF THE SNF—2024-12-25currentpecos_ownership
ELITE HC HOLDINGS LLCOPERATIONAL/MANAGERIAL CONTROL—2025-01-08currentpecos_ownership
ELITE HC INVESTORS LLC5% OR GREATER MORTGAGE INTEREST—2024-12-25currentpecos_ownership
ELITE HC INVESTORS LLCADP OF THE SNF—2025-01-07currentpecos_ownership
FLORESVILLE HOLDINGS, LLCADP OF THE SNF—2025-01-06currentpecos_ownership
FLORESVILLE HOLDINGS, LLC5% OR GREATER MORTGAGE INTEREST—2024-12-25currentpecos_ownership
FLORESVILLE OPERATING BH LLC——2024-12-25currenttx_hhsc_directory
FLORESVILLE OPERATING BH, LLCOPERATIONAL/MANAGERIAL CONTROL—2025-01-06currentpecos_ownership
FLORESVILLE OPERATING BH, LLCADP OF THE SNF—2025-01-07currentpecos_ownership
FRIO HOSPITAL DISTRICT——2024-12-25currenttx_hhsc_directory
HELLER, YESHAYAOPERATIONAL/MANAGERIAL CONTROL—2025-01-06currentpecos_ownership
RUEHLE, ELIZABETHOPERATIONAL/MANAGERIAL CONTROL—2024-12-25currentpecos_ownership
RUFF, MICHAELCORPORATE OFFICER—2024-12-25currentpecos_ownership
WEISS, CHAIMOPERATIONAL/MANAGERIAL CONTROL—2025-01-06currentpecos_ownership
WEISS, CHAIMADP OF THE SNF—2025-01-08currentpecos_ownership
WEISS, CHAIM5% OR GREATER MORTGAGE INTEREST—2024-12-25currentpecos_ownership
CHAIM WEISS5% OR GREATER MORTGAGE INTEREST50%2024-12-25ended 2026-05-18pecos_ownership
HERSHEL BODANSKY5% OR GREATER MORTGAGE INTEREST50%2024-12-25ended 2026-05-18pecos_ownership
MICHAEL RUFFCORPORATE OFFICER0%2024-12-25ended 2026-05-18pecos_ownership
CHAIM WEISSOPERATIONAL/MANAGERIAL CONTROL—2025-01-06ended 2026-05-18pecos_ownership
CHAIM WEISSADP OF THE SNF—2025-01-08ended 2026-05-18pecos_ownership
DARYL CURRIEROPERATIONAL/MANAGERIAL CONTROL—2024-12-25ended 2026-05-18pecos_ownership
ELIZABETH RUEHLEOPERATIONAL/MANAGERIAL CONTROL—2024-12-25ended 2026-05-18pecos_ownership
HERSHEL BODANSKYADP OF THE SNF—2025-01-08ended 2026-05-18pecos_ownership
YESHAYA HELLEROPERATIONAL/MANAGERIAL CONTROL—2025-01-06ended 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
2024-12-25—FRIO HOSPITAL DISTRICTDEWITT MEDICAL DISTRICTchow

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

32
GeoKindBRAmountAs ofSource
county 48493acs median gross0$3352024-12-31CENSUS_ACS5
county 48493fmr0$1,0772025-10-01HUD_USER_FMR
county 48493acs median gross1$7832024-12-31CENSUS_ACS5
county 48493fmr1$1,1772025-10-01HUD_USER_FMR
county 48493acs median gross2$1,0502024-12-31CENSUS_ACS5
county 48493fmr2$1,4262025-10-01HUD_USER_FMR
county 48493acs median gross3$1,2732024-12-31CENSUS_ACS5
county 48493fmr3$1,8302025-10-01HUD_USER_FMR
county 48493acs median gross4$2,0802024-12-31CENSUS_ACS5
county 48493fmr4$2,1322025-10-01HUD_USER_FMR
county 48493acs median gross$1,0692024-12-31CENSUS_ACS5
county 48493acs recent mover gross$1,2672024-12-31CENSUS_ACS5
zcta 78114acs median gross1$8042024-12-31CENSUS_ACS5
zcta 78114acs median gross2$1,0842024-12-31CENSUS_ACS5
zcta 78114acs median gross3$1,2212024-12-31CENSUS_ACS5
zcta 78114acs median gross$1,0422024-12-31CENSUS_ACS5
zcta 78114acs recent mover gross$1,2872024-12-31CENSUS_ACS5
zip 78114payment standard 1100$1,0562025-10-01HUD_USER_SAFMR
zip 78114payment standard 900$8642025-10-01HUD_USER_SAFMR
zip 78114safmr0$9602025-10-01HUD_USER_SAFMR
zip 78114payment standard 1101$1,1552025-10-01HUD_USER_SAFMR
zip 78114payment standard 901$9452025-10-01HUD_USER_SAFMR
zip 78114safmr1$1,0502025-10-01HUD_USER_SAFMR
zip 78114payment standard 1102$1,3972025-10-01HUD_USER_SAFMR
zip 78114payment standard 902$1,1432025-10-01HUD_USER_SAFMR
zip 78114safmr2$1,2702025-10-01HUD_USER_SAFMR
zip 78114payment standard 1103$1,7932025-10-01HUD_USER_SAFMR
zip 78114payment standard 903$1,4672025-10-01HUD_USER_SAFMR
zip 78114safmr3$1,6302025-10-01HUD_USER_SAFMR
zip 78114payment standard 1104$2,0902025-10-01HUD_USER_SAFMR
zip 78114payment standard 904$1,7102025-10-01HUD_USER_SAFMR
zip 78114safmr4$1,9002025-10-01HUD_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 · HARMONY CARE AT FLORESVILLE (675469) · 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