Composite
94.7 / 100 percentile
Screener / 675128
D
Midwestern Healthcare Center
snfTX
601 Midwestern Pkwy, Wichita Falls, TX 76302 · CCN 675128 · chain DECATUR HOSPITAL AUTHORITY
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
121
Model
v1.2
Reads as: riskier than 94.7% 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 signals22Components19CHOW radar1Distress radar1Staffing16Penalties1Deficiencies23Licensure0Ownership18Related party3Transactions1Comps12Market rent33
Composite explanation
7| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| state reg risk | 87.8 | 31.5 | 0.30 | 0.1875 | 16.46 | in index |
| regulatory risk | 81.9 | 78.8 | 0.30 | 0.1875 | 15.36 | in index |
| billing conduct | 81.3 | 53.7 | 0.30 | 0.1875 | 15.24 | in index |
| financial risk | 57.9 | 50.8 | 0.30 | 0.1875 | 10.86 | in index |
| staffing risk | 51.3 | 51.3 | 0.25 | 0.1563 | 8.02 | in index |
| chow risk | 53.1 | 50.6 | 0.15 | 0.0938 | 4.98 | 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
22| 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 | +27.5 vs natl | RINER MEERA | 46 facilities |
| connection | Owner fleet risk far above national | +27.1 vs natl | DECATUR HOSPITAL AUTHORITY | 9 facilities |
| connection | Owner fleet risk far above national | +26.4 vs natl | LEE BRIAN | 46 facilities |
| connection | Owner fleet risk far above national | +26.0 vs natl | FALLON JOHN | 20 facilities |
| connection | Owner fleet risk far above national | +24.3 vs natl | PIERCE DANIEL | 16 facilities |
| connection | Owner fleet risk far above national | +23.4 vs natl | KIRLEY FRANCIS | 50 facilities |
| connection | Owner fleet risk far above national | +23.1 vs natl | OSWALD JOHN | 13 facilities |
| connection | Owner spans multiple chains | 10 chains | KIRLEY FRANCIS | 49 facilities |
| connection | Owner spans multiple chains | 8 chains | RINER MEERA | 46 facilities |
| connection | Owner spans multiple chains | 8 chains | FALLON JOHN | 20 facilities |
| connection | Owner spans multiple chains | 8 chains | PIERCE DANIEL | 16 facilities |
| connection | Owner spans multiple chains | 7 chains | LEE BRIAN | 46 facilities |
| connection | Owner spans multiple chains | 6 chains | OSWALD JOHN | 13 facilities |
| connection | Owner fleet enforcement cluster | 77% fined | OSWALD JOHN | 13 facilities |
| connection | Owner fleet enforcement cluster | 75% fined | PIERCE DANIEL | 16 facilities |
| connection | Owner fleet enforcement cluster | 70% fined | SCROGGINS BRIAN | 10 facilities |
| connection | Owner fleet enforcement cluster | 67% fined | DECATUR HOSPITAL AUTHORITY | 9 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | RINER MEERA | 46 facilities |
| connection | Owner fleet enforcement cluster | 45% fined | FALLON JOHN | 20 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | KIRLEY FRANCIS | 50 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | LEE BRIAN | 46 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 53.7 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.9 | A | 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 | 66.8 | D | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 60.0 | C | v0.6 | default · in composite | |
| financial risk | 50.8 | C | v0.5 | default · in composite | R18. |
| 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 | 0.1 | — | 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 | 0.1 | — | 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 | 78.8 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 51.3 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| state reg risk | 31.5 | B | v0.5 | default · in composite | |
| financial risk | 65.1 | 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 | 45.1 | 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 | 42.9 | B | 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 | 56.1 | C | 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 | 78.7 | 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 | 78.7 | 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 | 51.3 | C | 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 | 51.3 | C | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
33.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 9.33 | -0.94 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.60 | +0.28 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.00 | -0.10 | |
| Chain size (log) | 2.30 | +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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
38.3
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 | 1.00 | -0.69 | |
| Occupancy | 0.60 | +0.62 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 9.33 | -0.15 | |
| Chain size (log) | 2.30 | -0.14 | |
| Deficiencies, last 12 months | 7.00 | +0.13 |
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 | 3.26 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.16 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 3.05 | 2.56 | 3.11 | — |
| Weekday total | 3.34 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 72.8 | 3.26 | 0.16 | 0.93 | 2.18 | 3.05 | 0.0% |
| 2025Q3 | 92 | 76.1 | 3.26 | 0.11 | 0.89 | 2.25 | 2.95 | 0.0% |
| 2025Q2 | 91 | 77.4 | 3.24 | 0.10 | 0.86 | 2.28 | 3.00 | 0.0% |
| 2025Q1 | 90 | 76.8 | 3.14 | 0.12 | 0.84 | 2.18 | 2.98 | 0.0% |
| 2024Q4 | 92 | 77.2 | 3.12 | 0.10 | 0.85 | 2.18 | 2.97 | 0.0% |
| 2024Q3 | 92 | 76.2 | 2.92 | 0.09 | 0.80 | 2.02 | 2.73 | 0.0% |
| 2024Q2 | 91 | 64.0 | 2.84 | 0.21 | 0.68 | 1.95 | 2.65 | 0.0% |
| 2024Q1 | 91 | 60.3 | 2.87 | 0.23 | 0.73 | 1.91 | 2.65 | 0.0% |
| 2023Q4 | 92 | 72.3 | 2.93 | 0.16 | 0.80 | 1.97 | 2.71 | 0.0% |
| 2023Q3 | 92 | 77.8 | 3.08 | 0.16 | 0.86 | 2.06 | 2.82 | 1.0% |
| 2023Q2 | 91 | 76.2 | 3.00 | 0.18 | 0.83 | 1.99 | 2.73 | 4.6% |
| 2023Q1 | 90 | 74.8 | 2.98 | 0.14 | 0.96 | 1.89 | 2.71 | 3.9% |
| 2022Q4 | 92 | 71.1 | 2.93 | 0.16 | 0.98 | 1.78 | 2.70 | 0.3% |
| 2022Q3 | 92 | 56.5 | 2.72 | 0.23 | 0.90 | 1.59 | 2.50 | 1.2% |
| 2022Q2 | 91 | 47.5 | 2.92 | 0.27 | 0.92 | 1.73 | 2.67 | 1.3% |
| 2022Q1 | 90 | 46.5 | 3.18 | 0.23 | 1.09 | 1.86 | 2.80 | 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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-06-06 | Fine | $29,884 | CMS provider data |
Total fines on record: $29,884
Deficiencies
23B × 1D × 11E × 6F × 2J × 1K × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-10 | 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. | E | 2026-03-04 |
| 2025-08-28 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-09-05 |
| 2025-08-28 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-08-29 |
| 2025-08-28 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-08-29 |
| 2025-08-28 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-08-29 |
| 2025-08-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-08-29 |
| 2025-08-28 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2025-09-30 |
| 2025-06-06 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-06-07 |
| 2025-06-06 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | 2025-06-07 |
| 2025-06-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | 2025-06-07 |
| 2024-07-12 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-08-05 |
| 2024-07-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-07-31 |
| 2023-11-16 | Health · complaint | 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. | E | 2023-12-01 |
| 2023-11-16 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-12-01 |
| 2023-11-16 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-12-01 |
| 2023-11-16 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-12-01 |
| 2023-11-16 | Health · complaint | F0732 | Post nurse staffing information every day. | B | 2023-12-01 |
| 2023-11-16 | 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 | 2023-12-01 |
| 2023-11-16 | 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 |
| 2023-05-24 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2023-06-21 |
| 2023-05-24 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-06-21 |
| 2023-05-24 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-06-21 |
| 2023-05-24 | 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. | F | 2023-06-21 |
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
18| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| DECATUR HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-04-01 | current | pecos_ownership |
| DECATUR HOSPITAL AUTHORITY | — | — | 2026-04-01 | current | tx_hhsc_directory |
| FALLON, JOHN | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 | current | pecos_ownership |
| KIRLEY, FRANCIS | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 | current | pecos_ownership |
| LEE, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 | current | pecos_ownership |
| NEXION HEALTH AT WICHITA FALLS, INC | — | — | 2026-04-01 | current | tx_hhsc_directory |
| NEXION HEALTH AT WICHITA FALLS, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 | current | pecos_ownership |
| OSWALD, JOHN | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-22 | current | pecos_ownership |
| PIERCE, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-16 | current | pecos_ownership |
| RINER, MEERA | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 | current | pecos_ownership |
| SCROGGINS, BRIAN | CORPORATE OFFICER | — | 2017-04-01 | current | pecos_ownership |
| BRIAN SCROGGINS | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2017-04-01 | ended 2026-05-18 | pecos_ownership |
| BRIAN LEE | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 | ended 2026-05-18 | pecos_ownership |
| DANIEL PIERCE | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-16 | ended 2026-05-18 | pecos_ownership |
| FRANCIS KIRLEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 | ended 2026-05-18 | pecos_ownership |
| JOHN FALLON | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 | ended 2026-05-18 | pecos_ownership |
| JOHN OSWALD | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-22 | ended 2026-05-18 | pecos_ownership |
| MEERA RINER | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 | 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
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2017-04-01 | — | DECATUR HOSPITAL AUTHORITY | NEXION HEALTH AT WICHITA FALLS, INC. | chow |
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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48485 | acs median gross | 0 | $796 | 2024-12-31 | CENSUS_ACS5 |
| county 48485 | fmr | 0 | $831 | 2025-10-01 | HUD_USER_FMR |
| county 48485 | acs median gross | 1 | $822 | 2024-12-31 | CENSUS_ACS5 |
| county 48485 | fmr | 1 | $925 | 2025-10-01 | HUD_USER_FMR |
| county 48485 | acs median gross | 2 | $981 | 2024-12-31 | CENSUS_ACS5 |
| county 48485 | fmr | 2 | $1,136 | 2025-10-01 | HUD_USER_FMR |
| county 48485 | acs median gross | 3 | $1,265 | 2024-12-31 | CENSUS_ACS5 |
| county 48485 | fmr | 3 | $1,553 | 2025-10-01 | HUD_USER_FMR |
| county 48485 | acs median gross | 4 | $1,466 | 2024-12-31 | CENSUS_ACS5 |
| county 48485 | fmr | 4 | $1,759 | 2025-10-01 | HUD_USER_FMR |
| county 48485 | acs median gross | 5 | $1,113 | 2024-12-31 | CENSUS_ACS5 |
| county 48485 | acs median gross | $1,006 | 2024-12-31 | CENSUS_ACS5 | |
| county 48485 | acs recent mover gross | $1,183 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 76302 | acs median gross | 1 | $788 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76302 | acs median gross | 2 | $940 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76302 | acs median gross | 3 | $1,226 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76302 | acs median gross | $962 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 76302 | acs recent mover gross | $1,115 | 2024-12-31 | CENSUS_ACS5 | |
| zip 76302 | payment standard 110 | 0 | $935 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | payment standard 90 | 0 | $765 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | safmr | 0 | $850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | payment standard 110 | 1 | $1,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | payment standard 90 | 1 | $846 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | safmr | 1 | $940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | payment standard 110 | 2 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | payment standard 90 | 2 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | safmr | 2 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | payment standard 110 | 3 | $1,749 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | payment standard 90 | 3 | $1,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | safmr | 3 | $1,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | payment standard 110 | 4 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | payment standard 90 | 4 | $1,620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76302 | safmr | 4 | $1,800 | 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.