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 02:37 UTC
Screener / 455724
D

Arbor View Nursing & Rehabilitation

snfTXSFF: SFF Candidate
1213 WATER ST, KERRVILLE, TX 78028 · CCN 455724 · chain GUADALUPE COUNTY HOSPITAL BOARD
Composite
87.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
179
Model
v1.2
Reads as: riskier than 87.6% 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 signals6Components20CHOW radar1Distress radar1Staffing16Penalties6Deficiencies76Licensure0Ownership29Related party5Transactions1Comps12Market rent36

Composite explanation

8
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk97.996.80.300.171416.78in index
billing conduct73.649.40.300.171412.62in index
state reg risk63.715.00.300.171410.92in index
staffing risk73.073.00.250.142910.43in index
financial risk38.738.80.300.17146.63in index
chow risk65.250.30.150.08575.59in index
lease risk22.744.30.150.08571.95in index
ownership opacity98.382.1excluded
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

ML signals — parallel engine

6
KindFindingSignalSubjectFirst seen
anomalyFederal penalty spike6.7x priorthis facility2026-07-29
connectionOwner fleet risk far above national+39.6 vs natlRAMOS BRIAN8 facilities
connectionOwner spans multiple chains8 chainsGIVENS LAURA10 facilities
connectionOwner fleet enforcement cluster88% finedRAMOS BRIAN8 facilities
connectionOwner fleet enforcement cluster44% finedGANN KODY25 facilities
connectionOwner fleet enforcement cluster42% finedGUADALUPE COUNTY HOSPITAL BOARD26 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 conduct49.4Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk44.7Bv0.1-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 risk62.2Cv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk43.9Bv0.6default · in composite
financial risk38.8Bv0.5default · in compositeR18.
lease risk44.3Bv0.5default · in composite
ownership opacity82.1Fv0.1-txhhscdefault · in compositeTexas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history.
p adverse action 12m0.0—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.2—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 risk96.8Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk73.0Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk15.0Av0.5default · in composite
financial risk45.9Cv0.1supersededPre-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 risk25.9Bv0.2supersededPre-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 risk25.0Bv0.3supersededPre-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 risk43.0Bv0.4supersededPre-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 risk96.7Fv0.1supersededPre-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 risk96.7Fv0.2supersededPre-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 risk73.0Dv0.1supersededPre-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 risk73.0Dv0.2supersededPre-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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
34.5
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)3.74-1.48
Occupancy0.38+0.93
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months23.00+0.39
Chain size (log)3.26+0.29
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months23.00-2.84
Occupancy0.38+1.57
Chain size (log)3.26-0.69
For-profit ownership1.00-0.69
Fine amount, 12m (log)11.85-0.69
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)3.74-0.24
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityTX medianNational medianNational p25–p75
Total nurse2.942.673.282.90–3.77
RN0.210.240.390.25–0.58
Weekend total2.892.563.11—
Weekday total2.962.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49267.22.940.210.901.822.890.1%
2025Q39270.42.700.160.961.572.580.0%
2025Q29172.22.590.210.971.412.4720.3%
2025Q19069.82.520.150.841.532.4426.2%
2024Q49274.42.880.130.881.872.8054.8%
2024Q39278.02.370.100.841.422.3572.6%
2024Q29178.92.170.070.901.192.1356.6%
2024Q19176.82.020.100.930.992.0359.1%
2023Q49283.71.920.040.811.071.9441.6%
2023Q39285.11.760.030.671.061.7321.1%
2023Q29184.21.190.070.560.560.864.9%
2023Q19087.61.840.010.821.011.4930.3%
2022Q49291.61.960.000.831.121.6636.4%
2022Q39288.92.040.070.801.161.9542.1%
2022Q29195.71.650.070.700.891.4435.2%
2022Q19095.71.430.000.740.691.3018.3%
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

6
fines by year
$140.4k$70.2k232425
DateTypeFineSource
2025-07-31Fine$140,450CMS provider data
2025-07-31Payment Denial—CMS provider data
2024-06-14Fine$11,389CMS provider data
2024-05-07Fine$14,814CMS provider data
2023-12-21Fine$15,593CMS provider data
2023-12-21Fine$21,528CMS provider data
Total fines on record: $203,774

Deficiencies

76
C × 2D × 37E × 25F × 6G × 1J × 1K × 4
deficiencies by survey year
301522232425
SurveyTypeTagDeficiencyScopeCorrected
2025-09-07Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-09-08
2025-09-07Health · complaintF0760Ensure that residents are free from significant medication errors.J2025-09-08
2025-09-07Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-09-08
2025-07-31HealthF0584Honor 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.D2025-09-08
2025-07-31HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K2025-09-08
2025-07-31HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2025-09-08
2025-07-31HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2025-09-08
2025-07-31HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2025-09-08
2025-07-31HealthF0610Respond appropriately to all alleged violations.D2025-09-08
2025-07-31HealthF0641Ensure each resident receives an accurate assessment.D2025-09-08
2025-07-31HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-09-08
2025-07-31Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-09-08
2025-07-31HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K2025-09-08
2025-07-31HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-09-08
2025-07-31HealthF0727Have 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.F2025-09-08
2025-07-31HealthF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.E2025-09-08
2025-07-31HealthF0760Ensure that residents are free from significant medication errors.E2025-09-08
2025-07-31HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E2025-09-08
2025-07-31HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-09-08
2025-07-31HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-09-08
2025-07-31HealthF0850Hire a qualified full-time social worker in a facility with more than 120 beds.F2025-09-08
2025-07-31HealthF0880Provide and implement an infection prevention and control program.D2025-09-08
2025-07-31HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F2025-09-08
2025-06-12Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-07-08
2025-06-12Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-07-08
2025-06-12Health · complaintF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D2025-07-08
2025-06-12Health · complaintF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D2025-07-08
2025-06-12Health · complaintF0809Ensure 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.E2025-07-08
2025-06-12Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-07-08
2025-02-28Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-04-01
2024-10-12Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-10-13
2024-10-12Health · complaintF0583Keep residents' personal and medical records private and confidential.E2024-10-13
2024-05-07Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-05-08
2024-03-14Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-03-15
2024-03-14Health · complaintF0814Dispose of garbage and refuse properly.E2024-03-15
2024-03-14Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2024-03-12
2024-03-07Health · complaintF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2024-03-08
2024-01-22Health · complaintF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.K2024-01-23
2024-01-22Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2024-01-23
2024-01-22Health · complaintF0908Keep all essential equipment working safely.E2024-01-23
2023-12-21Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-12-22
2023-12-21Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K2023-10-26
2023-12-21Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2023-12-22
2023-12-21Health · 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.F2023-12-22
2023-12-21Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-12-22
2023-12-21Health · 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.E2023-12-22
2023-12-21Health · complaintF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E2023-12-22
2023-04-27HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-05-22
2023-04-27HealthF0558Reasonably accommodate the needs and preferences of each resident.D2023-05-22
2023-04-27HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.E2023-05-22
2023-04-27HealthF0641Ensure each resident receives an accurate assessment.D2023-05-22
2023-04-27HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-05-22
2023-04-27HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-05-22
2023-04-27HealthF0685Assist a resident in gaining access to vision and hearing services.D2023-05-22
2023-04-27HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-05-22
2023-04-27HealthF0758Implement 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.D2023-05-22
2023-04-27HealthF0760Ensure that residents are free from significant medication errors.D2023-05-22
2023-04-27HealthF0791Provide or obtain dental services for each resident.D2023-05-22
2023-04-27HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-05-22
2023-04-27HealthF0814Dispose of garbage and refuse properly.E2023-05-22
2023-04-27HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-05-22
2023-04-27HealthF0880Provide and implement an infection prevention and control program.D2023-05-22
2023-04-27HealthF0881Implement a program that monitors antibiotic use.D2023-05-22
2023-04-27HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2023-05-22
2022-02-10HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2022-03-05
2022-02-10HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2022-03-05
2022-02-10HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2022-03-05
2022-02-10HealthF0732Post nurse staffing information every day.C2022-03-05
2022-02-10HealthF0761Ensure 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.E2022-03-05
2022-02-10HealthF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2022-03-05
2022-02-10HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D2022-03-05
2022-02-10HealthF0803Ensure 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.E2022-03-05
2022-02-10HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2022-03-05
2022-02-10HealthF0814Dispose of garbage and refuse properly.C2022-03-05
2022-02-10HealthF0880Provide and implement an infection prevention and control program.E2022-03-05
2022-02-10HealthF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D2022-03-05
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

29
OwnerRolePctFromStatusSource
GUADALUPE COUNTY HOSPITAL BOARD5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-11-01currentpecos_ownership
CHAMBERLAIN, JEFFADP OF THE SNF—2024-10-01currentpecos_ownership
COLVIN, JIMCORPORATE DIRECTOR—2023-07-05currentpecos_ownership
GANN, KODYCORPORATE OFFICER—2020-12-21currentpecos_ownership
GIVENS, LAURAADP OF THE SNF—2025-06-01currentpecos_ownership
GUADALUPE COUNTY HOSPITAL BOARD——2024-09-01currenttx_hhsc_directory
HAYNES, ROBERTCORPORATE OFFICER—2003-12-29currentpecos_ownership
HUMPHREY, RONALDCORPORATE DIRECTOR—2022-03-01currentpecos_ownership
KERRVILLE NURSING OPERATIONS LLCOPERATIONAL/MANAGERIAL CONTROL—2022-11-01currentpecos_ownership
MAJOR, DOLORESCORPORATE DIRECTOR—2025-03-01currentpecos_ownership
RAMIREZ, LOUISCORPORATE DIRECTOR—2021-03-01currentpecos_ownership
RAMOS, BRIANOPERATIONAL/MANAGERIAL CONTROL—2024-10-01currentpecos_ownership
REYES, JAMESCORPORATE DIRECTOR—2022-04-05currentpecos_ownership
RIVERSIDE SNF OPERATIONS, LLCOPERATIONAL/MANAGERIAL CONTROL—2024-10-01currentpecos_ownership
RIVERSIDE SNF OPERATIONS, LLC——2024-09-01currenttx_hhsc_directory
SCHNURIGER, JEANNECORPORATE DIRECTOR—2015-03-01currentpecos_ownership
VORDENBAUM, ERICCORPORATE DIRECTOR—2007-03-01currentpecos_ownership
DOLORES MAJORCORPORATE DIRECTOR0%2025-03-01ended 2026-05-18pecos_ownership
ERIC VORDENBAUMCORPORATE DIRECTOR0%2007-03-01ended 2026-05-18pecos_ownership
JAMES REYESCORPORATE DIRECTOR0%2022-04-05ended 2026-05-18pecos_ownership
JEANNE SCHNURIGERCORPORATE DIRECTOR0%2015-03-01ended 2026-05-18pecos_ownership
LOUIS RAMIREZCORPORATE DIRECTOR0%2021-03-01ended 2026-05-18pecos_ownership
ROBERT HAYNESCORPORATE OFFICER0%2003-12-29ended 2026-05-18pecos_ownership
RONALD HUMPHREYCORPORATE DIRECTOR0%2022-03-01ended 2026-05-18pecos_ownership
BRIAN RAMOSOPERATIONAL/MANAGERIAL CONTROL—2024-10-01ended 2026-05-18pecos_ownership
JEFF CHAMBERLAINADP OF THE SNF—2024-10-01ended 2026-05-18pecos_ownership
JIM COLVINCORPORATE DIRECTOR—2023-07-05ended 2026-05-18pecos_ownership
KODY GANNCORPORATE OFFICER—2020-12-21ended 2026-05-18pecos_ownership
LAURA GIVENSADP OF THE SNF—2025-06-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2022-11-01—GUADALUPE COUNTY HOSPITAL BOARDUVALDE COUNTY HOSPITAL AUTHORITYchow

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

36
GeoKindBRAmountAs ofSource
county 48265acs median gross0$1,2432024-12-31CENSUS_ACS5
county 48265fmr0$8692025-10-01HUD_USER_FMR
county 48265acs median gross1$8972024-12-31CENSUS_ACS5
county 48265fmr1$9652025-10-01HUD_USER_FMR
county 48265acs median gross2$1,0762024-12-31CENSUS_ACS5
county 48265fmr2$1,1182025-10-01HUD_USER_FMR
county 48265acs median gross3$1,3762024-12-31CENSUS_ACS5
county 48265fmr3$1,4752025-10-01HUD_USER_FMR
county 48265acs median gross4$1,2142024-12-31CENSUS_ACS5
county 48265fmr4$1,5232025-10-01HUD_USER_FMR
county 48265acs median gross5$8612024-12-31CENSUS_ACS5
county 48265acs median gross$1,1092024-12-31CENSUS_ACS5
county 48265acs recent mover gross$1,2602024-12-31CENSUS_ACS5
zcta 78028acs median gross0$1,2072024-12-31CENSUS_ACS5
zcta 78028acs median gross1$8882024-12-31CENSUS_ACS5
zcta 78028acs median gross2$1,0872024-12-31CENSUS_ACS5
zcta 78028acs median gross3$1,4392024-12-31CENSUS_ACS5
zcta 78028acs median gross4$1,2252024-12-31CENSUS_ACS5
zcta 78028acs median gross5$8612024-12-31CENSUS_ACS5
zcta 78028acs median gross$1,1382024-12-31CENSUS_ACS5
zcta 78028acs recent mover gross$1,2602024-12-31CENSUS_ACS5
zip 78028payment standard 1100$9682025-10-01HUD_USER_SAFMR
zip 78028payment standard 900$7922025-10-01HUD_USER_SAFMR
zip 78028safmr0$8802025-10-01HUD_USER_SAFMR
zip 78028payment standard 1101$1,0782025-10-01HUD_USER_SAFMR
zip 78028payment standard 901$8822025-10-01HUD_USER_SAFMR
zip 78028safmr1$9802025-10-01HUD_USER_SAFMR
zip 78028payment standard 1102$1,2432025-10-01HUD_USER_SAFMR
zip 78028payment standard 902$1,0172025-10-01HUD_USER_SAFMR
zip 78028safmr2$1,1302025-10-01HUD_USER_SAFMR
zip 78028payment standard 1103$1,6392025-10-01HUD_USER_SAFMR
zip 78028payment standard 903$1,3412025-10-01HUD_USER_SAFMR
zip 78028safmr3$1,4902025-10-01HUD_USER_SAFMR
zip 78028payment standard 1104$1,6502025-10-01HUD_USER_SAFMR
zip 78028payment standard 904$1,3502025-10-01HUD_USER_SAFMR
zip 78028safmr4$1,5002025-10-01HUD_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 · Arbor View Nursing & Rehabilitation (455724) · 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