CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 11:26 UTC
Screener / 676439
D

Trinity Rehabilitation & Healthcare Center

snfTXSFF: SFF Candidate
314 E Caroline St, Trinity, TX 75862 · CCN 676439 · chain CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Composite
94.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 94.6% 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 model7ML signals4Components19CHOW radar1Distress radar1Staffing16Penalties6Deficiencies66Licensure0Ownership17Related party6Transactions1Comps12Market rent29

Composite explanation

7
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk99.599.00.300.187518.66in index
financial risk78.765.90.300.187514.76in index
staffing risk86.786.70.250.156313.55in index
state reg risk63.715.00.300.187511.94in index
billing conduct39.235.30.300.18757.35in index
chow risk48.734.40.150.09384.57in index
ownership opacity27.051.5excluded
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

4
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains7 chainsSMITH MICHAEL12 facilities
connectionOwner fleet enforcement cluster55% finedNEWTON ELIZABETH20 facilities
connectionOwner fleet enforcement cluster54% finedCOOPER KIMBERLY13 facilities
connectionOwner fleet enforcement cluster44% finedSMITH MICHAEL16 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

19
Score typeScoreGradeModelStatusRegistry model notes
billing conduct35.3Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk27.8Bv0.1-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 risk15.3Av0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk59.6Cv0.6default · in composite
financial risk65.9Dv0.5default · in compositeR18.
ownership opacity52.2Cv0.1-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 12m0.1—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 risk99.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk86.7Fv0.3default · 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 risk63.2Cv0.1supersededPre-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 risk43.2Bv0.2supersededPre-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 risk61.9Cv0.3supersededPre-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 risk67.4Dv0.4supersededPre-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 risk99.0Fv0.1supersededPre-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 risk99.0Fv0.2supersededPre-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 risk86.7Fv0.1supersededPre-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 risk86.7Fv0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
17.6
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)5.24-1.34
For-profit ownership0.00-1.24
Deficiencies, last 12 months36.00+0.70
No PBJ staffing report0.00+0.42
High-severity deficiencies, 12m6.00+0.31
Penalties, last 12 months5.00+0.27
Ownership changes, last 5 years0.00+0.20
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 months36.00-5.25
For-profit ownership0.00+1.62
Fine amount, 12m (log)11.88-0.69
Penalties, last 12 months5.00-0.51
High-severity deficiencies, 12m6.00-0.44
No PBJ staffing report0.00+0.39
Chain size (log)2.64-0.33
Never sold on record0.00-0.28
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

16
2025Q4 HPRDThis facilityTX medianNational medianNational p25–p75
Total nurse2.642.673.282.90–3.77
RN0.160.240.390.25–0.58
Weekend total2.542.563.11—
Weekday total2.692.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49258.32.640.160.861.632.540.0%
2025Q39260.92.760.300.621.842.550.0%
2025Q29162.62.350.230.651.472.150.0%
2025Q19061.62.150.150.731.282.020.0%
2024Q49257.02.210.090.721.401.990.0%
2024Q39255.32.420.120.941.372.170.0%
2024Q29157.22.270.150.761.362.050.0%
2024Q19155.12.580.130.871.582.370.7%
2023Q49252.82.730.130.871.732.331.3%
2023Q39254.02.600.080.831.692.223.5%
2023Q29152.92.720.050.921.752.226.4%
2023Q19057.52.190.020.741.431.753.2%
2022Q49256.12.250.040.741.471.922.2%
2022Q39258.62.250.070.861.321.994.1%
2022Q29160.22.210.110.681.431.912.6%
2022Q19056.71.960.120.581.261.723.2%
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
$168.7k$84.4k23242526
DateTypeFineSource
2026-01-28Fine$19,115CMS provider data
2026-01-28Fine$19,115CMS provider data
2026-01-28Payment Denial—CMS provider data
2025-11-12Fine$105,600CMS provider data
2025-11-12Payment Denial—CMS provider data
2023-11-05Fine$168,714CMS provider data
Total fines on record: $312,544

Deficiencies

66
D × 35E × 17F × 5G × 2H × 1K × 6
deficiencies by survey year
281423242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-15HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2026-05-08
2026-04-15HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2026-05-08
2026-04-15HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2026-05-08
2026-04-15HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-05-08
2026-04-15HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-05-08
2026-04-15HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2026-05-06
2026-04-15HealthF0839Employ staff that are licensed, certified, or registered in accordance with state laws.D2026-05-06
2026-04-15HealthF0880Provide and implement an infection prevention and control program.D2026-05-08
2026-04-15HealthF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.D2026-05-08
2026-04-15HealthF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.E2026-05-08
2026-04-15HealthF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.D2026-05-08
2026-04-15HealthF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D2026-05-08
2026-04-15HealthF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.E2026-05-08
2026-04-15HealthF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D2026-05-08
2026-04-15HealthF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.E2026-05-08
2026-03-04Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.G2026-04-10
2026-03-04Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2026-04-10
2026-03-04Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-04-01
2026-03-04Health · 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.D2026-04-01
2026-03-04Health · complaintF0880Provide and implement an infection prevention and control program.D2026-04-01
2026-01-28Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2026-02-27
2026-01-28Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-02-27
2026-01-28Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-02-27
2026-01-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2026-02-27
2026-01-28Health · complaintF0760Ensure that residents are free from significant medication errors.D2026-02-27
2025-12-17Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-12-18
2025-12-17Health · complaintF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2025-12-18
2025-11-26Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-12-15
2025-11-26Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-12-15
2025-11-12Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.K2025-11-20
2025-11-12Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-12-08
2025-11-12Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.H2025-12-05
2025-11-12Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.K2025-11-20
2025-11-12Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-12-08
2025-11-12Health · complaintF0760Ensure that residents are free from significant medication errors.K2025-11-20
2025-11-12Health · complaintF0880Provide and implement an infection prevention and control program.E2025-12-08
2025-07-27Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.E2025-08-12
2025-02-27HealthF0584Honor 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.D2025-02-28
2025-02-27Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2025-02-28
2025-02-27HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2025-03-13
2025-02-27Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE2025-02-28
2025-02-27HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-03-14
2025-02-27HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-03-14
2025-02-27HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-02-28
2025-02-27HealthF0761Ensure 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.D2025-02-28
2025-02-27HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-02-28
2025-02-27HealthF0880Provide and implement an infection prevention and control program.E2025-03-14
2025-02-27HealthF0908Keep all essential equipment working safely.D2025-03-13
2025-02-27HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F2025-02-28
2025-02-27HealthF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.E2025-03-24
2025-02-27HealthF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.E2025-03-24
2025-02-27HealthF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E2025-03-24
2025-02-27HealthF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.E2025-03-24
2024-08-28Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-09-24
2024-08-28Health · complaintF0880Provide and implement an infection prevention and control program.D2024-09-24
2024-01-10HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-02-01
2024-01-10HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-02-01
2024-01-10HealthF0693Ensure 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.D2024-02-01
2024-01-10HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-02-01
2024-01-10HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2024-02-01
2024-01-10HealthF0727Have 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.F2024-02-01
2024-01-10HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.E2024-02-01
2024-01-10Health · complaintF0880Provide and implement an infection prevention and control program.E2024-02-01
2023-11-05Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.K2023-11-06
2023-11-05Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.K2023-11-06
2023-11-05Health · complaintF0700Try 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.K2023-11-06
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

17
OwnerRolePctFromStatusSource
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1——2024-05-01currenttx_hhsc_directory
COOPER, KIMBERLYCORPORATE DIRECTOR—2024-01-29currentpecos_ownership
NEWTON, ELIZABETHCORPORATE DIRECTOR—2024-02-22currentpecos_ownership
SCIARRINI, JOSEPHADP OF THE SNF—2021-05-01currentpecos_ownership
SMITH, MICHAELADP OF THE SNF—2021-05-01currentpecos_ownership
SQUYRES, HULENADP OF THE SNF—2021-05-01currentpecos_ownership
TRINITY RHC LLC——2024-05-01currenttx_hhsc_directory
TRINITY RHC LLCOPERATIONAL/MANAGERIAL CONTROL—2021-05-01currentpecos_ownership
TRINITY RHC LLCADP OF THE SNF—2025-05-08currentpecos_ownership
WHATLEY, DARCYOPERATIONAL/MANAGERIAL CONTROL—2021-05-01currentpecos_ownership
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 15% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-05-01ended 2026-05-18pecos_ownership
DARCY WHATLEYOPERATIONAL/MANAGERIAL CONTROL0%2021-05-01ended 2026-05-18pecos_ownership
ELIZABETH NEWTONCORPORATE DIRECTOR—2024-02-22ended 2026-05-18pecos_ownership
HULEN SQUYRESADP OF THE SNF—2021-05-01ended 2026-05-18pecos_ownership
JOSEPH SCIARRINIADP OF THE SNF—2021-05-01ended 2026-05-18pecos_ownership
KIMBERLY COOPERCORPORATE DIRECTOR—2024-01-29ended 2026-05-18pecos_ownership
MICHAEL SMITHADP OF THE SNF—2021-05-01ended 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
2021-05-01—CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1TRINITY RHC LLCchow

Comparable trades — TX snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01ST. ANTHONY'S CARE CENTER———120SOUTH LIMESTONE HOSPITAL DISTRICT
2025-10-01Avir at New Braunfels———154821 US HIGHWAY 81 W OPCO LLC
2025-09-01Avir at Texarkana———110GUADALUPE COUNTY HOSPITAL BOARD
2025-09-01PARKS HEALTH CENTER———90WEST COKE COUNTY HOSPITAL DISTRICT
2025-09-01WINDMILL VILLAGE REHABILITATION & CARE CENTER———120FANNIN COUNTY HOSPITAL AUTHORITY
2025-08-31Las Ventanas De Socorro———126SOCORRO HEALTH CARE LLC
2025-08-01Avir at Mineola———115HOPKINS COUNTY HOSPITAL DISTRICT
2025-08-01Avir at Orem———1203730 W OREM DR OPCO LLC
2025-08-01Avir at Courtyard———1207499 STANWICK DR OPCO LLC
2025-08-01HILLSIDE MEDICAL LODGE———128CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
2025-08-01Avir at Pasadena———1314300 VISTA RD OPCO LLC
2025-07-01Highland Meadows———120NOCONA HOSPITAL DISTRICT
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

29
GeoKindBRAmountAs ofSource
county 48455fmr0$7852025-10-01HUD_USER_FMR
county 48455acs median gross1$7252024-12-31CENSUS_ACS5
county 48455fmr1$8182025-10-01HUD_USER_FMR
county 48455acs median gross2$8992024-12-31CENSUS_ACS5
county 48455fmr2$1,0102025-10-01HUD_USER_FMR
county 48455acs median gross3$8992024-12-31CENSUS_ACS5
county 48455fmr3$1,2112025-10-01HUD_USER_FMR
county 48455fmr4$1,4862025-10-01HUD_USER_FMR
county 48455acs median gross$8562024-12-31CENSUS_ACS5
county 48455acs recent mover gross$1,3832024-12-31CENSUS_ACS5
zcta 75862acs median gross1$7512024-12-31CENSUS_ACS5
zcta 75862acs median gross2$9002024-12-31CENSUS_ACS5
zcta 75862acs median gross3$9852024-12-31CENSUS_ACS5
zcta 75862acs median gross$8772024-12-31CENSUS_ACS5
zip 75862payment standard 1100$8582025-10-01HUD_USER_SAFMR
zip 75862payment standard 900$7022025-10-01HUD_USER_SAFMR
zip 75862safmr0$7802025-10-01HUD_USER_SAFMR
zip 75862payment standard 1101$9792025-10-01HUD_USER_SAFMR
zip 75862payment standard 901$8012025-10-01HUD_USER_SAFMR
zip 75862safmr1$8902025-10-01HUD_USER_SAFMR
zip 75862payment standard 1102$1,1112025-10-01HUD_USER_SAFMR
zip 75862payment standard 902$9092025-10-01HUD_USER_SAFMR
zip 75862safmr2$1,0102025-10-01HUD_USER_SAFMR
zip 75862payment standard 1103$1,3752025-10-01HUD_USER_SAFMR
zip 75862payment standard 903$1,1252025-10-01HUD_USER_SAFMR
zip 75862safmr3$1,2502025-10-01HUD_USER_SAFMR
zip 75862payment standard 1104$1,8592025-10-01HUD_USER_SAFMR
zip 75862payment standard 904$1,5212025-10-01HUD_USER_SAFMR
zip 75862safmr4$1,6902025-10-01HUD_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 · Trinity Rehabilitation & Healthcare Center (676439) · 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