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 19:16 UTC
Screener / 675172
F

Cascades at Port Arthur

snfTX
6600 Ninth Ave, Port Arthur, TX 77642 · CCN 675172 · chain WINNIE STOWELL HOSPITAL DISTRICT
Composite
98.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 98.9% 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 signals9Components20CHOW radar1Distress radar1Staffing16Penalties6Deficiencies42Licensure0Ownership28Related party3Transactions1Comps12Market rent35

Composite explanation

8
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk99.298.60.300.171417.01in index
state reg risk97.556.00.300.171416.71in index
billing conduct96.868.40.300.171416.59in index
financial risk60.452.60.300.171410.35in index
staffing risk65.765.70.250.14299.39in index
chow risk60.848.40.150.08575.21in index
lease risk48.852.20.150.08574.18in index
ownership opacity25.551.3excluded
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

ML signals — parallel engine

9
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+23.8 vs natlFULLMER CHAD18 facilities
connectionOwner fleet risk far above national+20.2 vs natlMCSPADDEN DARIN21 facilities
connectionBuyer assembling a chain (5+ takeovers/24mo)6 facilitiesWINNIE-STOWELL HOSPITAL DISTRICT6 facilities
connectionOwner spans multiple chains5 chainsFULLMER CHAD14 facilities
connectionOwner spans multiple chains5 chainsMCSPADDEN DARIN17 facilities
connectionOwner spans multiple chains5 chainsMCMAHON MICHAEL6 facilities
connectionOwner fleet enforcement cluster46% finedMURRELL EDWARD76 facilities
connectionOwner fleet enforcement cluster46% finedCRUMP JASON11 facilities
connectionOwner fleet enforcement cluster42% finedWHITE DEREK12 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 conduct68.4Dv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk45.0Cv0.1-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 risk48.6Cv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk51.3Cv0.6default · in composite
financial risk52.6Cv0.5default · in compositeR18.
lease risk52.2Cv0.5default · in composite
ownership opacity56.3Cv0.1-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 risk98.6Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk65.7Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk56.0Cv0.5default · in composite
financial risk76.4Dv0.1supersededPre-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 risk56.4Cv0.2supersededPre-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 risk42.7Bv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk58.0Cv0.4supersededPre-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 risk98.6Fv0.1supersededPre-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 risk98.6Fv0.2supersededPre-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 risk65.7Dv0.1supersededPre-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 risk65.7Dv0.2supersededPre-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
30.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.24-1.72
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.47+0.66
Chain size (log)4.34+0.52
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months18.00+0.27
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 months18.00-1.91
Chain size (log)4.34-1.33
Occupancy0.47+1.18
For-profit ownership1.00-0.69
Fine amount, 12m (log)10.77-0.61
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Penalties, last 12 months3.00-0.28
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 nurse3.052.673.282.90–3.77
RN0.130.240.390.25–0.58
Weekend total3.022.563.11—
Weekday total3.072.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49270.23.050.130.872.053.020.0%
2025Q39273.83.110.200.792.123.020.0%
2025Q29171.13.420.201.022.203.000.0%
2025Q19074.33.320.190.952.183.030.0%
2024Q49279.52.960.160.881.922.610.0%
2024Q39283.33.250.141.022.093.031.8%
2024Q29189.43.370.170.922.273.105.3%
2024Q19177.43.450.131.042.283.182.2%
2023Q49272.82.950.031.081.842.782.9%
2023Q39276.92.800.041.101.672.561.8%
2023Q29183.22.730.041.001.682.391.5%
2023Q19084.62.590.020.951.632.410.0%
2022Q49278.32.690.011.031.652.512.9%
2022Q39274.42.770.031.061.682.6219.1%
2022Q29172.92.510.031.031.452.3123.3%
2022Q19068.22.340.111.041.182.322.2%
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
$208.2k$104.1k232425
DateTypeFineSource
2025-09-22Fine$12,428CMS provider data
2025-09-22Fine$17,345CMS provider data
2025-08-16Fine$17,660CMS provider data
2024-06-17Fine$208,196CMS provider data
2023-09-13Fine$23,186CMS provider data
2023-08-03Fine$8,766CMS provider data
Total fines on record: $287,581

Deficiencies

42
C × 2D × 20E × 9F × 1G × 2J × 4K × 4
deficiencies by survey year
18923242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-13Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-01-14
2026-01-07HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E2026-02-06
2026-01-07HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-02-06
2026-01-07HealthF0637Assess the resident when there is a significant change in conditionD2026-02-06
2026-01-07HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-02-06
2026-01-07HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-02-06
2026-01-07HealthF0759Ensure medication error rates are not 5 percent or greater.D2026-02-06
2026-01-07HealthF0761Ensure 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.D2026-02-06
2026-01-07HealthF0850Hire a qualified full-time social worker in a facility with more than 120 beds.E2026-02-06
2026-01-07HealthF0880Provide and implement an infection prevention and control program.D2026-02-06
2026-01-07HealthF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E2026-02-06
2025-11-20Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-12-12
2025-09-22Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-09-23
2025-09-22Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.J2025-02-10
2025-09-22Health · complaintF0760Ensure that residents are free from significant medication errors.J2025-02-10
2025-09-22Health · 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.E2025-09-23
2025-09-22Health · complaintF0880Provide and implement an infection prevention and control program.E2025-09-23
2025-08-16Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J—
2024-10-16HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-11-05
2024-10-16HealthF0727Have 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.F2024-11-05
2024-10-16HealthF0758Implement 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.E2024-11-05
2024-10-16HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-11-05
2024-06-17Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.K2024-07-10
2024-06-17Health · complaintF0760Ensure that residents are free from significant medication errors.K2024-07-10
2023-10-03Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.K2023-10-06
2023-10-03Health · complaintF0760Ensure that residents are free from significant medication errors.K2023-10-06
2023-09-13HealthF0558Reasonably accommodate the needs and preferences of each resident.D2023-10-13
2023-09-13HealthF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C2023-10-13
2023-09-13HealthF0583Keep residents' personal and medical records private and confidential.E2023-10-13
2023-09-13HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2023-10-13
2023-09-13HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2023-10-13
2023-09-13HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-10-13
2023-09-13HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-10-13
2023-09-13HealthF0727Have 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.D2023-10-13
2023-09-13HealthF0732Post nurse staffing information every day.C2023-10-13
2023-09-13HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2023-10-13
2023-09-13HealthF0758Implement 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.D2023-10-13
2023-09-13HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D2023-10-13
2023-08-03Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.G2023-09-01
2023-08-03Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-09-01
2023-08-03Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-09-01
2023-06-27Health · complaintF0675Honor each resident's preferences, choices, values and beliefs.D2023-07-19
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

28
OwnerRolePctFromStatusSource
9TH AVENUE OPERATIONS LLC——2025-05-01currenttx_hhsc_directory
AURALA, FLPADP OF THE SNF—2025-05-01currentpecos_ownership
CASCADES AT PORT ARTHUR REHAB LPOPERATIONAL/MANAGERIAL CONTROL—2025-05-01currentpecos_ownership
CRUMO, FLPADP OF THE SNF—2025-05-01currentpecos_ownership
CRUMP, JASONINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-05-02currentpecos_ownership
CRUMP, SUSANINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-05-02currentpecos_ownership
FULLMER, CHADINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-05-02currentpecos_ownership
FULLMER, REBECCAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-05-02currentpecos_ownership
GULF ASSETS, FLPADP OF THE SNF—2025-05-01currentpecos_ownership
HILL, ANDREWADP OF THE SNF—2025-05-01currentpecos_ownership
HITORI HOSHI, FLP5% OR GREATER MORTGAGE INTEREST—2025-05-01currentpecos_ownership
MCMAHON, MICHAELOPERATIONAL/MANAGERIAL CONTROL—2025-05-01currentpecos_ownership
MCSPADDEN, DARINOPERATIONAL/MANAGERIAL CONTROL—2025-05-01currentpecos_ownership
MCSPADDEN, HEATHERINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-05-02currentpecos_ownership
MURRELL, EDWARDCORPORATE DIRECTOR—2025-05-01currentpecos_ownership
PORT ARTHUR HOLDINGSOther (financial or non-financial)—2023-10-01currenthcris_a_8_1
PORT ARTHUR HOLDINGSOther (financial or non-financial)—2022-10-01currenthcris_a_8_1
PORT ARTHUR HOLDINGS, LP5% OR GREATER MORTGAGE INTEREST—2025-05-01currentpecos_ownership
WHITE, DEREKINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-05-02currentpecos_ownership
WHITE, LORIINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-05-02currentpecos_ownership
WINNIE STOWELL HOSPITAL DISTRICT——2026-08-03currenttx_hhsc_directory
WINNIE-STOWELL HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%2025-05-01ended 2026-05-18pecos_ownership
EDWARD MURRELLCORPORATE DIRECTOR0%2025-05-01ended 2026-05-18pecos_ownership
ANDREW HILLADP OF THE SNF—2025-05-01ended 2026-05-18pecos_ownership
DARIN MCSPADDENOPERATIONAL/MANAGERIAL CONTROL—2025-05-01ended 2026-05-18pecos_ownership
MICHAEL MCMAHONADP OF THE SNF—2025-05-01ended 2026-05-18pecos_ownership
PORT ARTHUR HOLDINGSDirector, officer, administrator or key person of provider or organization—2021-10-01ended 2022-09-30hcris_a_8_1
WINNIESTOWELL HOSPITAL DISTRICT——2025-05-01ended 2026-08-03tx_hhsc_directory
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2025-05-01—WINNIE-STOWELL HOSPITAL DISTRICTCITY OF ENNISchow

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

35
GeoKindBRAmountAs ofSource
county 48245acs median gross0$9772024-12-31CENSUS_ACS5
county 48245fmr0$8922025-10-01HUD_USER_FMR
county 48245acs median gross1$8722024-12-31CENSUS_ACS5
county 48245fmr1$8982025-10-01HUD_USER_FMR
county 48245acs median gross2$1,1302024-12-31CENSUS_ACS5
county 48245fmr2$1,1032025-10-01HUD_USER_FMR
county 48245acs median gross3$1,4242024-12-31CENSUS_ACS5
county 48245fmr3$1,4462025-10-01HUD_USER_FMR
county 48245acs median gross4$1,6272024-12-31CENSUS_ACS5
county 48245fmr4$1,7322025-10-01HUD_USER_FMR
county 48245acs median gross5$3,4232024-12-31CENSUS_ACS5
county 48245acs median gross$1,1172024-12-31CENSUS_ACS5
county 48245acs recent mover gross$1,1672024-12-31CENSUS_ACS5
zcta 77642acs median gross0$6742024-12-31CENSUS_ACS5
zcta 77642acs median gross1$6332024-12-31CENSUS_ACS5
zcta 77642acs median gross2$1,0102024-12-31CENSUS_ACS5
zcta 77642acs median gross3$1,2172024-12-31CENSUS_ACS5
zcta 77642acs median gross4$1,4432024-12-31CENSUS_ACS5
zcta 77642acs median gross$9482024-12-31CENSUS_ACS5
zcta 77642acs recent mover gross$1,1002024-12-31CENSUS_ACS5
zip 77642payment standard 1100$9462025-10-01HUD_USER_SAFMR
zip 77642payment standard 900$7742025-10-01HUD_USER_SAFMR
zip 77642safmr0$8602025-10-01HUD_USER_SAFMR
zip 77642payment standard 1101$9462025-10-01HUD_USER_SAFMR
zip 77642payment standard 901$7742025-10-01HUD_USER_SAFMR
zip 77642safmr1$8602025-10-01HUD_USER_SAFMR
zip 77642payment standard 1102$1,1662025-10-01HUD_USER_SAFMR
zip 77642payment standard 902$9542025-10-01HUD_USER_SAFMR
zip 77642safmr2$1,0602025-10-01HUD_USER_SAFMR
zip 77642payment standard 1103$1,5292025-10-01HUD_USER_SAFMR
zip 77642payment standard 903$1,2512025-10-01HUD_USER_SAFMR
zip 77642safmr3$1,3902025-10-01HUD_USER_SAFMR
zip 77642payment standard 1104$1,8262025-10-01HUD_USER_SAFMR
zip 77642payment standard 904$1,4942025-10-01HUD_USER_SAFMR
zip 77642safmr4$1,6602025-10-01HUD_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 · Cascades at Port Arthur (675172) · 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