Composite
86.2 / 100 percentile
Screener / 675085
D
Paradigm at Woodwind Lakes
snfTXSFF: SFF
7215 Windfern Rd, Houston, TX 77040 · CCN 675085 · chain OAKBEND MEDICAL CENTER
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 86.2% 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 signals17Components20CHOW radar1Distress radar1Staffing15Penalties2Deficiencies56Licensure0Ownership26Related party0Transactions1Comps12Market rent35
Composite explanation
8| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| state reg risk | 99.7 | 82.0 | 0.30 | 0.1714 | 17.09 | in index |
| regulatory risk | 93.0 | 90.7 | 0.30 | 0.1714 | 15.94 | in index |
| staffing risk | 64.4 | 64.4 | 0.25 | 0.1429 | 9.20 | in index |
| billing conduct | 53.4 | 40.8 | 0.30 | 0.1714 | 9.15 | in index |
| financial risk | 31.8 | 34.9 | 0.30 | 0.1714 | 5.45 | in index |
| chow risk | 45.7 | 43.2 | 0.15 | 0.0857 | 3.92 | in index |
| lease risk | 37.2 | 48.9 | 0.15 | 0.0857 | 3.19 | in index |
| ownership opacity | 40.0 | 53.5 | excluded |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
17| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +28.3 vs natl | UTHMAN EDWARD | 16 facilities |
| connection | Owner fleet risk far above national | +28.3 vs natl | CRAYTON TOM | 16 facilities |
| connection | Owner fleet risk far above national | +26.6 vs natl | POPATIA AMIRALI | 14 facilities |
| connection | Owner fleet risk far above national | +24.1 vs natl | HALEY JEFF | 17 facilities |
| connection | Owner fleet risk far above national | +23.6 vs natl | FREUDENBERGER JOSEPH | 35 facilities |
| connection | Owner fleet risk far above national | +23.5 vs natl | COUNCIL JEFF | 7 facilities |
| connection | Owner fleet risk far above national | +23.5 vs natl | MEFFORD RUTHANNE | 7 facilities |
| connection | Owner fleet risk far above national | +23.5 vs natl | PETROSEWICZ NORMA | 7 facilities |
| connection | Owner fleet risk far above national | +23.0 vs natl | OAKBEND MEDICAL CENTER | 32 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | OAKBEND MEDICAL CENTER | 32 facilities |
| connection | Owner fleet enforcement cluster | 49% fined | FREUDENBERGER JOSEPH | 35 facilities |
| connection | Owner fleet enforcement cluster | 47% fined | HALEY JEFF | 17 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | MEFFORD RUTHANNE | 7 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | COUNCIL JEFF | 7 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | PETROSEWICZ NORMA | 7 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | DOUDS ROBERT | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | ZERWAS JOHN | 5 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 40.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 65.6 | D | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 38.5 | B | v0.6 | default · in composite | |
| financial risk | 34.9 | B | v0.5 | default · in composite | R18. |
| lease risk | 48.9 | C | v0.5 | default · in composite | |
| ownership opacity | 53.4 | C | v0.1-txhhsc | default · in composite | Texas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.2 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 90.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 64.4 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| state reg risk | 82.0 | F | v0.5 | default · in composite | |
| financial risk | 63.2 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 43.2 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 35.3 | B | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 41.0 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 90.6 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 90.6 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 64.4 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 64.4 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
41.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 9.33 | -0.94 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.22 | +0.28 | |
| High-severity deficiencies, 12m | 5.00 | +0.26 | |
| Deficiencies, last 12 months | 17.00 | +0.24 | |
| Ownership changes, last 5 years | 0.00 | +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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 17.00 | -1.72 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.22 | -0.67 | |
| Fine amount, 12m (log) | 10.78 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| High-severity deficiencies, 12m | 5.00 | -0.36 | |
| Never sold on record | 0.00 | -0.28 | |
| Facility size (log beds) | 5.20 | -0.18 |
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
15| 2025Q4 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.07 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.41 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.87 | 2.56 | 3.11 | — |
| Weekday total | 3.15 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 138.1 | 3.07 | 0.41 | 0.61 | 2.05 | 2.87 | 0.0% |
| 2025Q3 | 92 | 132.8 | 2.95 | 0.45 | 0.63 | 1.88 | 2.75 | 0.0% |
| 2025Q2 | 91 | 135.7 | 2.70 | 0.42 | 0.62 | 1.65 | 2.48 | 0.0% |
| 2025Q1 | 90 | 140.6 | 2.66 | 0.38 | 0.61 | 1.67 | 2.40 | 0.0% |
| 2024Q4 | 92 | 141.0 | 2.75 | 0.35 | 0.60 | 1.80 | 2.46 | 0.0% |
| 2024Q3 | 92 | 137.7 | 2.66 | 0.28 | 0.71 | 1.67 | 2.52 | 0.0% |
| 2024Q2 | 91 | 131.0 | 2.45 | 0.24 | 0.80 | 1.42 | 2.31 | 0.0% |
| 2024Q1 | 91 | 128.6 | 2.65 | 0.24 | 0.80 | 1.61 | 2.54 | 0.0% |
| 2023Q4 | 92 | 131.6 | 2.74 | 0.29 | 0.70 | 1.76 | 2.64 | 0.0% |
| 2023Q3 | 92 | 132.1 | 2.88 | 0.33 | 0.70 | 1.84 | 2.60 | 3.5% |
| 2023Q1 | 90 | 133.3 | 2.68 | 0.23 | 0.73 | 1.72 | 2.55 | 16.8% |
| 2022Q4 | 92 | 128.0 | 2.69 | 0.26 | 0.73 | 1.70 | 2.52 | 11.6% |
| 2022Q3 | 92 | 130.0 | 2.73 | 0.26 | 0.79 | 1.67 | 2.55 | 14.1% |
| 2022Q2 | 91 | 123.6 | 2.82 | 0.24 | 0.86 | 1.72 | 2.70 | 20.7% |
| 2022Q1 | 90 | 114.3 | 2.57 | 0.27 | 0.78 | 1.52 | 2.43 | 5.8% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-01-09 | Fine | $47,880 | CMS provider data |
| 2025-04-10 | Fine | $17,721 | CMS provider data |
Total fines on record: $65,601
Deficiencies
56D × 24E × 14G × 5H × 1J × 2K × 10
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-28 | Health · complaint | F0572 | Give residents a notice of rights, rules, services and charges. | D | 2026-05-01 |
| 2026-04-28 | Health · complaint | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | K | 2026-05-01 |
| 2026-03-27 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2026-04-03 |
| 2026-03-27 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-04-03 |
| 2026-03-27 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | 2026-04-03 |
| 2026-01-09 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2026-04-03 |
| 2026-01-09 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-04-03 |
| 2026-01-09 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | 2026-04-03 |
| 2026-01-09 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2026-03-27 |
| 2026-01-09 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-03-27 |
| 2026-01-09 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-03-27 |
| 2026-01-09 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-03-27 |
| 2025-08-14 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-09-12 |
| 2025-08-14 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-09-12 |
| 2025-08-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-12 |
| 2025-08-14 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-09-12 |
| 2025-08-14 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2025-09-12 |
| 2025-07-22 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-08-19 |
| 2025-04-10 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | — |
| 2025-04-10 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | — |
| 2025-04-10 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | — |
| 2025-04-10 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | — |
| 2025-04-10 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | — |
| 2025-02-20 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2025-03-14 |
| 2024-09-26 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2024-10-18 |
| 2024-01-10 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-02-17 |
| 2024-01-10 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | 2024-02-17 |
| 2024-01-10 | Health · complaint | F0700 | Try 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. | D | 2024-02-17 |
| 2024-01-10 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-02-17 |
| 2024-01-10 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-02-17 |
| 2024-01-10 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-02-17 |
| 2023-10-19 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-10-22 |
| 2023-10-19 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-10-22 |
| 2023-10-19 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-10-22 |
| 2023-08-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-07-25 |
| 2023-08-04 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2023-08-07 |
| 2023-08-04 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-08-07 |
| 2023-08-04 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-08-07 |
| 2023-08-04 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2023-08-07 |
| 2023-07-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2023-07-19 |
| 2023-07-17 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | 2023-07-19 |
| 2023-07-17 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K | 2023-07-19 |
| 2023-07-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2023-07-19 |
| 2023-07-17 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | 2023-07-19 |
| 2023-06-15 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2023-06-17 |
| 2023-06-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2023-06-17 |
| 2023-06-15 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | 2023-06-17 |
| 2023-06-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-06-17 |
| 2023-06-15 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | K | 2023-06-17 |
| 2023-06-15 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | H | 2023-06-17 |
| 2023-06-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-06-17 |
| 2023-06-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2023-06-17 |
| 2023-06-15 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2023-06-17 |
| 2023-06-15 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-06-17 |
| 2023-06-15 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-06-17 |
| 2023-06-06 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-06-10 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
26| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| OAKBEND MEDICAL CENTER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-03-31 | current | pecos_ownership |
| COUNCIL, JEFF | CORPORATE OFFICER | — | 2013-01-01 | current | pecos_ownership |
| CRAYTON, TOM | CORPORATE OFFICER | — | 2013-01-01 | current | pecos_ownership |
| DOUDS, ROBERT | CORPORATE OFFICER | — | 2016-01-19 | current | pecos_ownership |
| FREUDENBERGER, JOSEPH | CORPORATE OFFICER | — | 2007-06-19 | current | pecos_ownership |
| HALEY, JEFF | CORPORATE OFFICER | — | 2012-01-01 | current | pecos_ownership |
| MARTIN, MELISSA | CORPORATE OFFICER | — | 2015-01-01 | current | pecos_ownership |
| MEFFORD, RUTHANNE | CORPORATE OFFICER | — | 2015-01-01 | current | pecos_ownership |
| OAKBEND MEDICAL CENTER | — | — | 2026-03-31 | current | tx_hhsc_directory |
| PETROSEWICZ, NORMA | CORPORATE OFFICER | — | 2013-01-01 | current | pecos_ownership |
| POPATIA, AMIRALI | CORPORATE OFFICER | — | 2011-01-01 | current | pecos_ownership |
| UTHMAN, EDWARD | CORPORATE OFFICER | — | 2008-01-01 | current | pecos_ownership |
| WOODWIND LAKES NURSING & REHABILITATION, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 | current | pecos_ownership |
| WOODWIND LAKES NURSING AND REHABILITATION LLC | — | — | 2026-03-31 | current | tx_hhsc_directory |
| ZERWAS, JOHN | CORPORATE OFFICER | — | 2013-01-01 | current | pecos_ownership |
| AMIRALI POPATIA | CORPORATE OFFICER | — | 2011-01-01 | ended 2026-05-18 | pecos_ownership |
| EDWARD UTHMAN | CORPORATE OFFICER | — | 2008-01-01 | ended 2026-05-18 | pecos_ownership |
| JEFF COUNCIL | CORPORATE OFFICER | — | 2013-01-01 | ended 2026-05-18 | pecos_ownership |
| JEFF HALEY | CORPORATE OFFICER | — | 2012-01-01 | ended 2026-05-18 | pecos_ownership |
| JOHN ZERWAS | CORPORATE OFFICER | — | 2013-01-01 | ended 2026-05-18 | pecos_ownership |
| JOSEPH FREUDENBERGER | W-2 MANAGING EMPLOYEE | — | 2007-06-19 | ended 2026-05-18 | pecos_ownership |
| MELISSA MARTIN | CORPORATE OFFICER | — | 2015-01-01 | ended 2026-05-18 | pecos_ownership |
| NORMA PETROSEWICZ | CORPORATE OFFICER | — | 2013-01-01 | ended 2026-05-18 | pecos_ownership |
| ROBERT DOUDS | CORPORATE OFFICER | — | 2016-01-19 | ended 2026-05-18 | pecos_ownership |
| RUTHANNE MEFFORD | CORPORATE OFFICER | — | 2015-01-01 | ended 2026-05-18 | pecos_ownership |
| TOM CRAYTON | CORPORATE OFFICER | — | 2013-01-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2017-03-31 | — | OAKBEND MEDICAL CENTER | SSC HOUSTON WOODWIND OPERATING COMPANY LLC | chow |
Comparable trades — TX snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | ST. ANTHONY'S CARE CENTER | — | — | — | 120 | SOUTH LIMESTONE HOSPITAL DISTRICT |
| 2025-10-01 | Avir at New Braunfels | — | — | — | 154 | 821 US HIGHWAY 81 W OPCO LLC |
| 2025-09-01 | Avir at Texarkana | — | — | — | 110 | GUADALUPE COUNTY HOSPITAL BOARD |
| 2025-09-01 | PARKS HEALTH CENTER | — | — | — | 90 | WEST COKE COUNTY HOSPITAL DISTRICT |
| 2025-09-01 | WINDMILL VILLAGE REHABILITATION & CARE CENTER | — | — | — | 120 | FANNIN COUNTY HOSPITAL AUTHORITY |
| 2025-08-31 | Las Ventanas De Socorro | — | — | — | 126 | SOCORRO HEALTH CARE LLC |
| 2025-08-01 | Avir at Mineola | — | — | — | 115 | HOPKINS COUNTY HOSPITAL DISTRICT |
| 2025-08-01 | Avir at Orem | — | — | — | 120 | 3730 W OREM DR OPCO LLC |
| 2025-08-01 | Avir at Courtyard | — | — | — | 120 | 7499 STANWICK DR OPCO LLC |
| 2025-08-01 | HILLSIDE MEDICAL LODGE | — | — | — | 128 | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY |
| 2025-08-01 | Avir at Pasadena | — | — | — | 131 | 4300 VISTA RD OPCO LLC |
| 2025-07-01 | Highland Meadows | — | — | — | 120 | NOCONA HOSPITAL DISTRICT |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48201 | acs median gross | 0 | $1,177 | 2024-12-31 | CENSUS_ACS5 |
| county 48201 | fmr | 0 | $1,280 | 2025-10-01 | HUD_USER_FMR |
| county 48201 | acs median gross | 1 | $1,196 | 2024-12-31 | CENSUS_ACS5 |
| county 48201 | fmr | 1 | $1,323 | 2025-10-01 | HUD_USER_FMR |
| county 48201 | acs median gross | 2 | $1,425 | 2024-12-31 | CENSUS_ACS5 |
| county 48201 | fmr | 2 | $1,573 | 2025-10-01 | HUD_USER_FMR |
| county 48201 | acs median gross | 3 | $1,764 | 2024-12-31 | CENSUS_ACS5 |
| county 48201 | fmr | 3 | $2,116 | 2025-10-01 | HUD_USER_FMR |
| county 48201 | acs median gross | 4 | $2,148 | 2024-12-31 | CENSUS_ACS5 |
| county 48201 | fmr | 4 | $2,639 | 2025-10-01 | HUD_USER_FMR |
| county 48201 | acs median gross | 5 | $2,339 | 2024-12-31 | CENSUS_ACS5 |
| county 48201 | acs median gross | $1,401 | 2024-12-31 | CENSUS_ACS5 | |
| county 48201 | acs recent mover gross | $1,495 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 77040 | acs median gross | 0 | $1,075 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77040 | acs median gross | 1 | $1,171 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77040 | acs median gross | 2 | $1,439 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77040 | acs median gross | 3 | $1,823 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77040 | acs median gross | 4 | $2,313 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77040 | acs median gross | $1,382 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 77040 | acs recent mover gross | $1,370 | 2024-12-31 | CENSUS_ACS5 | |
| zip 77040 | payment standard 110 | 0 | $1,364 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | payment standard 90 | 0 | $1,116 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | safmr | 0 | $1,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | payment standard 110 | 1 | $1,419 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | payment standard 90 | 1 | $1,161 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | safmr | 1 | $1,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | payment standard 110 | 2 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | payment standard 90 | 2 | $1,377 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | safmr | 2 | $1,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | payment standard 110 | 3 | $2,266 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | payment standard 90 | 3 | $1,854 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | safmr | 3 | $2,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | payment standard 110 | 4 | $2,827 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | payment standard 90 | 4 | $2,313 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77040 | safmr | 4 | $2,570 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.