Composite
78.2 / 100 percentile
Screener / 455869
C
GUADALUPE VALLEY NURSING AND REHABILITATION CENTER
snfTX
1210 EASTWOOD DR, SEGUIN, TX 78155 · CCN 455869 · chain MEDINA COUNTY HOSPITAL DISTRICT
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 78.2% 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 model7ML signals25Components19CHOW radar1Distress radar1Staffing16Penalties1Deficiencies51Licensure0Ownership60Related party0Transactions0Comps12Market rent34
Composite explanation
7| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 92.1 | 89.8 | 0.30 | 0.1875 | 17.27 | in index |
| staffing risk | 93.7 | 93.7 | 0.25 | 0.1563 | 14.64 | in index |
| state reg risk | 63.7 | 15.0 | 0.30 | 0.1875 | 11.94 | in index |
| billing conduct | 54.7 | 41.4 | 0.30 | 0.1875 | 10.26 | in index |
| chow risk | 45.3 | 36.6 | 0.15 | 0.0938 | 4.25 | in index |
| financial risk | 6.9 | 16.0 | 0.30 | 0.1875 | 1.29 | in index |
| ownership opacity | 18.0 | 48.8 | 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
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +35.4 vs natl | BELL BILLIE | 7 facilities |
| connection | Owner fleet risk far above national | +33.6 vs natl | MEDINA COUNTY HOSPITAL DISTRICT | 6 facilities |
| connection | Owner fleet risk far above national | +22.0 vs natl | CARVAJAL ANTONIO | 29 facilities |
| connection | Owner fleet risk far above national | +22.0 vs natl | KAUFMAN NICOLE | 29 facilities |
| connection | Owner fleet risk far above national | +21.3 vs natl | GONZALES VERONICA | 28 facilities |
| connection | Owner fleet risk far above national | +20.1 vs natl | REGENCY TEXAS HOLDINGS LLC | 65 facilities |
| connection | Owner fleet risk far above national | +20.1 vs natl | DWD TX HOLDINGS LLC | 65 facilities |
| connection | Owner fleet risk far above national | +20.1 vs natl | REG OPERATOR HOLDCO LLC | 65 facilities |
| connection | Owner spans multiple chains | 8 chains | REGENCY IHS REHAB LLC | 68 facilities |
| connection | Owner spans multiple chains | 8 chains | REGENCY IHS CLINICAL CONSULTING LLC | 67 facilities |
| connection | Owner spans multiple chains | 7 chains | REG OPERATOR HOLDCO LLC | 64 facilities |
| connection | Owner spans multiple chains | 7 chains | DWD TX HOLDINGS LLC | 64 facilities |
| connection | Owner spans multiple chains | 7 chains | MANDELBAUM ELLIOT | 61 facilities |
| connection | Owner spans multiple chains | 7 chains | DEKOWSKI DONOVAN | 66 facilities |
| connection | Owner spans multiple chains | 7 chains | REGENCY INTEGRATED HEALTH SERVICES LLC | 67 facilities |
| connection | Owner spans multiple chains | 7 chains | REGENCY TEXAS HOLDINGS LLC | 64 facilities |
| connection | Owner spans multiple chains | 7 chains | CLAPP BARBARA | 66 facilities |
| connection | Owner spans multiple chains | 7 chains | CSV RHEA MANAGEMENT HOLDCO LLC | 63 facilities |
| connection | Owner spans multiple chains | 7 chains | JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC | 65 facilities |
| connection | Owner spans multiple chains | 6 chains | BAIRD DANIEL | 59 facilities |
| connection | Owner spans multiple chains | 6 chains | CORTESE DAREN | 59 facilities |
| connection | Owner spans multiple chains | 6 chains | GIBSON PATRICIA | 58 facilities |
| connection | Owner spans multiple chains | 5 chains | REG HG OPCO LLC | 40 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | GIBSON PATRICIA | 59 facilities |
| connection | Owner fleet enforcement cluster | 45% fined | BAIRD DANIEL | 60 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
19| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 41.4 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 45.0 | C | 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 | 35.3 | B | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 29.1 | B | v0.6 | default · in composite | |
| financial risk | 16.0 | A | v0.5 | default · in composite | R18. |
| ownership opacity | 48.8 | C | v0.1-txhhsc | default · in composite | Texas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history. |
| p adverse action 12m | 0.1 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.6 | — | 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 | 89.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 93.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| state reg risk | 15.0 | A | v0.5 | default · in composite | |
| financial risk | 69.6 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 49.6 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 28.8 | 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 | 21.5 | A | 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 | 89.7 | 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 | 89.7 | 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 | 93.7 | F | 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 | 93.7 | F | 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)
0.6%
model v0.1 · computed 2026-07-29
Percentile among SNFs
55.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.87 | -0.49 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 18.00 | +0.27 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 2.39 | +0.13 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
44.6
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 | 18.00 | -1.91 | |
| For-profit ownership | 0.00 | +1.62 | |
| Occupancy | 0.87 | -0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.39 | +0.35 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | 0.36 | +0.14 | |
| Facility size (log beds) | 5.00 | -0.14 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.39 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.34 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.41 | 2.56 | 3.11 | — |
| Weekday total | 2.38 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 128.3 | 2.39 | 0.34 | 0.63 | 1.41 | 2.41 | 0.0% |
| 2025Q3 | 92 | 131.8 | 2.42 | 0.25 | 0.63 | 1.54 | 2.32 | 0.0% |
| 2025Q2 | 91 | 133.3 | 2.36 | 0.22 | 0.64 | 1.50 | 2.25 | 0.0% |
| 2025Q1 | 90 | 134.5 | 2.10 | 0.19 | 0.65 | 1.25 | 1.97 | 0.0% |
| 2024Q4 | 92 | 129.9 | 2.03 | 0.19 | 0.72 | 1.12 | 1.96 | 0.0% |
| 2024Q3 | 92 | 128.5 | 2.03 | 0.22 | 0.70 | 1.11 | 2.00 | 0.0% |
| 2024Q2 | 91 | 133.6 | 2.10 | 0.18 | 0.72 | 1.20 | 2.05 | 1.0% |
| 2024Q1 | 91 | 135.3 | 2.13 | 0.25 | 0.66 | 1.22 | 2.13 | 8.1% |
| 2023Q4 | 92 | 133.0 | 2.19 | 0.30 | 0.68 | 1.21 | 2.19 | 18.8% |
| 2023Q3 | 92 | 129.0 | 2.25 | 0.32 | 0.71 | 1.23 | 2.21 | 21.0% |
| 2023Q2 | 91 | 129.9 | 2.13 | 0.27 | 0.77 | 1.10 | 2.08 | 11.1% |
| 2023Q1 | 90 | 128.5 | 2.09 | 0.18 | 0.80 | 1.11 | 1.98 | 17.2% |
| 2022Q4 | 92 | 126.8 | 2.01 | 0.18 | 0.81 | 1.01 | 1.96 | 15.4% |
| 2022Q3 | 92 | 114.9 | 2.16 | 0.19 | 0.87 | 1.10 | 2.01 | 13.6% |
| 2022Q2 | 91 | 107.5 | 2.01 | 0.20 | 0.87 | 0.95 | 1.87 | 6.2% |
| 2022Q1 | 90 | 102.7 | 1.94 | 0.11 | 0.88 | 0.94 | 1.81 | 2.5% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-04-26 | Fine | $75,450 | CMS provider data |
Total fines on record: $75,450
Deficiencies
51D × 33E × 16J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-27 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2026-03-28 |
| 2026-03-27 | Health | 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. | D | 2026-03-28 |
| 2026-03-27 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-03-28 |
| 2026-03-27 | 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 | 2026-03-28 |
| 2026-03-27 | 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. | D | 2026-03-28 |
| 2026-03-27 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-03-28 |
| 2026-03-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-03-28 |
| 2026-02-23 | 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 | 2026-02-24 |
| 2026-02-23 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-02-24 |
| 2025-12-10 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2026-01-13 |
| 2025-12-10 | 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 | 2026-01-13 |
| 2025-12-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-01-13 |
| 2025-12-10 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2026-01-13 |
| 2025-12-10 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-12-12 |
| 2025-12-10 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-12-12 |
| 2025-12-10 | Health · complaint | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2025-12-12 |
| 2025-12-10 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2026-01-13 |
| 2025-12-10 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-12 |
| 2025-06-06 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-06-07 |
| 2025-06-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-06-07 |
| 2025-01-16 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-01-17 |
| 2025-01-16 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-01-17 |
| 2025-01-16 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-01-17 |
| 2025-01-16 | Health | 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 | 2025-01-17 |
| 2025-01-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-01-17 |
| 2025-01-16 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-01-17 |
| 2025-01-16 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-01-17 |
| 2025-01-16 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2025-01-17 |
| 2025-01-16 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | 2025-01-17 |
| 2025-01-16 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | 2025-01-17 |
| 2025-01-16 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2025-01-17 |
| 2025-01-16 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2025-01-17 |
| 2025-01-16 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | 2025-01-17 |
| 2025-01-16 | Health | F0946 | Provide training in compliance and ethics. | D | 2025-01-17 |
| 2025-01-16 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2025-01-17 |
| 2025-01-16 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2025-01-17 |
| 2024-12-13 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-12-16 |
| 2024-12-13 | Health · complaint | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2024-12-16 |
| 2024-08-30 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-09-04 |
| 2024-08-30 | 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. | D | 2024-09-04 |
| 2024-08-30 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2024-09-04 |
| 2024-08-30 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-09-04 |
| 2024-08-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-09-04 |
| 2024-04-26 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | 2024-04-27 |
| 2024-04-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-04-27 |
| 2023-12-15 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-12-22 |
| 2023-12-15 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-01-03 |
| 2023-09-08 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-09-11 |
| 2023-09-08 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-09-11 |
| 2023-09-08 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-09-11 |
| 2023-06-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-07-19 |
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
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
60| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-06-01 | current | pecos_ownership |
| 1210 EASTWOOD DRIVE LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| ARANDA, EMANUEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-10 | current | pecos_ownership |
| BAIN, WILLIAM | CORPORATE OFFICER | — | 2011-05-23 | current | pecos_ownership |
| BAIRD, DANIEL | MANAGING CONTROL - GOVERNING BODY | — | 2021-04-13 | current | pecos_ownership |
| BELL, BILLIE | CORPORATE OFFICER | — | 2023-06-03 | current | pecos_ownership |
| CARVAJAL, ANTONIO | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-16 | current | pecos_ownership |
| CHRISTIANSEN, KEITH | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| CLAPP, BARBARA | MANAGING CONTROL - GOVERNING BODY | — | 2021-06-01 | current | pecos_ownership |
| CORTESE, DAREN | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-10 | current | pecos_ownership |
| CSV RHEA MANAGEMENT HOLDCO, LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| DEKOWSKI, DONOVAN | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| DWD TX HOLDINGS LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| FLORES, ANTONIO | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| FROSCH, KEVIN | MANAGING CONTROL - GOVERNING BODY | — | 2010-02-01 | current | pecos_ownership |
| GIBSON, PATRICIA | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-01 | current | pecos_ownership |
| GONZALES, VERONICA | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-16 | current | pecos_ownership |
| HARDT, TIMOTHY | CORPORATE OFFICER | — | 2020-01-27 | current | pecos_ownership |
| JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| JOHNSON, TONY | CORPORATE OFFICER | — | 2012-11-26 | current | pecos_ownership |
| KAUFMAN, NICOLE | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-10 | current | pecos_ownership |
| MANDELBAUM, ELLIOT | MANAGING CONTROL - GOVERNING BODY | — | 2025-01-01 | current | pecos_ownership |
| MANGOLD, MARY | CORPORATE OFFICER | — | 2023-08-31 | current | pecos_ownership |
| MEDINA COUNTY HOSPITAL DISTRICT | — | — | 2024-07-01 | current | tx_hhsc_directory |
| MEDINA COUNTY HOSPITAL DISTRICT | ADP OF THE SNF | — | 2026-01-15 | current | pecos_ownership |
| REG HG OPCO 1, LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REG HG OPCO LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REG OPERATOR HOLDCO LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY IHS CLINICAL CONSULTING, LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY IHS OF GUADALUPE VALLEY LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY IHS OF GUADALUPE VALLEY, LLC | — | — | 2024-07-01 | current | tx_hhsc_directory |
| REGENCY IHS REHAB LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY INTEGRATED HEALTH SERVICES LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY TEXAS HOLDINGS LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| ROSS, KIMBERLY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| WINDROW, ZACHARY | CORPORATE OFFICER | — | 2012-11-26 | current | pecos_ownership |
| WINKLER, JUDY | CORPORATE OFFICER | — | 2004-05-01 | current | pecos_ownership |
| YOUNG, CARLTON | CORPORATE OFFICER | — | 2006-05-01 | current | pecos_ownership |
| BILLIE BELL | CORPORATE OFFICER | 0% | 2023-06-03 | ended 2026-05-18 | pecos_ownership |
| CARLTON YOUNG | CORPORATE OFFICER | 0% | 2006-05-01 | ended 2026-05-18 | pecos_ownership |
| JUDY WINKLER | CORPORATE OFFICER | 0% | 2004-05-01 | ended 2026-05-18 | pecos_ownership |
| MARY MANGOLD | CORPORATE OFFICER | 0% | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| TONY JOHNSON | CORPORATE OFFICER | 0% | 2012-11-26 | ended 2026-05-18 | pecos_ownership |
| WILLIAM BAIN | CORPORATE OFFICER | 0% | 2011-05-23 | ended 2026-05-18 | pecos_ownership |
| ZACHARY WINDROW | CORPORATE OFFICER | 0% | 2012-11-26 | ended 2026-05-18 | pecos_ownership |
| ANTONIO CARVAJAL | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-16 | ended 2026-05-18 | pecos_ownership |
| ANTONIO FLORES | ADP OF THE SNF | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| BARBARA CLAPP | MANAGING CONTROL - GOVERNING BODY | — | 2021-06-01 | ended 2026-05-18 | pecos_ownership |
| DANIEL BAIRD | MANAGING CONTROL - GOVERNING BODY | — | 2021-04-13 | ended 2026-05-18 | pecos_ownership |
| DAREN CORTESE | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-10 | ended 2026-05-18 | pecos_ownership |
| DONOVAN DEKOWSKI | ADP OF THE SNF | — | 2018-10-01 | ended 2026-05-18 | pecos_ownership |
| ELLIOT MANDELBAUM | MANAGING CONTROL - GOVERNING BODY | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| EMANUEL ARANDA | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-10 | ended 2026-05-18 | pecos_ownership |
| KEITH CHRISTIANSEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| KEVIN FROSCH | CORPORATE OFFICER | — | 2010-02-01 | ended 2026-05-18 | pecos_ownership |
| KIMBERLY ROSS | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| NICOLE KAUFMAN | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-10 | ended 2026-05-18 | pecos_ownership |
| PATRICIA GIBSON | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-01 | ended 2026-05-18 | pecos_ownership |
| TIMOTHY HARDT | CORPORATE OFFICER | — | 2020-01-27 | ended 2026-05-18 | pecos_ownership |
| VERONICA GONZALES | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-16 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48187 | acs median gross | 0 | $872 | 2024-12-31 | CENSUS_ACS5 |
| county 48187 | fmr | 0 | $1,077 | 2025-10-01 | HUD_USER_FMR |
| county 48187 | acs median gross | 1 | $1,014 | 2024-12-31 | CENSUS_ACS5 |
| county 48187 | fmr | 1 | $1,177 | 2025-10-01 | HUD_USER_FMR |
| county 48187 | acs median gross | 2 | $1,262 | 2024-12-31 | CENSUS_ACS5 |
| county 48187 | fmr | 2 | $1,426 | 2025-10-01 | HUD_USER_FMR |
| county 48187 | acs median gross | 3 | $1,798 | 2024-12-31 | CENSUS_ACS5 |
| county 48187 | fmr | 3 | $1,830 | 2025-10-01 | HUD_USER_FMR |
| county 48187 | acs median gross | 4 | $2,241 | 2024-12-31 | CENSUS_ACS5 |
| county 48187 | fmr | 4 | $2,132 | 2025-10-01 | HUD_USER_FMR |
| county 48187 | acs median gross | $1,517 | 2024-12-31 | CENSUS_ACS5 | |
| county 48187 | acs recent mover gross | $1,724 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78155 | acs median gross | 0 | $982 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78155 | acs median gross | 1 | $916 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78155 | acs median gross | 2 | $1,129 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78155 | acs median gross | 3 | $1,394 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78155 | acs median gross | 4 | $2,124 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78155 | acs median gross | $1,198 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78155 | acs recent mover gross | $1,370 | 2024-12-31 | CENSUS_ACS5 | |
| zip 78155 | payment standard 110 | 0 | $1,045 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | payment standard 90 | 0 | $855 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | safmr | 0 | $950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | payment standard 110 | 1 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | payment standard 90 | 1 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | safmr | 1 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | payment standard 110 | 2 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | payment standard 90 | 2 | $1,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | safmr | 2 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | payment standard 110 | 3 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | payment standard 90 | 3 | $1,458 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | safmr | 3 | $1,620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | payment standard 110 | 4 | $2,068 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | payment standard 90 | 4 | $1,692 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78155 | safmr | 4 | $1,880 | 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.