8450 Will Clayton Pkwy, Humble, TX 77338 · CCN 455725
Composite
87.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 87.9% 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
2.75
2.67
3.28
2.90–3.77
RN
0.18
0.24
0.39
0.25–0.58
Weekend total
2.61
2.56
3.11
—
Weekday total
2.81
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
59.2
2.75
0.18
0.81
1.75
2.61
0.0%
2025Q3
92
60.5
2.75
0.18
0.85
1.72
2.59
0.0%
2025Q2
91
58.0
2.65
0.17
0.93
1.55
2.39
0.0%
2025Q1
90
61.7
2.52
0.28
0.84
1.39
2.40
0.0%
2024Q4
92
56.4
2.78
0.34
0.66
1.78
2.58
0.0%
2024Q3
92
57.5
2.63
0.45
0.60
1.57
2.47
0.0%
2024Q2
91
60.7
2.94
0.52
0.83
1.59
2.71
0.0%
2024Q1
91
65.4
2.48
0.38
0.84
1.26
2.32
0.0%
2023Q4
92
60.4
2.71
0.40
0.84
1.48
2.62
0.0%
2023Q3
92
63.8
2.66
0.34
0.83
1.49
2.52
0.0%
2023Q2
91
71.3
2.52
0.28
0.79
1.45
2.23
0.0%
2023Q1
90
71.4
2.53
0.19
0.95
1.39
2.35
0.0%
2022Q4
92
72.4
2.82
0.23
0.93
1.66
2.68
0.1%
2022Q3
92
76.8
2.75
0.15
0.93
1.67
2.55
4.2%
2022Q2
91
80.8
2.95
0.09
1.06
1.79
2.73
30.3%
2022Q1
90
81.0
2.78
0.07
1.25
1.46
2.62
31.2%
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.
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
2026-02-28
2026-02-26
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
2026-03-05
2026-02-26
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-02-28
2026-02-26
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-02-28
2026-02-26
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2026-03-05
2026-01-28
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
2026-02-03
2026-01-28
Health · complaint
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
E
2026-02-03
2025-09-18
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
2025-09-19
2025-07-10
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-07-11
2025-01-16
Health · complaint
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2025-01-17
2024-11-02
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-11-03
2024-11-02
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
K
2024-11-03
2024-11-02
Health
F0790
Provide routine and 24-hour emergency dental care for each resident.
D
2024-11-03
2024-11-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-11-03
2024-06-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-01-03
2024-06-20
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-06-21
2024-06-07
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2024-06-08
2023-09-18
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.
K
2023-10-24
2023-09-18
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.
D
2023-10-24
2023-09-18
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.
E
2023-10-24
2023-09-18
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
K
2023-10-24
2023-09-18
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
K
2023-10-24
2023-09-18
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.
K
2023-11-23
2023-09-18
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
J
2023-10-24
2023-09-18
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.
K
2023-10-24
2023-09-18
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
J
2023-10-24
2023-09-18
Health · complaint
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2023-10-24
2023-09-18
Health · complaint
F0758
Implement 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.
D
2023-10-24
2023-09-18
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
E
2023-10-24
2023-09-18
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
2023-10-24
2023-09-18
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-10-24
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
18
Owner
Role
Pct
From
Status
Source
CHARLOT, SHERREL
W-2 MANAGING EMPLOYEE
—
2018-02-19
current
pecos_ownership
DEWITT MEDICAL DISTRICT
—
—
2022-04-01
current
tx_hhsc_directory
FRELS, JOHN
CORPORATE DIRECTOR
—
2014-11-04
current
pecos_ownership
HUMBLE I ENTERPRISES, LLC
—
—
2022-04-01
current
tx_hhsc_directory
PAPACEK, CHARLES
CORPORATE DIRECTOR
—
1997-10-01
current
pecos_ownership
PRITCHETT, GREGORY
CORPORATE OFFICER
—
1994-08-29
current
pecos_ownership
SHEPPARD, CYNTHIA
CORPORATE OFFICER
—
2013-06-25
current
pecos_ownership
STAKES, HARRY
CORPORATE DIRECTOR
—
2016-02-01
current
pecos_ownership
WEISHAAR, MATTHEW
CORPORATE OFFICER
—
2003-12-01
current
pecos_ownership
WHEELER, RICHARD
CORPORATE DIRECTOR
—
2010-07-27
current
pecos_ownership
CHARLES PAPACEK
CORPORATE OFFICER
20%
1997-10-01
ended 2026-05-18
pecos_ownership
CYNTHIA SHEPPARD
CORPORATE OFFICER
20%
2013-06-25
ended 2026-05-18
pecos_ownership
HARRY STAKES
CORPORATE DIRECTOR
20%
2016-02-01
ended 2026-05-18
pecos_ownership
JOHN FRELS
CORPORATE DIRECTOR
20%
2014-11-04
ended 2026-05-18
pecos_ownership
RICHARD WHEELER
CORPORATE OFFICER
20%
2010-07-27
ended 2026-05-18
pecos_ownership
GREGORY PRITCHETT
CORPORATE OFFICER
—
1994-08-29
ended 2026-05-18
pecos_ownership
MATTHEW WEISHAAR
CORPORATE OFFICER
—
2003-12-01
ended 2026-05-18
pecos_ownership
SHERREL CHARLOT
W-2 MANAGING EMPLOYEE
—
2018-02-19
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.
Related-party costs
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2022-09-30
$546,743
—
—
—
—
1
—
2021-09-30
$653,570
—
—
$50,907
—
4
—
2020-09-30
$1,092,157
—
—
$679,167
—
4
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 77338
acs median gross
0
$1,295
2024-12-31
CENSUS_ACS5
zcta 77338
acs median gross
1
$1,267
2024-12-31
CENSUS_ACS5
zcta 77338
acs median gross
2
$1,445
2024-12-31
CENSUS_ACS5
zcta 77338
acs median gross
3
$1,739
2024-12-31
CENSUS_ACS5
zcta 77338
acs median gross
4
$2,091
2024-12-31
CENSUS_ACS5
zcta 77338
acs median gross
$1,415
2024-12-31
CENSUS_ACS5
zcta 77338
acs recent mover gross
$1,652
2024-12-31
CENSUS_ACS5
zip 77338
payment standard 110
0
$1,375
2025-10-01
HUD_USER_SAFMR
zip 77338
payment standard 90
0
$1,125
2025-10-01
HUD_USER_SAFMR
zip 77338
safmr
0
$1,250
2025-10-01
HUD_USER_SAFMR
zip 77338
payment standard 110
1
$1,419
2025-10-01
HUD_USER_SAFMR
zip 77338
payment standard 90
1
$1,161
2025-10-01
HUD_USER_SAFMR
zip 77338
safmr
1
$1,290
2025-10-01
HUD_USER_SAFMR
zip 77338
payment standard 110
2
$1,694
2025-10-01
HUD_USER_SAFMR
zip 77338
payment standard 90
2
$1,386
2025-10-01
HUD_USER_SAFMR
zip 77338
safmr
2
$1,540
2025-10-01
HUD_USER_SAFMR
zip 77338
payment standard 110
3
$2,277
2025-10-01
HUD_USER_SAFMR
zip 77338
payment standard 90
3
$1,863
2025-10-01
HUD_USER_SAFMR
zip 77338
safmr
3
$2,070
2025-10-01
HUD_USER_SAFMR
zip 77338
payment standard 110
4
$2,838
2025-10-01
HUD_USER_SAFMR
zip 77338
payment standard 90
4
$2,322
2025-10-01
HUD_USER_SAFMR
zip 77338
safmr
4
$2,580
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.