Composite
96.7 / 100 percentile
Screener / 455889
F
Lily Springs Rehabilitation and Healthcare Center
snfTX
901 Central Texas Expwy, Lampasas, TX 76550 · CCN 455889 · chain NEXION HEALTH INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 96.7% 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 signals18Components20CHOW radar1Distress radar1Staffing16Penalties3Deficiencies55Licensure0Ownership16Related party6Transactions1Comps12Market rent31
Composite explanation
8| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 94.9 | 93.1 | 0.30 | 0.1714 | 16.27 | in index |
| financial risk | 86.6 | 73.4 | 0.30 | 0.1714 | 14.85 | in index |
| billing conduct | 83.1 | 54.9 | 0.30 | 0.1714 | 14.25 | in index |
| staffing risk | 70.1 | 70.1 | 0.25 | 0.1429 | 10.01 | in index |
| state reg risk | 46.4 | 10.5 | 0.30 | 0.1714 | 7.95 | in index |
| lease risk | 72.2 | 59.6 | 0.15 | 0.0857 | 6.19 | in index |
| chow risk | 51.7 | 57.1 | 0.15 | 0.0857 | 4.43 | in index |
| ownership opacity | 5.7 | 30.0 | 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
18| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +27.5 vs natl | RINER MEERA | 46 facilities |
| connection | Owner fleet risk far above national | +26.4 vs natl | LEE BRIAN | 46 facilities |
| connection | Owner fleet risk far above national | +25.4 vs natl | NEXION HEALTH INC | 33 facilities |
| connection | Owner fleet risk far above national | +24.8 vs natl | NEXION HEALTH LEASING INC | 33 facilities |
| connection | Owner fleet risk far above national | +24.6 vs natl | HERDRICH WILLIAM | 33 facilities |
| connection | Owner fleet risk far above national | +23.7 vs natl | NEXION HEALTH OF OHI INC | 31 facilities |
| connection | Owner fleet risk far above national | +23.5 vs natl | BOLT BRETTON | 30 facilities |
| connection | Owner fleet risk far above national | +23.4 vs natl | KIRLEY FRANCIS | 50 facilities |
| connection | Owner spans multiple chains | 10 chains | KIRLEY FRANCIS | 49 facilities |
| connection | Owner spans multiple chains | 8 chains | RINER MEERA | 46 facilities |
| connection | Owner spans multiple chains | 7 chains | LEE BRIAN | 46 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | RINER MEERA | 46 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | KIRLEY FRANCIS | 50 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | LEE BRIAN | 46 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | NEXION HEALTH INC | 33 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | NEXION HEALTH LEASING INC | 33 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | NEXION HEALTH OF OHI INC | 31 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | BOLT BRETTON | 30 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 | 54.9 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 23.8 | A | 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 | 50.1 | C | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 96.9 | F | v0.6 | default · in composite | |
| financial risk | 73.4 | D | v0.5 | default · in composite | R18. |
| lease risk | 59.6 | C | v0.5 | default · in composite | |
| ownership opacity | 30.0 | B | 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 | 93.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 70.1 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| state reg risk | 10.5 | A | v0.5 | default · in composite | |
| financial risk | 91.4 | F | 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 | 71.4 | D | 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 | 59.2 | C | 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 | 75.6 | D | 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 | 93.1 | 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 | 93.1 | 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 | 70.1 | D | 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 | 70.1 | D | 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
35.0
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) | 6.41 | -1.22 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.57 | +0.37 | |
| Chain size (log) | 3.47 | +0.33 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.00 | -0.10 |
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
33.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 3.47 | -0.81 | |
| Occupancy | 0.57 | +0.76 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 5.00 | +0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 6.41 | -0.20 | |
| Fine amount, 12m (log) | 0.00 | +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
16| 2025Q4 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.98 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.28 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 3.00 | 2.56 | 3.11 | — |
| Weekday total | 2.98 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 66.0 | 2.98 | 0.28 | 0.74 | 1.96 | 3.00 | 0.0% |
| 2025Q3 | 92 | 63.0 | 3.00 | 0.43 | 0.54 | 2.04 | 3.21 | 0.0% |
| 2025Q2 | 91 | 61.9 | 2.97 | 0.36 | 0.69 | 1.92 | 3.10 | 0.0% |
| 2025Q1 | 90 | 62.9 | 3.00 | 0.41 | 0.70 | 1.89 | 3.11 | 3.1% |
| 2024Q4 | 92 | 63.0 | 3.20 | 0.40 | 0.73 | 2.07 | 3.15 | 5.1% |
| 2024Q3 | 92 | 70.2 | 2.98 | 0.39 | 0.72 | 1.87 | 2.82 | 0.0% |
| 2024Q2 | 91 | 67.7 | 2.73 | 0.39 | 0.73 | 1.61 | 2.79 | 5.7% |
| 2024Q1 | 91 | 65.0 | 2.42 | 0.35 | 0.58 | 1.49 | 2.49 | 10.7% |
| 2023Q4 | 92 | 57.0 | 2.32 | 0.33 | 0.55 | 1.44 | 2.29 | 1.1% |
| 2023Q3 | 92 | 60.1 | 2.41 | 0.33 | 0.53 | 1.56 | 2.35 | 3.8% |
| 2023Q2 | 91 | 60.8 | 2.94 | 0.34 | 0.68 | 1.92 | 2.83 | 4.2% |
| 2023Q1 | 90 | 67.4 | 2.59 | 0.28 | 0.58 | 1.73 | 2.50 | 20.4% |
| 2022Q4 | 92 | 56.2 | 2.33 | 0.32 | 0.62 | 1.39 | 2.25 | 12.1% |
| 2022Q3 | 92 | 49.1 | 2.56 | 0.43 | 0.66 | 1.48 | 2.65 | 8.7% |
| 2022Q2 | 91 | 51.1 | 2.37 | 0.29 | 0.94 | 1.14 | 2.41 | 18.7% |
| 2022Q1 | 90 | 54.7 | 2.35 | 0.34 | 0.88 | 1.14 | 2.43 | 14.1% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-04-12 | Fine | $8,281 | CMS provider data |
| 2025-03-03 | Fine | $42,563 | CMS provider data |
| 2024-03-19 | Fine | $35,363 | CMS provider data |
Total fines on record: $86,207
Deficiencies
55D × 30E × 19G × 2J × 3K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-07 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2026-01-31 |
| 2025-11-26 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-12-05 |
| 2025-11-26 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-12-05 |
| 2025-11-19 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-12-05 |
| 2025-08-22 | 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 | 2025-09-18 |
| 2025-07-10 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-07-11 |
| 2025-05-05 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-05-06 |
| 2025-05-05 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-05-06 |
| 2025-05-05 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-05-06 |
| 2025-05-05 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-05-06 |
| 2025-05-05 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-05-06 |
| 2025-05-05 | Health | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | 2025-05-06 |
| 2025-05-05 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-05-06 |
| 2025-04-12 | 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 | 2025-04-13 |
| 2025-03-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-03-04 |
| 2025-03-03 | 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. | J | 2025-03-04 |
| 2025-03-03 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | 2025-03-04 |
| 2025-03-03 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-03-04 |
| 2025-03-03 | Health · complaint | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | 2025-03-04 |
| 2025-03-03 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-03-04 |
| 2024-10-08 | Health · complaint | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | E | 2024-11-01 |
| 2024-10-08 | 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 | 2024-11-01 |
| 2024-08-21 | 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 | 2024-09-06 |
| 2024-08-21 | 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 | 2024-09-06 |
| 2024-08-21 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-09-06 |
| 2024-07-19 | 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 | 2024-08-08 |
| 2024-06-13 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | 2024-07-14 |
| 2024-06-13 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-07-14 |
| 2024-06-13 | 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. | D | 2024-07-14 |
| 2024-04-04 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | 2024-04-05 |
| 2024-04-04 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-05 |
| 2024-04-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-05 |
| 2024-04-04 | 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 | 2024-04-05 |
| 2024-03-19 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | 2024-04-12 |
| 2024-01-31 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-03-08 |
| 2024-01-31 | 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 | 2024-03-08 |
| 2024-01-31 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-03-08 |
| 2024-01-31 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-03-08 |
| 2024-01-31 | 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 | 2024-03-08 |
| 2024-01-31 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-03-08 |
| 2024-01-31 | 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. | E | 2024-03-08 |
| 2024-01-31 | Health | 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 | 2024-03-08 |
| 2024-01-31 | Health | 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 | 2024-03-08 |
| 2024-01-31 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-03-08 |
| 2024-01-31 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-03-08 |
| 2023-07-29 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-08-16 |
| 2022-11-30 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2022-12-27 |
| 2022-11-30 | Health | 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 | 2022-12-27 |
| 2022-11-30 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-12-27 |
| 2022-11-30 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2022-12-27 |
| 2022-11-30 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-12-27 |
| 2022-11-30 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2022-12-27 |
| 2022-11-30 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2022-12-27 |
| 2022-11-30 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-12-27 |
| 2022-11-30 | 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. | E | 2022-12-27 |
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
16| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| NEXION HEALTH OF OHI INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-01-09 | current | pecos_ownership |
| BOLT, BRETTON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-03-01 | current | pecos_ownership |
| HERDRICH, WILLIAM | CORPORATE DIRECTOR | — | 2020-03-01 | current | pecos_ownership |
| KIRLEY, FRANCIS | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-03-01 | current | pecos_ownership |
| LEE, BRIAN | CORPORATE OFFICER | — | 2020-03-01 | current | pecos_ownership |
| MASSOODI, HOSHEM | W-2 MANAGING EMPLOYEE | — | 2020-03-01 | current | pecos_ownership |
| NEXION HEALTH AT LAMPASAS, INC | — | — | 2024-03-01 | current | tx_hhsc_directory |
| NEXION HEALTH LEASING, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-01-09 | current | pecos_ownership |
| NEXION HEALTH, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-01-09 | current | pecos_ownership |
| RINER, MEERA | CORPORATE DIRECTOR | — | 2020-03-01 | current | pecos_ownership |
| FRANCIS KIRLEY | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| HOSHEM MASSOODI | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| BRETTON BOLT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35% | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| BRIAN LEE | CORPORATE DIRECTOR | — | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| MEERA RINER | CORPORATE OFFICER | — | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| WILLIAM HERDRICH | CORPORATE DIRECTOR | — | 2020-03-01 | 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 |
|---|---|---|---|---|
| 2020-03-01 | — | NEXION HEALTH AT LAMPASAS, INC. | SPRING OAKS NURSING AND REHABILITATION LP | 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
31| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48281 | fmr | 0 | $808 | 2025-10-01 | HUD_USER_FMR |
| county 48281 | acs median gross | 1 | $692 | 2024-12-31 | CENSUS_ACS5 |
| county 48281 | fmr | 1 | $813 | 2025-10-01 | HUD_USER_FMR |
| county 48281 | acs median gross | 2 | $932 | 2024-12-31 | CENSUS_ACS5 |
| county 48281 | fmr | 2 | $1,067 | 2025-10-01 | HUD_USER_FMR |
| county 48281 | acs median gross | 3 | $1,207 | 2024-12-31 | CENSUS_ACS5 |
| county 48281 | fmr | 3 | $1,475 | 2025-10-01 | HUD_USER_FMR |
| county 48281 | acs median gross | 4 | $1,803 | 2024-12-31 | CENSUS_ACS5 |
| county 48281 | fmr | 4 | $1,790 | 2025-10-01 | HUD_USER_FMR |
| county 48281 | acs median gross | $1,059 | 2024-12-31 | CENSUS_ACS5 | |
| county 48281 | acs recent mover gross | $1,028 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 76550 | acs median gross | 1 | $720 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76550 | acs median gross | 2 | $998 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76550 | acs median gross | 3 | $1,171 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76550 | acs median gross | 4 | $2,040 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76550 | acs median gross | $1,018 | 2024-12-31 | CENSUS_ACS5 | |
| zip 76550 | payment standard 110 | 0 | $858 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | payment standard 90 | 0 | $702 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | safmr | 0 | $780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | payment standard 110 | 1 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | payment standard 90 | 1 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | safmr | 1 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | payment standard 110 | 2 | $1,122 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | payment standard 90 | 2 | $918 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | safmr | 2 | $1,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | payment standard 110 | 3 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | payment standard 90 | 3 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | safmr | 3 | $1,400 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | payment standard 110 | 4 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | payment standard 90 | 4 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76550 | safmr | 4 | $1,670 | 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.