CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 10:58 UTC
Screener / 676105
D

THE PLAZA AT LUBBOCK

snfTX
4910 EMORY, LUBBOCK, TX 79416 · CCN 676105 · chain STONEGATE SENIOR LIVING LP
Composite
85.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 85.6% 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.

Composite explanation

8
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct89.459.30.300.171415.33in index
regulatory risk89.386.90.300.171415.31in index
staffing risk92.692.60.250.142913.23in index
state reg risk53.312.00.300.17149.14in index
financial risk31.935.00.300.17145.47in index
lease risk38.049.20.150.08573.26in index
chow risk22.127.80.150.08571.89in index
ownership opacity12.344.9excluded
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
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+37.6 vs natlSANCTUARY LTC LLC24 facilities
connectionOwner fleet risk far above national+37.6 vs natlPRESERVATION FREEHOLD COMPANY24 facilities
connectionOwner fleet risk far above national+36.8 vs natlCHANCE JAMES24 facilities
connectionOwner fleet risk far above national+36.8 vs natlSTONEGATE SENIOR LIVING LP24 facilities
connectionOwner fleet risk far above national+36.8 vs natlMCGEHEE WILLIAM24 facilities
connectionOwner fleet risk far above national+36.8 vs natlLANGDON THOMAS24 facilities
connectionOwner fleet risk far above national+36.8 vs natlFISHER JAMES24 facilities
connectionOwner fleet risk far above national+36.8 vs natlCAMPBELL SCOTT24 facilities
connectionOwner fleet risk far above national+36.3 vs natlMARTUS FINANCIAL SERVICES INC 23 facilities
connectionOwner fleet risk far above national+36.3 vs natlREHAB PRO LP23 facilities
connectionOwner fleet risk far above national+36.3 vs natlLIFETIME WELLNESS LTD 23 facilities
connectionOwner fleet risk far above national+32.6 vs natlTAYLOR JOHN28 facilities
connectionOwner fleet risk far above national+24.8 vs natlUMB BANK NATIONAL ASSOCIATION31 facilities
connectionOwner spans multiple chains10 chainsUMB BANK NATIONAL ASSOCIATION30 facilities
connectionOwner spans multiple chains9 chainsPHARMERICA DRUG SYSTEMS LLC32 facilities
connectionOwner spans multiple chains7 chainsSKINNER DEREK7 facilities
connectionOwner spans multiple chains6 chainsTAYLOR JOHN26 facilities
connectionOwner spans multiple chains5 chainsSANCTUARY LTC LLC24 facilities
connectionOwner spans multiple chains5 chainsCHANCE JAMES24 facilities
connectionOwner spans multiple chains5 chainsSTONEGATE SENIOR LIVING LP24 facilities
connectionOwner spans multiple chains5 chainsLANGDON THOMAS24 facilities
connectionOwner spans multiple chains5 chainsLIFETIME WELLNESS LTD 23 facilities
connectionOwner spans multiple chains5 chainsMCGEHEE WILLIAM24 facilities
connectionOwner spans multiple chains5 chainsMARTUS FINANCIAL SERVICES INC 23 facilities
connectionOwner spans multiple chains5 chainsPRESERVATION FREEHOLD COMPANY24 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

20
Score typeScoreGradeModelStatusRegistry model notes
billing conduct59.3Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk24.8Av0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk33.1Bv0.6default · in composite
financial risk35.0Bv0.5default · in compositeR18.
lease risk49.2Cv0.5default · in composite
ownership opacity44.9Bv0.1-txhhscdefault · in compositeTexas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history.
p adverse action 12m0.1v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m4.6v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk86.9Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk92.6Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk12.0Av0.5default · in composite
financial risk61.1Cv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk41.1Bv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk36.1Bv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk41.0Bv0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk86.8Fv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk86.8Fv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk92.6Fv0.1supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk92.6Fv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
4.6%
model v0.1 · computed 2026-07-29
Percentile among SNFs
87.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Occupancy0.79-0.26
Ownership changes, last 5 years0.00+0.20
Chain size (log)2.71+0.17
Total nurse staffing (HPRD)2.44+0.12
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
38.3
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Chain size (log)2.71-0.37
Total nurse staffing (HPRD)2.44+0.33
Deficiencies, last 12 months6.00+0.32
Fine amount, 12m (log)0.00+0.18
Occupancy0.79-0.16
Never sold on record1.00+0.12
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityTX medianNational medianNational p25–p75
Total nurse2.442.673.282.90–3.77
RN0.180.240.390.25–0.58
Weekend total2.282.563.11
Weekday total2.502.723.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492103.72.440.180.611.652.280.0%
2025Q392102.32.310.120.661.532.160.0%
2025Q29198.22.350.110.651.582.320.0%
2025Q19096.52.540.120.711.722.530.0%
2024Q492100.32.410.170.621.622.400.0%
2024Q39297.52.520.170.621.732.490.0%
2024Q29198.02.360.120.671.562.370.0%
2024Q19193.42.480.150.731.602.408.5%
2023Q49291.02.540.190.741.602.560.7%
2023Q39296.62.550.120.811.612.493.3%
2023Q29191.52.470.100.791.582.284.1%
2023Q190102.92.650.120.841.682.4010.3%
2022Q492102.82.310.070.841.412.0714.0%
2022Q39298.92.190.080.851.262.0638.7%
2022Q291103.92.010.070.781.161.7925.2%
2022Q190102.71.630.110.511.001.5830.8%
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

4
fines by year
$22.4k$11.2k2425
DateTypeFineSource
2025-01-24Fine$16,149CMS provider data
2025-01-24Payment DenialCMS provider data
2024-10-11Fine$8,824CMS provider data
2024-09-05Fine$13,621CMS provider data
Total fines on record: $38,594

Deficiencies

40
D × 17E × 15F × 4G × 1J × 3
deficiencies by survey year
201023242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-08HealthF0584Honor 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.E2026-01-09
2026-01-08HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2026-01-09
2026-01-08HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2026-01-09
2026-01-08HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D2026-01-09
2026-01-08HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-01-09
2026-01-08HealthF0880Provide and implement an infection prevention and control program.E2026-01-09
2025-01-24Health · complaintF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J2025-02-28
2024-12-04Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-12-12
2024-12-04Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-12-12
2024-10-17Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2024-11-06
2024-10-17Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2024-11-06
2024-10-11HealthF0583Keep residents' personal and medical records private and confidential.D2024-10-23
2024-10-11HealthF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E2024-10-23
2024-10-11HealthF0679Provide activities to meet all resident's needs.E2024-10-23
2024-10-11HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-10-23
2024-10-11HealthF0761Ensure 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.E2024-10-23
2024-10-11HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-10-23
2024-10-11HealthF0880Provide and implement an infection prevention and control program.E2024-10-23
2024-09-05Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.J2024-09-04
2024-09-05Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-09-19
2024-09-05Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J2024-09-04
2024-09-05Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-09-19
2024-09-05Health · complaintF0771Ensure laboratory services, blood blanks and transfusion services provided on-site meet requirements for certified laboratories.D2024-09-19
2024-09-05Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-09-19
2024-04-24Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-05-13
2024-04-24Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.F2024-05-13
2024-04-24Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.F2024-05-13
2023-11-10Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-11-17
2023-09-29Health · complaintF0880Provide and implement an infection prevention and control program.E2023-11-13
2023-08-24HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-10-06
2023-08-24HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.E2023-10-06
2023-08-24HealthF0584Honor 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.E2023-10-06
2023-08-24HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-10-06
2023-08-24HealthF0758Implement 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.E2023-10-06
2023-08-24HealthF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E2023-10-06
2023-08-24HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2023-10-06
2023-08-24HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-10-06
2023-08-24HealthF0814Dispose of garbage and refuse properly.D2023-10-06
2023-08-24HealthF0908Keep all essential equipment working safely.D2023-10-06
2023-08-24HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2023-10-06
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

29
OwnerRolePctFromStatusSource
HANSFORD COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%2015-02-27currentpecos_ownership
BAILEY, JONATHANCORPORATE OFFICER2010-02-01currentpecos_ownership
CAMPBELL, SCOTTINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-12-05currentpecos_ownership
CHANCE, JAMESINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-12-05currentpecos_ownership
CORNETT, MELISSAADP OF THE SNF2024-10-21currentpecos_ownership
FISHER, JAMESINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-12-05currentpecos_ownership
HANSFORD COUNTY HOSPITAL DISTRICT2024-02-27currenttx_hhsc_directory
LANGDON, THOMASINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-12-05currentpecos_ownership
LIFETIME WELLNESS, LTD.ADP OF THE SNF2021-09-23currentpecos_ownership
MAGNESS, KATHERINEOPERATIONAL/MANAGERIAL CONTROL2023-12-04currentpecos_ownership
MARTUS FINANCIAL SERVICES, INC.ADP OF THE SNF2023-12-31currentpecos_ownership
MCGEHEE, WILLIAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-12-05currentpecos_ownership
PF LUBBOCK SNF OPS, LLCOPERATIONAL/MANAGERIAL CONTROL2021-09-23currentpecos_ownership
PF LUBBOCK SNF OPS, LLC2024-02-27currenttx_hhsc_directory
PF LUBBOCK SNF OPS, LLCADP OF THE SNF2025-12-05currentpecos_ownership
PHARMERICA DRUG SYSTEMS LLCADP OF THE SNF2017-08-27currentpecos_ownership
PRESERVATION FREEHOLD COMPANYADP OF THE SNF2021-09-23currentpecos_ownership
REHAB PRO LPADP OF THE SNF2021-09-23currentpecos_ownership
SANCTUARY LTC, LLCADP OF THE SNF2021-09-23currentpecos_ownership
SKINNER, DEREKADP OF THE SNF2016-09-01currentpecos_ownership
STONEGATE SENIOR LIVING, LPOPERATIONAL/MANAGERIAL CONTROL2022-06-22currentpecos_ownership
STONEGATE SENIOR LIVING, LPADP OF THE SNF2025-12-05currentpecos_ownership
TAYLOR, JOHNINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-12-05currentpecos_ownership
UMB BANK NATIONAL ASSOCIATION5% OR GREATER MORTGAGE INTEREST2021-09-23currentpecos_ownership
UMB BANK NA5% OR GREATER MORTGAGE INTEREST100%2021-09-23ended 2026-05-18pecos_ownership
JONATHAN BAILEYCORPORATE OFFICER0%2010-02-01ended 2026-05-18pecos_ownership
DEREK SKINNERADP OF THE SNF2016-09-01ended 2026-05-18pecos_ownership
KATHERINE MAGNESSADP OF THE SNF2023-12-04ended 2026-05-18pecos_ownership
MELISSA CORNETTADP OF THE SNF2024-10-21ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No 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
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01ST. ANTHONY'S CARE CENTER120SOUTH LIMESTONE HOSPITAL DISTRICT
2025-10-01Avir at New Braunfels154821 US HIGHWAY 81 W OPCO LLC
2025-09-01Avir at Texarkana110GUADALUPE COUNTY HOSPITAL BOARD
2025-09-01PARKS HEALTH CENTER90WEST COKE COUNTY HOSPITAL DISTRICT
2025-09-01WINDMILL VILLAGE REHABILITATION & CARE CENTER120FANNIN COUNTY HOSPITAL AUTHORITY
2025-08-31Las Ventanas De Socorro126SOCORRO HEALTH CARE LLC
2025-08-01Avir at Mineola115HOPKINS COUNTY HOSPITAL DISTRICT
2025-08-01Avir at Orem1203730 W OREM DR OPCO LLC
2025-08-01Avir at Courtyard1207499 STANWICK DR OPCO LLC
2025-08-01HILLSIDE MEDICAL LODGE128CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
2025-08-01Avir at Pasadena1314300 VISTA RD OPCO LLC
2025-07-01Highland Meadows120NOCONA HOSPITAL DISTRICT
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

35
GeoKindBRAmountAs ofSource
county 48303acs median gross0$8662024-12-31CENSUS_ACS5
county 48303fmr0$8182025-10-01HUD_USER_FMR
county 48303acs median gross1$9672024-12-31CENSUS_ACS5
county 48303fmr1$9902025-10-01HUD_USER_FMR
county 48303acs median gross2$1,1322024-12-31CENSUS_ACS5
county 48303fmr2$1,1752025-10-01HUD_USER_FMR
county 48303acs median gross3$1,4802024-12-31CENSUS_ACS5
county 48303fmr3$1,6342025-10-01HUD_USER_FMR
county 48303acs median gross4$1,7672024-12-31CENSUS_ACS5
county 48303fmr4$1,9402025-10-01HUD_USER_FMR
county 48303acs median gross5$1,0672024-12-31CENSUS_ACS5
county 48303acs median gross$1,1782024-12-31CENSUS_ACS5
county 48303acs recent mover gross$1,2312024-12-31CENSUS_ACS5
zcta 79416acs median gross0$9972024-12-31CENSUS_ACS5
zcta 79416acs median gross1$1,1042024-12-31CENSUS_ACS5
zcta 79416acs median gross2$1,1722024-12-31CENSUS_ACS5
zcta 79416acs median gross3$1,5262024-12-31CENSUS_ACS5
zcta 79416acs median gross4$1,5182024-12-31CENSUS_ACS5
zcta 79416acs median gross$1,2852024-12-31CENSUS_ACS5
zcta 79416acs recent mover gross$1,3172024-12-31CENSUS_ACS5
zip 79416payment standard 1100$9902025-10-01HUD_USER_SAFMR
zip 79416payment standard 900$8102025-10-01HUD_USER_SAFMR
zip 79416safmr0$9002025-10-01HUD_USER_SAFMR
zip 79416payment standard 1101$1,1992025-10-01HUD_USER_SAFMR
zip 79416payment standard 901$9812025-10-01HUD_USER_SAFMR
zip 79416safmr1$1,0902025-10-01HUD_USER_SAFMR
zip 79416payment standard 1102$1,4192025-10-01HUD_USER_SAFMR
zip 79416payment standard 902$1,1612025-10-01HUD_USER_SAFMR
zip 79416safmr2$1,2902025-10-01HUD_USER_SAFMR
zip 79416payment standard 1103$1,9692025-10-01HUD_USER_SAFMR
zip 79416payment standard 903$1,6112025-10-01HUD_USER_SAFMR
zip 79416safmr3$1,7902025-10-01HUD_USER_SAFMR
zip 79416payment standard 1104$2,3432025-10-01HUD_USER_SAFMR
zip 79416payment standard 904$1,9172025-10-01HUD_USER_SAFMR
zip 79416safmr4$2,1302025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.