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 06:20 UTC
Screener / 676019
C

Lampstand Nursing and Rehabilitation

snfTX
2001 E 29th St, Bryan, TX 77802 · CCN 676019 · chain HONOR X ENTERPRISES LLC
Composite
75.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 75.0% 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 signals10Components19CHOW radar1Distress radar1Staffing16Penalties2Deficiencies41Licensure0Ownership10Related party0Transactions1Comps12Market rent35

Composite explanation

7
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk88.886.10.300.187516.65in index
staffing risk97.897.80.250.156315.28in index
state reg risk63.715.00.300.187511.94in index
billing conduct35.534.00.300.18756.66in index
financial risk26.531.60.300.18754.97in index
chow risk28.235.90.150.09382.64in index
ownership opacity52.155.0excluded
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

10
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+23.5 vs natlHUGGINS LINDA139 facilities
connectionOwner fleet risk far above national+23.4 vs natlBLAKE GARY137 facilities
connectionOwner fleet risk far above national+23.4 vs natlBLAKE MALISA137 facilities
connectionOwner spans multiple chains13 chainsBLAKE MALISA137 facilities
connectionOwner spans multiple chains13 chainsHUGGINS LINDA139 facilities
connectionOwner spans multiple chains13 chainsBLAKE GARY137 facilities
connectionOwner fleet enforcement cluster56% finedCREATIVE SOLUTIONS IN HEALTHCARE INC45 facilities
connectionOwner fleet enforcement cluster49% finedBLAKE GARY137 facilities
connectionOwner fleet enforcement cluster49% finedBLAKE MALISA137 facilities
connectionOwner fleet enforcement cluster48% finedHUGGINS LINDA139 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 typeScoreGradeModelStatusRegistry model notes
billing conduct34.0Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk23.6Av0.1-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 risk42.0Bv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk41.6Bv0.6default · in composite
financial risk31.6Bv0.5default · in compositeR18.
ownership opacity55.0Cv0.1-txhhscdefault · in compositeTexas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history.
p adverse action 12m0.0—v0.1default · 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 12m0.3—v0.1default · 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 risk86.1Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk97.8Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk15.0Av0.5default · in composite
financial risk95.5Fv0.1supersededPre-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 risk75.5Dv0.2supersededPre-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 risk22.7Av0.3supersededPre-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 risk34.1Bv0.4supersededPre-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 risk86.0Fv0.1supersededPre-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 risk86.0Fv0.2supersededPre-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 risk97.8Fv0.1supersededPre-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 risk97.8Fv0.2supersededPre-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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
44.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)6.66-1.20
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Chain size (log)3.78+0.40
Occupancy0.58+0.33
Ownership changes, last 5 years0.00+0.20
Total nurse staffing (HPRD)2.03+0.20
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)3.78-1.00
Occupancy0.58+0.70
For-profit ownership1.00-0.69
Deficiencies, last 12 months5.00+0.50
Total nurse staffing (HPRD)2.03+0.50
Fine amount, 12m (log)9.02-0.48
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
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 nurse2.032.673.282.90–3.77
RN0.330.240.390.25–0.58
Weekend total1.962.563.11—
Weekday total2.062.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49281.52.030.330.451.251.960.0%
2025Q39281.91.800.440.390.971.860.0%
2025Q29184.91.870.340.431.101.720.0%
2025Q19084.72.040.350.441.251.960.0%
2024Q49285.02.340.330.551.472.170.0%
2024Q39288.72.280.170.611.512.190.0%
2024Q29189.72.420.220.581.622.260.0%
2024Q19191.22.180.230.491.472.140.0%
2023Q49288.02.050.160.501.391.920.0%
2023Q39288.32.020.220.631.181.790.0%
2023Q29189.02.050.140.621.291.740.0%
2023Q19091.22.310.120.771.422.070.0%
2022Q49293.62.150.110.761.291.941.4%
2022Q39292.42.210.120.791.291.860.0%
2022Q29194.12.290.120.771.401.922.1%
2022Q19070.92.300.150.771.381.901.6%
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

2
fines by year
$23.1k$11.5k2425
DateTypeFineSource
2025-10-10Fine$8,281CMS provider data
2024-04-26Fine$23,055CMS provider data
Total fines on record: $31,336

Deficiencies

41
D × 23E × 9F × 4G × 1J × 4
deficiencies by survey year
201022232425
SurveyTypeTagDeficiencyScopeCorrected
2025-12-15Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-12-16
2025-12-04Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2025-12-05
2025-10-10Health · complaintF0551Give the resident's representative the ability to exercise the resident's rights.D2025-10-11
2025-10-10Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-10-07
2025-10-10Health · complaintF0760Ensure that residents are free from significant medication errors.J2025-10-07
2025-04-24Health · complaintF0761Ensure 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.D2025-04-25
2025-02-12HealthF0572Give residents a notice of rights, rules, services and charges.F2025-02-15
2025-02-12HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D2025-02-15
2025-02-12HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-02-15
2025-02-12HealthF0880Provide and implement an infection prevention and control program.E2025-02-15
2025-02-12HealthF0908Keep all essential equipment working safely.E2025-02-15
2025-01-17Health · complaintF0584Honor 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.D2025-01-18
2025-01-17Health · complaintF0585Honor 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.D2025-01-18
2025-01-17Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-01-18
2024-09-05Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-09-06
2024-09-05Health · complaintF0880Provide and implement an infection prevention and control program.D2024-09-06
2024-08-14Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-09-04
2024-04-30Health · complaintF0660Plan the resident's discharge to meet the resident's goals and needs.J2024-05-01
2024-04-26Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-04-27
2024-01-09HealthF0558Reasonably accommodate the needs and preferences of each resident.D2024-01-10
2024-01-09HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D2024-01-10
2024-01-09HealthF0584Honor 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.D2024-01-10
2024-01-09HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE2024-01-10
2024-01-09HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-01-10
2024-01-09HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-01-30
2024-01-09HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-01-31
2024-01-09HealthF0688Provide 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.E2024-01-10
2024-01-09HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-01-10
2024-01-09HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-01-10
2024-01-09HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-01-10
2024-01-09HealthF0761Ensure 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.D2024-01-10
2024-01-09HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2024-01-31
2024-01-09HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-01-31
2024-01-09HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2024-01-31
2023-11-29Health · complaintF0770Provide timely, quality laboratory services/tests to meet the needs of residents.J2023-11-30
2022-10-27HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2022-11-01
2022-10-27HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2022-11-01
2022-10-27HealthF0697Provide safe, appropriate pain management for a resident who requires such services.G2022-11-01
2022-10-27HealthF0761Ensure 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.F2022-11-01
2022-10-27HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E2022-11-01
2022-10-27HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2022-11-01
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

10
OwnerRolePctFromStatusSource
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROL—2019-12-01currentpecos_ownership
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROL—2019-12-01currentpecos_ownership
COLLEGE STATION II ENTERPRISES, LLC——2023-12-01currenttx_hhsc_directory
CREATIVE SOLUTIONS IN HEALTHCARE INCOPERATIONAL/MANAGERIAL CONTROL—2019-12-01currentpecos_ownership
CREATIVE SOLUTIONS IN HEALTHCARE, INC——2023-12-01currenttx_hhsc_directory
HUGGINS, LINDAW-2 MANAGING EMPLOYEE—2019-12-01currentpecos_ownership
HONOR X ENTERPRISES, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-12-01ended 2026-05-18pecos_ownership
GARY BLAKE5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2019-12-01ended 2026-05-18pecos_ownership
MALISA BLAKE5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2019-12-01ended 2026-05-18pecos_ownership
LINDA HUGGINSW-2 MANAGING EMPLOYEE0%2019-12-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2019-12-01—COLLEGE STATION II ENTERPRISES, LLCLAMPSTAND NURSING AND REHABILITATION, LPchow

Comparable trades — TX snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01ST. ANTHONY'S CARE CENTER———120SOUTH LIMESTONE HOSPITAL DISTRICT
2025-10-01Avir at New Braunfels———154821 US HIGHWAY 81 W OPCO LLC
2025-09-01Avir at Texarkana———110GUADALUPE COUNTY HOSPITAL BOARD
2025-09-01PARKS HEALTH CENTER———90WEST COKE COUNTY HOSPITAL DISTRICT
2025-09-01WINDMILL VILLAGE REHABILITATION & CARE CENTER———120FANNIN COUNTY HOSPITAL AUTHORITY
2025-08-31Las Ventanas De Socorro———126SOCORRO HEALTH CARE LLC
2025-08-01Avir at Mineola———115HOPKINS COUNTY HOSPITAL DISTRICT
2025-08-01Avir at Orem———1203730 W OREM DR OPCO LLC
2025-08-01Avir at Courtyard———1207499 STANWICK DR OPCO LLC
2025-08-01HILLSIDE MEDICAL LODGE———128CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
2025-08-01Avir at Pasadena———1314300 VISTA RD OPCO LLC
2025-07-01Highland Meadows———120NOCONA 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 48041acs median gross0$9872024-12-31CENSUS_ACS5
county 48041fmr0$1,0252025-10-01HUD_USER_FMR
county 48041acs median gross1$1,0742024-12-31CENSUS_ACS5
county 48041fmr1$1,0822025-10-01HUD_USER_FMR
county 48041acs median gross2$1,1092024-12-31CENSUS_ACS5
county 48041fmr2$1,1862025-10-01HUD_USER_FMR
county 48041acs median gross3$1,6312024-12-31CENSUS_ACS5
county 48041fmr3$1,6492025-10-01HUD_USER_FMR
county 48041acs median gross4$1,7742024-12-31CENSUS_ACS5
county 48041fmr4$1,9282025-10-01HUD_USER_FMR
county 48041acs median gross5$1,0362024-12-31CENSUS_ACS5
county 48041acs median gross$1,1932024-12-31CENSUS_ACS5
county 48041acs recent mover gross$1,3222024-12-31CENSUS_ACS5
zcta 77802acs median gross1$1,0942024-12-31CENSUS_ACS5
zcta 77802acs median gross2$1,2092024-12-31CENSUS_ACS5
zcta 77802acs median gross3$1,6372024-12-31CENSUS_ACS5
zcta 77802acs median gross4$2,0242024-12-31CENSUS_ACS5
zcta 77802acs median gross5$1,6892024-12-31CENSUS_ACS5
zcta 77802acs median gross$1,2802024-12-31CENSUS_ACS5
zcta 77802acs recent mover gross$1,2492024-12-31CENSUS_ACS5
zip 77802payment standard 1100$1,3092025-10-01HUD_USER_SAFMR
zip 77802payment standard 900$1,0712025-10-01HUD_USER_SAFMR
zip 77802safmr0$1,1902025-10-01HUD_USER_SAFMR
zip 77802payment standard 1101$1,3862025-10-01HUD_USER_SAFMR
zip 77802payment standard 901$1,1342025-10-01HUD_USER_SAFMR
zip 77802safmr1$1,2602025-10-01HUD_USER_SAFMR
zip 77802payment standard 1102$1,5182025-10-01HUD_USER_SAFMR
zip 77802payment standard 902$1,2422025-10-01HUD_USER_SAFMR
zip 77802safmr2$1,3802025-10-01HUD_USER_SAFMR
zip 77802payment standard 1103$2,1122025-10-01HUD_USER_SAFMR
zip 77802payment standard 903$1,7282025-10-01HUD_USER_SAFMR
zip 77802safmr3$1,9202025-10-01HUD_USER_SAFMR
zip 77802payment standard 1104$2,4642025-10-01HUD_USER_SAFMR
zip 77802payment standard 904$2,0162025-10-01HUD_USER_SAFMR
zip 77802safmr4$2,2402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Lampstand Nursing and Rehabilitation (676019) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency