Skilled nursing facility · CMS certification number 455478
Ivy Creek Wellness & Rehabilitation
WACO, Texas · Medicare and Medicaid · 162 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $149,039.00 · Payment denials: 0. The most recent penalty on file: April 16, 2025, Fine, $140,085. Every penalty on file ↓
Ivy Creek Wellness & Rehabilitation: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering August 1, 2024 to July 31, 2025 (364 days), and CMS processed it on May 7, 2026.
- Net patient revenue rose from $3.5M in fiscal year 2024 to $4.5M in fiscal year 2025.
- Its result from service to patients: −$1.6M (2023), −$713K (2024), −$290K (2025).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2025.
- Its net patient revenue of $4.5M ranks 355th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.
Ivy Creek Wellness & Rehabilitation: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1449446 | 2024 · report 1403455 | 2023 · report 1373511 | 2022 · report 1341855 | 2021 · report 1310502 | 2020 · report 1279291 | 2019 · report 1251459 | 2018 · report 1243931 | 2017 · report 1188512 | 2016 · report 1177333 | 2015 · report 1153283 | 2014 · report 1144845 | 2013 · report 1109088 | 2012 · report 1078422 | 2011 · report 1051917 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | August 1, 2024 | August 1, 2023 | August 1, 2022 | August 1, 2021 | August 1, 2020 | August 1, 2019 | August 1, 2018 | August 1, 2017 | August 1, 2016 | August 1, 2015 | September 1, 2014 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | July 31, 2025 | July 31, 2024 | July 31, 2023 | July 31, 2022 | July 31, 2021 | July 31, 2020 | July 31, 2019 | July 31, 2018 | July 31, 2017 | July 31, 2016 | July 31, 2015 | August 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | — | — | — | — | — | — | — | — | 242 | — | — | — |
| Processed by CMS | May 7, 2026 | February 10, 2025 | February 20, 2024 | February 6, 2023 | February 16, 2022 | January 29, 2021 | February 25, 2020 | September 27, 2019 | May 2, 2018 | October 19, 2017 | February 22, 2017 | October 19, 2016 | September 9, 2015 | September 26, 2014 | December 10, 2013 |
| Total patient revenue | $4,913,074 | $3,616,022 | $3,820,585 | $5,235,504 | $5,534,413 | $6,514,210 | $8,696,326 | $8,224,528 | $9,216,295 | — | — | $6,155,718 | $8,787,526 | $8,185,068 | $9,504,552 |
| Contractual allowances and discounts | $383,975 | $143,093 | — | $1,127,727 | $1,946,490 | $3,565,968 | $403,282 | — | $53,459 | — | — | −$105,487 | −$4,211 | $29,605 | $19,696 |
| Net patient revenue | $4,529,099 | $3,472,929 | $3,820,585 | $4,107,777 | $3,587,923 | $2,948,242 | $8,293,044 | $8,224,528 | $9,162,836 | — | — | $6,261,205 | $8,791,737 | $8,155,463 | $9,484,856 |
| Total operating expenses | $4,819,194 | $4,185,776 | $5,418,128 | $6,325,716 | $7,505,991 | $7,104,153 | $7,496,960 | $7,754,142 | $8,682,359 | $7,254,914 | $6,921,694 | $6,205,687 | $8,828,307 | $8,410,673 | $9,622,664 |
| Net income from service to patients | −$290,095 | −$712,847 | −$1,597,543 | −$2,217,939 | −$3,918,068 | −$4,155,911 | $796,084 | $470,386 | $480,477 | −$7,254,914 | −$6,921,694 | $55,518 | −$36,570 | −$255,210 | −$137,808 |
| Total other income | $185,726 | $326,040 | $159,830 | $75,000 | $1,525,997 | $350,800 | — | — | — | — | — | $794 | $1,387 | $629 | $580 |
| Net income after other income | −$104,369 | −$386,807 | −$1,437,713 | −$2,142,939 | −$2,392,071 | −$3,805,111 | $796,084 | $470,386 | $480,477 | −$7,254,914 | −$6,921,694 | $56,312 | −$35,183 | −$254,581 | −$137,228 |
| Net income | −$104,369 | −$386,807 | −$1,437,713 | −$2,142,939 | −$2,392,071 | −$3,805,111 | $796,084 | $470,386 | $480,477 | −$7,254,914 | −$6,921,694 | $56,312 | −$35,183 | −$254,581 | −$137,228 |
| Total facility beds, all components | 202 | 202 | 222 | 222 | 222 | 222 | 222 | 222 | 222 | 222 | 222 | 222 | 222 | 222 | 224 |
| Bed days available, all components | 73,730 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 564 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 18,106 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 1,512 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 20,182 | 16,317 | 16,024 | 16,208 | 20,361 | 21,025 | 38,574 | 39,076 | 43,894 | 4,317 | 45,537 | 33,553 | 47,702 | 43,377 | 47,597 |
| Medicare discharges | 11 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 64 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 17 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 92 | 38 | 65 | 66 | 77 | 152 | 216 | 215 | 278 | 203 | 230 | 163 | 233 | 228 | 239 |
| Average length of stay, Medicare, in days | 51.27 | 87.33 | 98.89 | 123.33 | 243 | 67.68 | 58.47 | 60.52 | 44.3 | 41.11 | 42.96 | 69.09 | 57.83 | 65.92 | 70.83 |
| Average length of stay, Medicaid, in days | 282.91 | 538.74 | 371.18 | 312.15 | 267.02 | 149.02 | 209.84 | 370.13 | 362.8 | — | — | 383 | 383.9 | 435.61 | 438.7 |
| Average length of stay, all patients, in days | 219.37 | 429.39 | 246.52 | 245.58 | 264.43 | 138.32 | 178.58 | 181.75 | 157.89 | 21.27 | 197.99 | 205.85 | 204.73 | 190.25 | 199.15 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2010 · report 416974 | 2009 · report 405580 | 2008 · report 367013 | 2007 · report 322169 | 2006 · report 291767 | 2005 · report 260996 | 2004 · report 230470 | 2003 · report 191151 | 2002 · report 197787 | 2001 · report 175148 | 2000 · report 94812 | 1999 · report 94811 | 1998 · report 94809 | 1997 · report 94807 | 1996 · report 94806 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | January 1, 2003 | January 1, 2002 | January 1, 2001 | January 1, 2000 | January 1, 1999 | January 1, 1998 | January 1, 1997 | January 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | December 31, 2001 | December 31, 2000 | December 31, 1999 | January 31, 1998 | December 31, 1997 | December 31, 1996 |
| Days, where not a full year | — | — | — | — | — | — | — | — | — | — | — | — | 30 | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled | as submitted |
| Processed by CMS | September 8, 2011 | June 17, 2011 | April 12, 2010 | July 30, 2008 | August 13, 2007 | August 11, 2006 | August 10, 2005 | September 1, 2004 | October 21, 2004 | May 4, 2004 | December 26, 2001 | May 4, 2001 | July 30, 2000 | July 21, 1999 | March 9, 1998 |
| Net patient revenue | $10,409,522 | $10,769,189 | $10,786,752 | $10,941,829 | $10,242,552 | $9,761,993 | $9,985,124 | $9,553,306 | $9,557,366 | $7,659,077 | $7,454,361 | $6,548,716 | $6,333,316 | $6,493,097 | $5,802,284 |
| Total operating expenses | $10,920,908 | $10,674,750 | $11,450,815 | $11,014,684 | $10,587,823 | $10,017,940 | $10,027,640 | $9,475,326 | $8,839,018 | $7,357,097 | $7,593,437 | $6,119,875 | $6,141,178 | $5,746,181 | $5,403,607 |
| Net income from service to patients | −$511,386 | $94,439 | −$664,063 | −$72,855 | −$345,271 | −$255,947 | −$42,516 | $77,980 | $718,348 | $301,980 | −$139,076 | $428,841 | $192,138 | $746,916 | $398,677 |
| Total other income | $139,785 | $148,899 | $342,378 | $2,669 | $1,047 | $2,200 | $3,854 | $3,806 | $125 | $306 | $5,315 | $1,266 | $3,348 | $6,444 | $1,638 |
| Total other expenses | — | — | — | — | — | — | — | — | — | $1,260 | — | — | — | — | — |
| Net income | −$371,601 | $243,338 | −$321,685 | −$70,186 | −$344,224 | −$253,747 | −$38,662 | $81,786 | $718,473 | $301,026 | −$133,761 | $430,107 | $195,486 | $753,360 | $400,315 |
| Total facility beds, all components | 224 | 224 | 224 | 224 | 224 | 224 | 224 | 224 | 224 | 224 | 224 | 315 | 224 | 216 | 215 |
| Total patient days, all components | 52,943 | 60,161 | 63,887 | 63,927 | 67,192 | 71,616 | 71,616 | 69,186 | 67,755 | 62,532 | 67,097 | 62,651 | 65,008 | 67,462 | 64,786 |
| Total discharges, all components | 271 | 340 | 363 | 782 | 434 | 475 | 481 | 458 | 568 | 499 | 714 | 450 | 528 | 525 | 489 |
| Average length of stay, Medicare, in days | 65.75 | 56.57 | 46.56 | 59.09 | 61.03 | 55.49 | 53.48 | 56.45 | 34.66 | 30.69 | 42.86 | 30.24 | 20.74 | 22.95 | 26.23 |
| Average length of stay, Medicaid, in days | 437.43 | 437.32 | 438.37 | 131.57 | 204.66 | 205.18 | 206.02 | 204.91 | 205.1 | 204.51 | 185.8 | 255.24 | 275.81 | 327.68 | 303.3 |
| Average length of stay, all patients, in days | 195.36 | 176.94 | 176 | 81.75 | 154.82 | 150.77 | 148.89 | 151.06 | 119.29 | 125.31 | 93.97 | 139.22 | 123.12 | 128.5 | 132.49 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
Ivy Creek Wellness & Rehabilitation: nurse staffing hours by quarter →
Who owns Ivy Creek Wellness & Rehabilitation, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (organization), 100%%, since 01/02/2024
- ADP OF THE SNF: 2501 MAPLE AVE TX LLC (organization), NOT APPLICABLE, since 02/01/2026; BEASLEY, CAROLYN (individual), NOT APPLICABLE, since 01/15/2024; ESDOV INVESTMENTS LLC (organization), NOT APPLICABLE, since 02/01/2026; FIRST SWEETZER HOLDINGS LLC (organization), NOT APPLICABLE, since 02/01/2026; JIAN, PETER (individual), NOT APPLICABLE, since 01/02/2024; LINZ TRUST (organization), NOT APPLICABLE, since 02/01/2026; PIMENTO PROPERTY HOLDINGS LLC (organization), NOT APPLICABLE, since 02/01/2026; RED STONE ADVISORS LLC (organization), NOT APPLICABLE, since 02/01/2026; ROJO RE TRUST (organization), NOT APPLICABLE, since 02/01/2026
- CORPORATE DIRECTOR: BYROM, DAVID (individual), NOT APPLICABLE, since 09/01/2014
- INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: DAVIDOVICH, NIV (individual), NOT APPLICABLE, since 02/02/2026; HAGINS, ELIZABETH (individual), NOT APPLICABLE, since 02/02/2026; KAPLAN, ESTHER (individual), NOT APPLICABLE, since 02/02/2026; MINDLE, ADAM (individual), NOT APPLICABLE, since 02/02/2026; STERNSHEIN, JENNIFER (individual), NOT APPLICABLE, since 02/02/2026
- OPERATIONAL/MANAGERIAL CONTROL: BEASLEY, CAROLYN (individual), NOT APPLICABLE, since 01/15/2024; GARETZ, DAVID (individual), NOT APPLICABLE, since 02/01/2026; IVY CREEK WELLNESS & REHABILITATION LLC (organization), NOT APPLICABLE, since 02/01/2026; JIAN, PETER (individual), NOT APPLICABLE, since 01/02/2024
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (enrollment ID O20141208002083).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (organization), 100.00%, since 01/02/2024
- ADP OF THE SNF: 2501 MAPLE AVE TX LLC (organization), since 02/01/2026; CAROLYN BEASLEY (individual), since 01/15/2024; ESDOV INVESTMENTS LLC (organization), since 02/01/2026; FIRST SWEETZER HOLDINGS LLC (organization), since 02/01/2026; LINZ TRUST (organization), since 02/01/2026; PETER JIAN (individual), since 01/02/2024; PIMENTO PROPERTY HOLDINGS LLC (organization), since 02/01/2026; RED STONE ADVISORS LLC (organization), since 02/01/2026; ROJO RE TRUST (organization), since 02/01/2026
- CORPORATE DIRECTOR: DAVID BYROM (individual), since 09/01/2014
- OPERATIONAL/MANAGERIAL CONTROL: CAROLYN BEASLEY (individual), since 01/15/2024; DAVID GARETZ (individual), since 02/01/2026; IVY CREEK WELLNESS & REHABILITATION LLC (organization), since 02/01/2026; PETER JIAN (individual), since 01/02/2024
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY; 2501 MAPLE AVE TX LLC; ESDOV INVESTMENTS LLC; FIRST SWEETZER HOLDINGS LLC; LINZ TRUST; PIMENTO PROPERTY HOLDINGS LLC; RED STONE ADVISORS LLC; ROJO RE TRUST; IVY CREEK WELLNESS & REHABILITATION LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: CAROLYN BEASLEY; PETER JIAN; DAVID BYROM; CAROLYN BEASLEY; DAVID GARETZ; PETER JIAN.
Changes in ownership
- May 1, 2026, enrollment ownership file; no longer listed: CASSANDRA L MISTRETTA (OPERATIONAL/MANAGERIAL CONTROL); MARY F PFEIFER (OPERATIONAL/MANAGERIAL CONTROL); WACO OPCO LLC (ADP OF THE SNF); WACO OPCO LLC (OPERATIONAL/MANAGERIAL CONTROL); first listed: DAVID GARETZ (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2026; LINZ TRUST (ADP OF THE SNF), associated since February 1, 2026; IVY CREEK WELLNESS & REHABILITATION LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2026; ROJO RE TRUST (ADP OF THE SNF), associated since February 1, 2026; 2501 MAPLE AVE TX LLC (ADP OF THE SNF), associated since February 1, 2026; RED STONE ADVISORS LLC (ADP OF THE SNF), associated since February 1, 2026; FIRST SWEETZER HOLDINGS LLC (ADP OF THE SNF), associated since February 1, 2026; PIMENTO PROPERTY HOLDINGS LLC (ADP OF THE SNF), associated since February 1, 2026; ESDOV INVESTMENTS LLC (ADP OF THE SNF), associated since February 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- August 1, 2025, enrollment ownership file; no longer listed: DAVID BYROM (W-2 MANAGING EMPLOYEE); listed: WACO OPCO LLC (ADP OF THE SNF); first listed: CASSANDRA L MISTRETTA (OPERATIONAL/MANAGERIAL CONTROL), associated since January 2, 2024; MARY F PFEIFER (OPERATIONAL/MANAGERIAL CONTROL), associated since January 2, 2024; CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since January 2, 2024; PETER JIAN (ADP OF THE SNF), associated since January 2, 2024; PETER JIAN (OPERATIONAL/MANAGERIAL CONTROL), associated since January 2, 2024; CAROLYN BEASLEY (ADP OF THE SNF), associated since January 15, 2024; CAROLYN BEASLEY (OPERATIONAL/MANAGERIAL CONTROL), associated since January 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- July 1, 2024, enrollment ownership file; first listed: WACO OPCO LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
Inspections of Ivy Creek Wellness & Rehabilitation
- Cycle 1: health July 23, 2025 (9 deficiencies), fire safety July 23, 2025 (0)
- Cycle 2: health June 13, 2024 (5 deficiencies), fire safety June 13, 2024 (25)
- Cycle 3: health May 10, 2023 (4 deficiencies), fire safety May 10, 2023 (2)
Deficiencies cited at Ivy Creek Wellness & Rehabilitation
18 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 7 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0580, resident rights: July 1, 2026 (E, from a complaint, corrected July 2, 2026).
- F 0609, freedom from abuse, neglect, and exploitation: July 1, 2026 (D, from a complaint, corrected July 2, 2026).
- F 0689, quality of life and care: July 1, 2026 (D, from a complaint, corrected July 2, 2026); December 29, 2023 (J, from a complaint, corrected January 17, 2024).
- F 0602, freedom from abuse, neglect, and exploitation: February 6, 2026 (E, from a complaint, corrected February 9, 2026).
- F 0688, quality of life and care: July 23, 2025 (D, corrected August 15, 2025).
- F 0755, pharmacy service: July 23, 2025 (D, corrected August 15, 2025).
- F 0812, nutrition and dietary: July 23, 2025 (E, corrected August 15, 2025); June 13, 2024 (E, corrected July 3, 2024).
- F 0880, infection control: July 23, 2025 (E, corrected August 15, 2025); June 13, 2024 (E, corrected July 3, 2024).
- F 0926, environmental: July 23, 2025 (D, corrected August 15, 2025).
- F 0576, resident rights: June 13, 2024 (E, corrected July 8, 2024).
- F 0684, quality of life and care: June 13, 2024 (D, corrected July 3, 2024).
- F 0919, environmental: June 13, 2024 (D, corrected July 5, 2024).
- F 0610, freedom from abuse, neglect, and exploitation: December 29, 2023 (J, from a complaint, corrected January 17, 2024).
- F 0656, resident assessment and care planning: December 29, 2023 (J, from a complaint, corrected January 17, 2024).
- F 0645, resident assessment and care planning: May 10, 2023 (D, corrected June 9, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 16, 2025 | Fine | $140,085 | 113792 | ||
| December 29, 2023 | Fine | $8,954 | 112115 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Ivy Creek Wellness & Rehabilitation in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
- Date First Approved to Provide Medicare and Medicaid Services: 1983-05-18
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Mc Lennan
- Telephone Number: 2547520311
- Chain Name: OPCO SKILLED MANAGEMENT
- Chain ID: 773
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 65.3
- Overall Rating: 1
- Health Inspection Rating: 2
- QM Rating: 3
- Long-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in WACO
Report a figure on Ivy Creek Wellness & Rehabilitation’s record that differs from its CMS file, quoting 455478.