Skilled nursing facility · CMS certification number 455586
Grand Terrace Rehabilitation and Healthcare
McAllen, Texas · Medicare and Medicaid · 93 certified beds in Care Compare
Grand Terrace Rehabilitation and Healthcare: 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 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 29, 2025.
- Net patient revenue rose from $870K in fiscal year 2023 to $10.3M in fiscal year 2024.
- Its result from service to patients: $1.4M (2022), $108K (2023), $1.9M (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $10.3M ranks 141st of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 1 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also reports a gain on service to patients.
Grand Terrace Rehabilitation and Healthcare: Medicare cost reports
| Form CMS-2540-10 | 2024 · report 1438029 | 2023 · report 1441837 | 2022 · report 1364834 | 2021 · report 1332839 | 2020 · report 1298088 | 2019 · report 1298087 | 2018 · report 1239356 | 2017 · report 1208808 | 2016 · report 1174958 | 2015 · report 1142088 | 2014 · report 1104148 | 2013 · report 1076955 | 2012 · report 1046123 | 2011 · report 1013121 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | December 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | 30 | — | — | — | — | — | — | — | — | — | — | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled with audit | settled |
| Processed by CMS | August 29, 2025 | October 31, 2025 | September 15, 2023 | September 19, 2022 | September 1, 2021 | September 1, 2021 | August 2, 2019 | August 21, 2018 | August 25, 2017 | August 22, 2016 | July 25, 2015 | August 25, 2014 | August 12, 2013 | September 30, 2012 |
| Total patient revenue | $12,325,183 | $1,076,155 | $10,047,076 | $7,410,634 | $6,543,296 | $7,285,379 | $7,027,952 | $7,643,826 | $7,206,748 | $6,112,810 | $7,126,115 | $6,073,251 | $5,583,619 | $5,503,073 |
| Contractual allowances and discounts | $2,005,034 | $205,661 | $2,024,850 | $883,301 | −$780,652 | $312,039 | $206,014 | $588,808 | $737,273 | $229,404 | $681,315 | $325,604 | $96,880 | −$318,371 |
| Net patient revenue | $10,320,149 | $870,494 | $8,022,226 | $6,527,333 | $7,323,948 | $6,973,340 | $6,821,938 | $7,055,018 | $6,469,475 | $5,883,406 | $6,444,800 | $5,747,647 | $5,486,739 | $5,821,444 |
| Total operating expenses | $8,452,651 | $762,068 | $6,631,039 | $5,309,330 | $5,975,640 | $5,915,388 | $5,710,698 | $6,208,484 | $5,876,391 | $5,682,453 | $5,846,418 | $5,187,586 | $4,819,094 | $4,902,333 |
| Net income from service to patients | $1,867,498 | $108,426 | $1,391,187 | $1,218,003 | $1,348,308 | $1,057,952 | $1,111,240 | $846,534 | $593,084 | $200,953 | $598,382 | $560,061 | $667,645 | $919,111 |
| Total other income | $3,893 | $20 | $1,050 | $6,161 | $1,937 | $2,430 | −$8,610 | $2,876 | $5,471 | $19 | $962 | $373,583 | $322 | $80 |
| Net income after other income | $1,871,391 | $108,446 | $1,392,237 | $1,224,164 | $1,350,245 | $1,060,382 | $1,102,630 | $849,410 | $598,555 | $200,972 | $599,344 | $933,644 | $667,967 | $919,191 |
| Net income | $1,871,391 | $108,446 | $1,391,931 | $1,224,164 | $1,347,361 | $1,060,382 | $1,102,630 | $849,410 | $598,555 | $200,972 | $599,344 | $933,642 | $667,967 | $919,191 |
| Total facility beds, all components | 93 | 93 | 93 | 93 | 93 | 93 | 93 | 93 | 93 | 93 | 93 | 93 | 93 | 93 |
| Bed days available, all components | 34,038 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 3,256 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 19,491 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 3,375 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 26,122 | 2,436 | 22,217 | 20,939 | 23,921 | 28,333 | 27,779 | 30,613 | 29,991 | 29,753 | 30,090 | 28,025 | 27,338 | 27,557 |
| Medicare discharges | 58 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 77 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 103 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 238 | 20 | 226 | 149 | 174 | 203 | 168 | 198 | 134 | 110 | 96 | 96 | 125 | 191 |
| Average length of stay, Medicare, in days | 56.14 | 80.67 | 65 | 41.44 | 75.02 | 52.54 | 41.65 | 26.55 | 71.11 | 61.05 | 68.7 | 86.22 | 48.98 | 55.22 |
| Average length of stay, Medicaid, in days | 253.13 | 610.67 | 320.76 | 571.52 | 375.46 | 567.13 | 832.38 | 870.93 | 811.68 | 710.2 | 680.65 | 604.89 | 476.66 | 237.76 |
| Average length of stay, all patients, in days | 109.76 | 121.8 | 98.31 | 140.53 | 137.48 | 139.57 | 165.35 | 154.61 | 223.81 | 270.48 | 313.44 | 291.93 | 218.7 | 144.28 |
Net income, fiscal years 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 416792 | 2009 · report 384432 | 2008 · report 353005 | 2007 · report 314028 | 2006 · report 309888 | 2005 · report 271036 | 2004 · report 247811 | 2003 · report 209935 | 2002 · report 188136 | 2001 · report 133711 | 2000 · report 1953 | 1999 · report 1951 | 1998 · report 195765 | 1997 · report 18821 | 1996 · report 18820 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | December 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 | December 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 | as submitted | settled | reopened | settled | settled |
| Processed by CMS | August 31, 2011 | July 30, 2010 | July 28, 2009 | June 16, 2008 | May 23, 2008 | January 25, 2007 | April 24, 2006 | March 7, 2005 | July 22, 2004 | March 18, 2003 | August 2, 2001 | August 1, 2001 | September 24, 2004 | October 6, 1999 | October 27, 1998 |
| Net patient revenue | $4,471,314 | $335,463 | $4,255,211 | $3,661,818 | $3,008,148 | $2,970,135 | $3,362,579 | $3,439,796 | $3,215,713 | $2,794,598 | $2,908,780 | $2,443,588 | $2,467,645 | $2,183,894 | $1,971,873 |
| Total operating expenses | $4,075,371 | $304,111 | $4,336,772 | $3,706,463 | $3,175,469 | $3,160,273 | $3,438,431 | $3,390,741 | $3,334,149 | $3,037,294 | $2,580,970 | $2,376,195 | $2,170,709 | $2,188,502 | $2,312,981 |
| Net income from service to patients | $395,943 | $31,352 | −$81,561 | −$44,645 | −$167,321 | −$190,138 | −$75,852 | $49,055 | −$118,436 | −$242,696 | $327,810 | $67,393 | $296,936 | −$4,608 | −$341,108 |
| Total other income | $253 | — | $137,964 | $169,957 | $164,884 | $131,548 | $133,560 | $160,222 | $133,093 | $87,149 | $28,381 | $27,965 | $18,786 | $12,350 | $9,892 |
| Total other expenses | — | — | — | — | — | — | — | — | — | $3,966 | — | — | — | — | — |
| Net income | $396,196 | $31,352 | $56,403 | $125,312 | −$2,437 | −$58,590 | $57,708 | $209,277 | $14,657 | −$159,513 | $356,191 | $95,358 | $315,722 | $7,742 | −$331,216 |
| Total facility beds, all components | 93 | 93 | 93 | 93 | 91 | 93 | 93 | 93 | 93 | 93 | 96 | 96 | 96 | 96 | 96 |
| Total patient days, all components | 23,046 | 1,961 | 27,561 | 25,390 | 21,694 | 23,720 | 27,026 | 26,306 | 25,407 | 24,123 | 26,978 | 24,907 | 22,888 | 23,167 | 25,755 |
| Total discharges, all components | 243 | 12 | 220 | 188 | 80 | 54 | 116 | 105 | 100 | 131 | 104 | 93 | 121 | 48 | 131 |
| Average length of stay, Medicare, in days | 49.77 | 117.67 | 32.95 | 27.56 | 37.85 | 50.16 | 80.26 | 53.51 | 85.08 | 46.18 | 58.69 | 40.23 | 28.42 | 33.19 | 29.98 |
| Average length of stay, Medicaid, in days | 122.19 | 164.89 | 260.12 | 252.71 | 771.04 | 825.7 | 307.43 | 566.95 | 282.18 | 300.19 | 349.2 | 469.23 | 417.17 | — | — |
| Average length of stay, all patients, in days | 94.84 | 163.42 | 125.28 | 135.05 | 271.18 | 439.26 | 232.98 | 250.53 | 254.07 | 184.15 | 259.4 | 267.82 | 189.16 | 482.65 | 196.6 |
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.
Grand Terrace Rehabilitation and Healthcare: nurse staffing hours by quarter →
Who owns Grand Terrace Rehabilitation and Healthcare, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FANNIN COUNTY HOSPITAL AUTHORITY (organization), 100%%, since 12/01/2023
- ADP OF THE SNF: ALAM, KHURSHEED (individual), NOT APPLICABLE, since 05/15/2024; CARETRUST GP LLC (organization), NOT APPLICABLE, since 12/01/2023; CARETRUST REIT INC (organization), NOT APPLICABLE, since 12/01/2023; CTR PARTNERSHIP LP (organization), NOT APPLICABLE, since 12/01/2023; ENSIGN SERVICES INC (organization), NOT APPLICABLE, since 12/01/2009; GUZMAN, NEFI (individual), NOT APPLICABLE, since 12/01/2023; MCALLEN CARE ASSOCIATES, INC. (organization), NOT APPLICABLE, since 09/29/2025; RIO GRANDE HEALTH HOLDINGS LLC (organization), NOT APPLICABLE, since 12/01/2023
- CORPORATE OFFICER: BURNAM, SOON (individual), NOT APPLICABLE, since 12/01/2023; KEETCH, CHAD (individual), NOT APPLICABLE, since 03/01/2011; SANDERSON, CLARK (individual), NOT APPLICABLE, since 12/01/2023
- MANAGING CONTROL - GOVERNING BODY: ALAM, KHURSHEED (individual), NOT APPLICABLE, since 05/15/2024; GUZMAN, NEFI (individual), NOT APPLICABLE, since 12/01/2023
- OPERATIONAL/MANAGERIAL CONTROL: ALAM, KHURSHEED (individual), NOT APPLICABLE, since 05/15/2024; GUZMAN, NEFI (individual), NOT APPLICABLE, since 12/01/2023; MCALLEN CARE ASSOCIATES, INC. (organization), NOT APPLICABLE, since 12/01/2023
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of FANNIN COUNTY HOSPITAL AUTHORITY (enrollment ID O20240126003879).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FANNIN COUNTY HOSPITAL AUTHORITY (organization), 100.00%, since 12/01/2023
- ADP OF THE SNF: CARETRUST GP LLC (organization), since 12/01/2023; CARETRUST REIT INC (organization), since 12/01/2023; CTR PARTNERSHIP LP (organization), since 12/01/2023; ENSIGN SERVICES INC (organization), since 12/01/2009; KHURSHEED ALAM (individual), since 05/15/2024; MCALLEN CARE ASSOCIATES, INC. (organization), since 09/29/2025; NEFI GUZMAN (individual), since 12/01/2023; RIO GRANDE HEALTH HOLDINGS LLC (organization), since 12/01/2023
- CORPORATE OFFICER: CHAD KEETCH (individual), since 03/01/2011; CLARK SANDERSON (individual), 0.00%, since 12/01/2023; SOON BURNAM (individual), since 12/01/2023
- MANAGING CONTROL - GOVERNING BODY: KHURSHEED ALAM (individual), since 05/15/2024; NEFI GUZMAN (individual), since 12/01/2023
- OPERATIONAL/MANAGERIAL CONTROL: KHURSHEED ALAM (individual), since 05/15/2024; MCALLEN CARE ASSOCIATES, INC. (organization), 0.00%, since 12/01/2023; NEFI GUZMAN (individual), 0.00%, since 12/01/2023
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: FANNIN COUNTY HOSPITAL AUTHORITY; CARETRUST GP LLC; CARETRUST REIT INC; CTR PARTNERSHIP LP; ENSIGN SERVICES INC; MCALLEN CARE ASSOCIATES, INC.; RIO GRANDE HEALTH HOLDINGS LLC; MCALLEN CARE ASSOCIATES, INC..
Private equity company, real estate investment trust and holding company: Paused by CMS: KHURSHEED ALAM; NEFI GUZMAN; CHAD KEETCH; CLARK SANDERSON; SOON BURNAM; KHURSHEED ALAM; NEFI GUZMAN; KHURSHEED ALAM; NEFI GUZMAN.
Changes in ownership
- April 1, 2026, enrollment ownership file; no longer listed: SOON BURNAM (OPERATIONAL/MANAGERIAL CONTROL); NEFI GUZMAN (CONTRACTED MANAGING EMPLOYEE); first listed: SOON BURNAM (CORPORATE OFFICER), associated since December 1, 2023; RIO GRANDE HEALTH HOLDINGS LLC (ADP OF THE SNF), associated since December 1, 2023; MCALLEN CARE ASSOCIATES, INC. (ADP OF THE SNF), associated since September 29, 2025; CHAD A KEETCH (CORPORATE OFFICER), associated since March 1, 2011; KHURSHEED ALAM (ADP OF THE SNF), associated since May 15, 2024; KHURSHEED ALAM (MANAGING CONTROL - GOVERNING BODY), associated since May 15, 2024; KHURSHEED ALAM (OPERATIONAL/MANAGERIAL CONTROL), associated since May 15, 2024; CARETRUST REIT INC (ADP OF THE SNF), associated since December 1, 2023; CARETRUST GP LLC (ADP OF THE SNF), associated since December 1, 2023; CTR PARTNERSHIP LP (ADP OF THE SNF), associated since December 1, 2023; ENSIGN SERVICES INC (ADP OF THE SNF), associated since December 1, 2009; NEFI GUZMAN (ADP OF THE SNF), associated since December 1, 2023; NEFI GUZMAN (MANAGING CONTROL - GOVERNING BODY), associated since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- August 1, 2024, enrollment ownership file; no longer listed: SOON E BURNAM (OFFICER); CRAIG FITCH (OFFICER); DANIEL RODRIGUEZ (OPERATIONAL/MANAGERIAL CONTROL); DANIEL RODRIGUEZ (W-2 MANAGING EMPLOYEE); THE ENSIGN GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); ANDREW ASHTON (OFFICER); KEVIN NICCUM (DIRECTOR); KEYSTONE CARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); first listed: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2023; MCALLEN CARE ASSOCIATES, INC. (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2023; FANNIN COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since December 1, 2023; CLARK R SANDERSON (OFFICER), associated since December 1, 2023; NEFI GUZMAN (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2023; NEFI GUZMAN (CONTRACTED MANAGING EMPLOYEE), associated since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
Inspections of Grand Terrace Rehabilitation and Healthcare
- Cycle 1: health February 19, 2026 (9 deficiencies), fire safety February 19, 2026 (0)
- Cycle 2: health November 20, 2024 (2 deficiencies), fire safety November 20, 2024 (0)
- Cycle 3: health August 31, 2023 (5 deficiencies), fire safety August 31, 2023 (0)
Deficiencies cited at Grand Terrace Rehabilitation and Healthcare
16 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 8 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0656, resident assessment and care planning: June 17, 2026 (D, from a complaint, corrected June 18, 2026); February 19, 2026 (D, corrected February 20, 2026); November 20, 2024 (D, from a complaint, corrected November 22, 2024); August 31, 2023 (D, corrected September 1, 2023).
- F 0732, nursing and physician services: June 17, 2026 (C, from a complaint, corrected June 18, 2026).
- F 0558, resident rights: May 8, 2026 (D, from a complaint, corrected May 10, 2026).
- F 0552, resident rights: February 19, 2026 (D, corrected February 20, 2026).
- F 0605, freedom from abuse, neglect, and exploitation: February 19, 2026 (D, corrected February 20, 2026).
- F 0684, quality of life and care: December 8, 2025 (D, from a complaint, corrected December 9, 2025).
- F 0761, pharmacy service: December 4, 2025 (D, from a complaint, corrected December 5, 2025); November 19, 2025 (D, from a complaint, corrected November 20, 2025).
- F 0921, environmental: November 8, 2024 (D, from a complaint, corrected November 10, 2024).
- F 0677, quality of life and care: August 31, 2023 (E, corrected September 1, 2023).
- F 0689, quality of life and care: August 31, 2023 (D, corrected September 1, 2023).
- F 0693, quality of life and care: August 31, 2023 (D, corrected September 1, 2023).
- F 0880, infection control: August 31, 2023 (D, corrected September 1, 2023).
Grand Terrace Rehabilitation and Healthcare in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: FANNIN COUNTY HOSPITAL AUTHORITY
- Date First Approved to Provide Medicare and Medicaid Services: 1985-08-21
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Hidalgo
- Telephone Number: 9566826331
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Both
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 82.8
- Overall Rating: 5
- Health Inspection Rating: 5
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 5
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for Grand Terrace Rehabilitation and Healthcare: no penalty in Care Compare.
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Report a figure on Grand Terrace Rehabilitation and Healthcare’s record that differs from its CMS file, quoting 455586.