Skilled nursing facility · CMS certification number 455742
THE LEV AT SAN ANTONIO
SAN ANTONIO, Texas · Medicare and Medicaid · 106 certified beds in Care Compare
Download THE LEV AT SAN ANTONIO’s record (CSV, each figure with its worksheet, line and column)
In Care Compare’s provider information: Penalties: 2 · Fines: 1 · Fines, total amount: $174,496.00 · Payment denials: 1. The most recent penalty on file: August 30, 2024, Fine, $174,496. Every penalty on file ↓
THE LEV AT SAN ANTONIO: 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 September 1, 2024 to August 31, 2025 (364 days), and CMS processed it on December 24, 2025.
- Net patient revenue rose from $6.0M in fiscal year 2024 to $6.7M in fiscal year 2025.
- Its result from service to patients: −$528K (2023), −$982K (2024), −$844K (2025).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2025.
- Its net patient revenue of $6.7M ranks 251st of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- All 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.
THE LEV AT SAN ANTONIO: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1445584 | 2024 · report 1403510 | 2023 · report 1420958 | 2022 · report 1343298 | 2021 · report 1343860 | 2020 · report 1285350 | 2019 · report 1257257 | 2018 · report 1239358 | 2017 · report 1209181 | 2016 · report 1168715 | 2015 · report 1117121 | 2014 · report 1119370 | 2013 · report 1059660 | 2012 · report 1048949 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | September 1, 2024 | September 1, 2023 | September 1, 2022 | September 1, 2021 | September 1, 2020 | April 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 19, 2016 | July 1, 2014 | July 1, 2013 | July 1, 2012 | July 1, 2011 |
| Period ended | August 31, 2025 | August 31, 2024 | August 31, 2023 | August 31, 2022 | August 31, 2021 | August 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | June 30, 2015 | June 30, 2014 | June 30, 2013 | June 30, 2012 |
| Days, where not a full year | — | — | — | — | — | 152 | — | — | — | — | — | — | — | — |
| Processed by CMS | December 24, 2025 | February 11, 2025 | April 8, 2025 | February 27, 2023 | March 6, 2023 | June 3, 2021 | June 9, 2020 | August 2, 2019 | August 21, 2018 | July 17, 2017 | January 20, 2016 | February 22, 2016 | May 9, 2014 | November 5, 2013 |
| Total patient revenue | $7,191,413 | $5,869,038 | $5,655,646 | $6,286,856 | $6,590,355 | $2,382,781 | $5,056,803 | $4,829,809 | $4,957,390 | $4,065,008 | $8,492,200 | $7,519,526 | $7,225,589 | $7,999,611 |
| Contractual allowances and discounts | $521,292 | −$94,714 | −$917,972 | $231,351 | $917,961 | $269,712 | $841,140 | $746,372 | $478,966 | — | $3,115,186 | $2,694,694 | $2,092,248 | $1,983,648 |
| Net patient revenue | $6,670,121 | $5,963,752 | $6,573,618 | $6,055,505 | $5,672,394 | $2,113,069 | $4,215,663 | $4,083,437 | $4,478,424 | $4,065,008 | $5,377,014 | $4,824,832 | $5,133,341 | $6,015,963 |
| Total operating expenses | $7,513,912 | $6,946,240 | $7,101,857 | $6,870,960 | $5,641,933 | $2,109,009 | $4,855,605 | $4,989,392 | $5,418,194 | $4,919,859 | $6,273,568 | $5,923,165 | $6,259,355 | $7,680,049 |
| Net income from service to patients | −$843,791 | −$982,488 | −$528,239 | −$815,455 | $30,461 | $4,060 | −$639,942 | −$905,955 | −$939,770 | −$854,851 | −$896,554 | −$1,098,333 | −$1,126,014 | −$1,664,086 |
| Total other income | $769,892 | $536,343 | $306,406 | $2,000,087 | $851,177 | $671,515 | — | — | — | — | $4,796 | $3,062 | $3,405 | $4,468 |
| Net income after other income | −$73,899 | −$446,145 | −$221,833 | $1,184,632 | $881,638 | $675,575 | −$639,942 | −$905,955 | −$939,770 | −$854,851 | −$891,758 | −$1,095,271 | −$1,122,609 | −$1,659,618 |
| Net income | −$73,899 | −$446,145 | −$221,833 | $1,184,632 | $881,638 | $675,575 | −$639,942 | −$905,955 | −$939,770 | −$854,851 | −$892,890 | −$1,096,166 | −$1,124,423 | −$1,659,618 |
| Total facility beds, all components | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 106 |
| Bed days available, all components | 38,690 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 2,692 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 18,048 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 6,175 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 26,915 | 24,432 | 25,222 | 25,974 | 21,851 | 7,676 | 18,847 | 18,323 | 18,331 | 17,162 | 20,601 | 19,727 | 21,358 | 23,847 |
| Medicare discharges | 55 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 61 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 59 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 175 | 173 | 185 | 223 | 278 | 243 | 243 | 438 | 438 | 453 | 650 | 580 | 629 | 721 |
| Average length of stay, Medicare, in days | 48.95 | 46.84 | 67.74 | 47.37 | 38.22 | 11.37 | 20.96 | 18.57 | 21.83 | 20.33 | 22.48 | 31.74 | 31.18 | 33.95 |
| Average length of stay, Medicaid, in days | 295.87 | 245.38 | 276.48 | 220.73 | 182.58 | 121.69 | 233.91 | 221.16 | 223.12 | 352.1 | 599.75 | 290.34 | 369.69 | 276.58 |
| Average length of stay, all patients, in days | 153.8 | 141.23 | 136.34 | 116.48 | 78.6 | 31.59 | 77.56 | 41.83 | 41.85 | 37.89 | 31.69 | 34.01 | 33.96 | 33.07 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2011 · report 433969 | 2010 · report 392342 | 2009 · report 362833 | 2008 · report 332527 | 2007 · report 317271 | 2006 · report 294701 | 2005 · report 264534 | 2004 · report 232758 | 2003 · report 203247 | 2002 · report 166288 | 2001 · report 221911 | 2000 · report 221918 | 1999 · report 226363 | 1998 · report 414615 | 1997 · report 360951 | 1996 · report 28037 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | July 1, 2010 | July 1, 2009 | July 1, 2008 | December 21, 2007 | July 1, 2007 | July 1, 2005 | July 1, 2004 | July 1, 2003 | July 1, 2002 | July 1, 2001 | July 1, 2000 | July 1, 1999 | July 1, 1998 | July 1, 1997 | November 1, 1996 | November 1, 1995 |
| Period ended | June 30, 2011 | June 30, 2010 | June 30, 2009 | June 30, 2008 | December 20, 2007 | June 30, 2006 | June 30, 2005 | June 30, 2004 | June 30, 2003 | June 30, 2002 | June 30, 2001 | June 30, 2000 | June 30, 1999 | June 30, 1998 | June 30, 1997 | October 31, 1996 |
| Days, where not a full year | — | — | — | 192 | 172 | — | — | — | — | — | — | — | — | — | 241 | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | reopened | reopened | reopened | reopened | reopened | settled |
| Processed by CMS | December 18, 2012 | January 12, 2011 | January 25, 2010 | January 23, 2009 | June 24, 2008 | October 16, 2007 | October 16, 2006 | September 9, 2005 | December 23, 2004 | December 31, 2003 | June 13, 2005 | June 13, 2005 | July 11, 2005 | August 4, 2011 | December 15, 2009 | July 31, 1998 |
| Net patient revenue | $6,815,993 | $6,475,767 | $7,128,672 | $3,595,978 | $3,183,043 | $5,475,479 | $5,097,462 | $4,852,074 | $4,483,332 | $3,947,927 | $3,393,915 | $3,081,823 | $3,144,820 | $3,002,817 | $1,453,651 | $2,872,131 |
| Total operating expenses | $6,597,756 | $5,835,244 | $6,832,830 | $3,649,046 | $3,182,933 | $5,415,994 | $5,187,796 | $4,872,270 | $4,539,360 | $4,790,837 | $3,984,984 | $3,092,036 | $3,110,078 | $3,217,653 | $2,270,830 | $3,390,787 |
| Net income from service to patients | $218,237 | $640,523 | $295,842 | −$53,068 | $110 | $59,485 | −$90,334 | −$20,196 | −$56,028 | −$842,910 | −$591,069 | −$10,213 | $34,742 | −$214,836 | −$817,179 | −$518,656 |
| Total other income | $4,491 | $2,537 | $866 | $460 | $2,329 | −$2,363 | $627 | $4,255 | $9,108 | $10,112 | $8,006 | $4,837 | $5,028 | $82,286 | $31,847 | $24,871 |
| Total other expenses | — | — | — | — | — | $420 | — | — | — | — | $38,776 | $27,618 | $83,182 | — | — | — |
| Net income | $222,728 | $643,060 | $296,708 | −$52,608 | $2,439 | $56,702 | −$89,707 | −$15,941 | −$46,920 | −$832,798 | −$621,839 | −$32,994 | −$43,412 | −$132,550 | −$785,332 | −$493,785 |
| Total facility beds, all components | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 106 | 93 | 104 | 93 |
| Total patient days, all components | 26,657 | 24,913 | 28,543 | 16,112 | 14,438 | 28,988 | 28,389 | 29,866 | 27,213 | 25,176 | 24,101 | 24,942 | 23,846 | 23,714 | 17,775 | 26,395 |
| Total discharges, all components | 710 | 730 | 920 | 874 | 402 | 622 | 513 | 481 | 379 | 522 | 479 | 428 | 204 | 258 | 178 | 250 |
| Average length of stay, Medicare, in days | 27.96 | 29.87 | 22.49 | 13.25 | 23.18 | 24.57 | 24.37 | 24.22 | 27.54 | 25.43 | 23.2 | 18.55 | 39.15 | 32.57 | 33.24 | 33.84 |
| Average length of stay, Medicaid, in days | 294.33 | 259.41 | 113.25 | 120.68 | 297 | 202.27 | 294.38 | 221.14 | 403.15 | 178.4 | 200.05 | 318.17 | 76.58 | — | — | — |
| Average length of stay, all patients, in days | 37.55 | 34.13 | 31.02 | 18.43 | 35.92 | 46.6 | 55.34 | 62.09 | 71.8 | 48.23 | 50.32 | 58.28 | 116.89 | 91.91 | 99.86 | 105.58 |
Net income, fiscal years 2011, 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.
THE LEV AT SAN ANTONIO: nurse staffing hours by quarter →
Who owns THE LEV AT SAN ANTONIO, as filed with CMS
Care Compare
- CONTRACTED MANAGING EMPLOYEE: SHKOP, AHARON (individual), since 09/01/2020
- CORPORATE DIRECTOR: DERRICK, MICHELE (individual), since 04/01/2020; JOLLIFF, SUSAN (individual), since 04/01/2020; JONES, TIMOTHY (individual), since 04/01/2020; KELTZ, TERRY (individual), since 04/01/2020; MOSELEY, ARTHUR (individual), since 04/01/2020; OWENS, CURTIS (individual), since 04/01/2020; YOUNG, ROD (individual), since 04/01/2020
- OPERATIONAL/MANAGERIAL CONTROL: MCCULLOCH COUNTY HOSPITAL DISTRICT (organization), since 04/01/2020; THE LEV AT SAN ANTONIO, LLC (organization), since 09/01/2020
- W-2 MANAGING EMPLOYEE: JONES, TIMOTHY (individual), since 04/01/2020
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of MCCULLOCH COUNTY HOSPITAL DISTRICT (enrollment ID O20200603000362).
- CONTRACTED MANAGING EMPLOYEE: AHARON SHKOP (individual), 100.00%, since 09/01/2020
- CORPORATE DIRECTOR: ARTHUR MOSELEY (individual), since 04/01/2020; CURTIS OWENS (individual), since 04/01/2020; MICHELE DERRICK (individual), since 04/01/2020; ROD YOUNG (individual), since 04/01/2020; SUSAN JOLLIFF (individual), since 04/01/2020; TERRY KELTZ (individual), since 04/01/2020; TIMOTHY S JONES (individual), since 04/01/2020
- OPERATIONAL/MANAGERIAL CONTROL: MCCULLOCH COUNTY HOSPITAL DISTRICT (organization), since 04/01/2020; THE LEV AT SAN ANTONIO, LLC (organization), 100.00%, since 09/01/2020
- W-2 MANAGING EMPLOYEE: TIMOTHY S JONES (individual), since 04/01/2020
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: Paused by CMS: AHARON SHKOP; ARTHUR MOSELEY; CURTIS OWENS; MICHELE DERRICK; ROD YOUNG; SUSAN JOLLIFF; TERRY KELTZ; TIMOTHY S JONES; TIMOTHY S JONES.
Private equity company, real estate investment trust and holding company: No: MCCULLOCH COUNTY HOSPITAL DISTRICT; THE LEV AT SAN ANTONIO, LLC.
Changes in ownership
- September 1, 2024, enrollment ownership file; first listed: THE LEV AT SAN ANTONIO, LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since September 1, 2020; AHARON SHKOP (CONTRACTED MANAGING EMPLOYEE), associated since September 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- July 24, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 24, 2026: A deficiency was cited under tag F 0755, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 24, 2026: A deficiency was cited under tag F 0558, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 24, 2026: A deficiency was cited under tag F 0605, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 24, 2026: A deficiency was cited under tag F 0727, scope and severity F. NH_HealthCitations_Sep2026_2.csv
Inspections of THE LEV AT SAN ANTONIO
- Cycle 1: health September 11, 2025 (20 deficiencies), fire safety September 11, 2025 (7)
- Cycle 2: health August 30, 2024 (8 deficiencies), fire safety August 30, 2024 (7)
- Cycle 3: health June 23, 2023 (17 deficiencies), fire safety June 23, 2023 (2)
Deficiencies cited at THE LEV AT SAN ANTONIO
45 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 15 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0558, resident rights: July 24, 2026 (D, from a complaint, corrected July 27, 2026).
- F 0605, freedom from abuse, neglect, and exploitation: July 24, 2026 (E, from a complaint, corrected July 29, 2026).
- F 0727, nursing and physician services: July 24, 2026 (F, from a complaint, corrected August 3, 2026).
- F 0755, pharmacy service: July 24, 2026 (D, from a complaint, corrected August 3, 2026); September 11, 2025 (D, corrected September 17, 2025).
- F 0880, infection control: July 24, 2026 (D, from a complaint, corrected July 27, 2026); September 11, 2025 (D, corrected September 17, 2025); June 23, 2023 (E, corrected June 30, 2023).
- F 0761, pharmacy service: March 19, 2026 (D, from a complaint, corrected March 23, 2026); September 11, 2025 (E, corrected September 17, 2025); August 9, 2024 (D, from a complaint, corrected August 23, 2024); June 23, 2023 (D, corrected June 30, 2023).
- F 0550, resident rights: September 11, 2025 (D, corrected September 17, 2025); June 23, 2023 (D, corrected June 30, 2023).
- F 0561, resident rights: September 11, 2025 (D, corrected September 17, 2025); August 30, 2024 (D, corrected September 4, 2024).
- F 0577, resident rights: September 11, 2025 (C, corrected September 17, 2025).
- F 0584, resident rights: September 11, 2025 (C, corrected September 17, 2025); June 23, 2023 (E, corrected June 30, 2023).
- F 0585, resident rights: September 11, 2025 (D, corrected September 17, 2025); August 30, 2024 (D, corrected September 6, 2024).
- F 0644, resident assessment and care planning: September 11, 2025 (D, corrected September 17, 2025).
- F 0657, resident assessment and care planning: September 11, 2025 (D, corrected September 17, 2025).
- F 0684, quality of life and care: September 11, 2025 (D, corrected September 17, 2025); August 30, 2024 (K, corrected September 3, 2024); June 23, 2023 (D, corrected June 30, 2023).
- F 0759, pharmacy service: September 11, 2025 (D, corrected September 17, 2025).
- F 0812, nutrition and dietary: September 11, 2025 (E, corrected September 17, 2025); August 30, 2024 (E, corrected September 3, 2024); June 23, 2023 (D, corrected June 30, 2023).
- F 0908, environmental: September 11, 2025 (F, corrected September 17, 2025).
- F 0842, resident assessment and care planning: August 14, 2025 (D, from a complaint, corrected August 15, 2025); August 9, 2024 (E, from a complaint, corrected August 23, 2024); June 23, 2023 (D, corrected June 30, 2023).
- F 0622, resident rights: April 3, 2025 (D, from a complaint, corrected April 7, 2025).
- F 0623, resident rights: April 3, 2025 (D, from a complaint, corrected April 7, 2025).
- F 0883, infection control: August 30, 2024 (E, corrected September 23, 2024).
- F 0641, resident assessment and care planning: August 9, 2024 (D, from a complaint, corrected August 23, 2024); February 16, 2024 (D, from a complaint, corrected February 19, 2024); June 23, 2023 (D, corrected June 30, 2023).
- F 0757, pharmacy service: August 9, 2024 (E, from a complaint, corrected August 23, 2024).
- F 0609, freedom from abuse, neglect, and exploitation: November 9, 2023 (D, from a complaint, corrected November 13, 2023).
- F 0656, resident assessment and care planning: June 23, 2023 (D, corrected June 30, 2023).
- F 0677, quality of life and care: June 23, 2023 (D, corrected June 30, 2023).
- F 0921, environmental: June 23, 2023 (E, corrected June 30, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| August 30, 2024 | Fine | $174,496 | 113185 | ||
| August 30, 2024 | Payment Denial | October 4, 2024 | 8 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
THE LEV AT SAN ANTONIO in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: MCCULLOCH COUNTY HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 1988-04-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Bexar
- Telephone Number: 2103416121
- 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: 80.8
- Overall Rating: 1
- Health Inspection Rating: 2
- QM Rating: 3
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 1
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 SAN ANTONIO
Report a figure on THE LEV AT SAN ANTONIO’s record that differs from its CMS file, quoting 455742.