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Skilled nursing facility · CMS certification number 455925

Veranda Rehabilitation and Healthcare

Harlingen, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 100

Download this facility’s record (CSV)

In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,021.00 · Payment denials: 0. The most recent penalty on file: April 12, 2024, Fine, $8,021. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record 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 $11.1M in fiscal year 2023 to $11.9M in fiscal year 2024.
  • Its result from service to patients: $2.5M (2022), $2.6M (2023), $2.9M (2024).
  • Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
  • Its net patient revenue of $11.9M ranks 74th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
  • 2 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.

Every line is computed from figures on this page; nothing is estimated.

Finances, as filed

Medicare cost reports, one column per fiscal year, each year linked to its CMS file. The worksheet, line and column of every figure are in this record’s CSV.

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-102024 · report 14380462023 · report 13924342022 · report 13648362021 · report 13337032020 · report 13006102019 · report 12815782018 · report 12386732017 · report 12088182016 · report 11749602015 · report 11742682014 · report 11180762013 · report 11097172012 · report 10597932011 · report 1028000
Period beganJanuary 1, 2024January 1, 2023January 1, 2022January 1, 2021January 1, 2020January 1, 2019January 1, 2018January 1, 2017January 1, 2016January 1, 2015January 1, 2014January 1, 2013January 1, 2012January 1, 2011
Period endedDecember 31, 2024December 31, 2023December 31, 2022December 31, 2021December 31, 2020March 31, 2019December 31, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014December 31, 2013December 31, 2012December 31, 2011
Days in the period36536436436436589, not a full year364364365364364364365364
Processed by CMSAugust 29, 2025August 16, 2024September 15, 2023September 22, 2022September 20, 2021March 23, 2021July 29, 2019August 21, 2018August 25, 2017August 21, 2017January 26, 2016September 16, 2015May 13, 2014April 24, 2013
Total patient revenue$15,289,494$13,876,974$11,483,785$9,691,351$8,552,866$2,358,372$9,317,869$8,265,971$6,922,955$6,548,902$6,674,791$7,014,984$6,694,713$5,310,386
Contractual allowances and discounts$3,346,465$2,796,468$1,139,454$421,741−$1,572,182$375,701$1,154,057$693,273$596,279$515,828$458,798$158,832$92,880$308,839
Net patient revenue$11,943,029$11,080,506$10,344,331$9,269,610$10,125,048$1,982,671$8,163,812$7,572,698$6,326,676$6,033,074$6,215,993$6,856,152$6,601,833$5,001,547
Total operating expenses$9,002,335$8,452,665$7,847,541$7,280,325$7,983,077$1,819,098$7,336,804$7,027,323$6,295,040$6,026,925$5,683,714$5,633,159$5,346,760$4,399,121
Net income from service to patients$2,940,694$2,627,841$2,496,790$1,989,285$2,141,971$163,573$827,008$545,375$31,636$6,149$532,279$1,222,993$1,255,073$602,426
Total other income$12,365$1,644$6,236$3,877$5,577$598$20,215$15,906$3,620$1,365$1,388$186$74$307
Net income after other income$2,953,059$2,629,485$2,503,026$1,993,162$2,147,548$164,171$847,223$561,281$35,256$7,514$533,667$1,223,179$1,255,147$602,733
Net income$2,953,059$2,629,485$2,503,026$1,993,162$2,147,548$164,171$847,223$561,281$35,256$7,514$533,667$1,223,177$1,255,147$602,733
Total facility beds, all components10010010010010010010095959595959595
Bed days available, all components36,600—————————————
Medicare (Title XVIII) patient days2,505—————————————
Medicaid (Title XIX) patient days20,704—————————————
Other-payer patient days8,470—————————————
Total patient days, all components31,67929,64028,60127,75028,2747,79930,74030,91627,62227,89231,56130,54530,34926,734
Medicare discharges40—————————————
Medicaid discharges36—————————————
Other-payer discharges203—————————————
Total discharges, all components27928532028126290334323260246211284293198
Average length of stay, Medicare, in days62.6364.1156.9264.1170.1138.1139.4330.537.2238.5955.5947.3342.7860.99
Average length of stay, Medicaid, in days575.11523.71521.17715.17460.73425.54427.25371.62448.1473.85433.83242.04275.78249.43
Average length of stay, all patients, in days113.5410489.3898.75107.9286.6692.0495.72106.24113.38149.58107.55103.58135.02

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.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2010
Form CMS-2540-962010 · report 4167942009 · report 3851422008 · report 3519072007 · report 3140302006 · report 3007242005 · report 2710372004 · report 2364652003 · report 2124502002 · report 1767692001 · report 1337082000 · report 1163241999 · report 19711998 · report 19701997 · report 188451996 · report 18844
Period beganJanuary 1, 2010December 1, 2009January 1, 2008January 1, 2007January 1, 2006January 1, 2005January 1, 2004January 1, 2003January 1, 2002January 1, 2001January 1, 2000January 1, 1999January 1, 1998January 1, 1997January 1, 1996
Period endedDecember 31, 2010December 31, 2009December 31, 2008December 31, 2007December 31, 2006December 31, 2005December 31, 2004December 31, 2003December 31, 2002December 31, 2001December 31, 2000December 31, 1999December 31, 1998December 31, 1997December 31, 1996
Days in the period36430, not a full year365364364364365364364364365364364364365
Report statussettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledas submittedsettled
Processed by CMSAugust 31, 2011August 11, 2010July 22, 2009June 16, 2008January 24, 2008January 25, 2007November 9, 2005March 28, 2005May 19, 2004March 18, 2003February 12, 2003August 2, 2001October 18, 2000July 31, 1998October 27, 1998
Net patient revenue$4,539,898$278,068$3,667,051$3,768,709$3,764,359$3,725,549$3,995,142$3,678,617$3,690,619$2,973,138$2,916,574$2,609,524$2,930,083$2,989,088$2,583,625
Total operating expenses$3,923,822$277,558$4,055,309$4,107,019$3,809,244$3,850,778$3,814,190$3,574,883$3,588,367$3,191,570$3,254,996$2,964,801$2,899,622$2,996,357$2,654,626
Net income from service to patients$616,076$510−$388,258−$338,310−$44,885−$125,229$180,952$103,734$102,252−$218,432−$338,422−$355,277$30,461−$7,269−$71,001
Total other income$1,208—$126,637$169,498$144,381$175,540$149,228$153,499$154,247$136,291$23,756$29,962$38,708$23,216$24,119
Total other expenses—————————$73—————
Net income$617,284$510−$261,621−$168,812$99,496$50,311$330,180$257,233$256,499−$82,214−$314,666−$325,315$69,169$15,947−$46,882
Total facility beds, all components9595100100100100100100100100100100100100100
Total patient days, all components25,2161,75523,94926,07827,07628,52627,18125,55026,31627,04628,70430,57030,70733,27434,842
Total discharges, all components2095383851599414863139118142688388
Average length of stay, Medicare, in days41.95—198.55162.3845.2443.195050.9966.2730.5429.5435.5432.7726.0436.27
Average length of stay, Medicaid, in days176.31299.41,684.421,693.771,654.861,539.31735.83269.291,441.07318.21465.78369.3936.44——
Average length of stay, all patients, in days120.65351630.24686.26530.9483.49289.16172.64417.71194.58243.25215.28451.57400.89395.93

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.

Nurse staffing

Veranda Rehabilitation and Healthcare: staffing hours by quarter →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated October 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 04/01/2019
CARETRUST GP LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2019
CARETRUST REIT INCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2019
CTR PARTNERSHIP LPADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2019
ENSIGN SERVICES INCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/01/2009
EXPRESSWAY HEALTH HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2019
HARLINGEN HEALTHCARE, INC.ADP OF THE SNFOrganizationNOT APPLICABLEsince 09/25/2025
HESS, JASONADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2019
KOTTA, SHRIDHARADP OF THE SNFIndividualNOT APPLICABLEsince 03/01/2016
BURNAM, SOONCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/01/2019
KEETCH, CHADCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/01/2011
SANDERSON, CLARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/01/2019
HESS, JASONMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/01/2019
KOTTA, SHRIDHARMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 03/01/2016
HARLINGEN HEALTHCARE, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/01/2019
HESS, JASONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2019
KOTTA, SHRIDHAROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2016

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 O20190506000313).

Paused by CMS: Form CMS-855A, December 11, 2025.

OwnerIndividual or organizationRoleOwnership percentageAssociation date
FANNIN COUNTY HOSPITAL AUTHORITYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100.0004/01/2019
CARETRUST GP LLCOrganizationADP OF THE SNFNot stated in the filing04/01/2019
CARETRUST REIT INCOrganizationADP OF THE SNFNot stated in the filing04/01/2019
CTR PARTNERSHIP LPOrganizationADP OF THE SNFNot stated in the filing04/01/2019
ENSIGN SERVICES INCOrganizationADP OF THE SNFNot stated in the filing12/01/2009
EXPRESSWAY HEALTH HOLDINGS LLCOrganizationADP OF THE SNFNot stated in the filing04/01/2019
HARLINGEN HEALTHCARE, INC.OrganizationADP OF THE SNFNot stated in the filing09/25/2025
JASON HESSIndividualADP OF THE SNFNot stated in the filing04/01/2019
SHRIDHAR KOTTAIndividualADP OF THE SNFNot stated in the filing03/01/2016
CHAD KEETCHIndividualCORPORATE OFFICERNot stated in the filing03/01/2011
CLARK SANDERSONIndividualCORPORATE OFFICERNot stated in the filing04/01/2019
SOON BURNAMIndividualCORPORATE OFFICERNot stated in the filing04/01/2019
JASON HESSIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing04/01/2019
SHRIDHAR KOTTAIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing03/01/2016
HARLINGEN HEALTHCARE, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL100.0004/01/2019
JASON HESSIndividualOPERATIONAL/MANAGERIAL CONTROL0.0004/01/2019
SHRIDHAR KOTTAIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing03/01/2016

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; EXPRESSWAY HEALTH HOLDINGS LLC; HARLINGEN HEALTHCARE, INC.; HARLINGEN HEALTHCARE, INC..

Private equity company, real estate investment trust and holding company: Paused by CMS: JASON HESS; SHRIDHAR KOTTA; CHAD KEETCH; CLARK SANDERSON; SOON BURNAM; JASON HESS; SHRIDHAR KOTTA; JASON HESS; SHRIDHAR KOTTA.

Changes in ownership

  • July 1, 2026, Medicare enrollment ownership file; no longer listed: CLARK R SANDERSON (OPERATIONAL/MANAGERIAL CONTROL); first listed: SOON BURNAM (CORPORATE OFFICER), associated since April 1, 2019; JASON HESS (ADP OF THE SNF), associated since April 1, 2019; JASON HESS (MANAGING CONTROL - GOVERNING BODY), associated since April 1, 2019; CHAD KEETCH (CORPORATE OFFICER), associated since March 1, 2011; HARLINGEN HEALTHCARE, INC. (ADP OF THE SNF), associated since September 25, 2025; CARETRUST REIT INC (ADP OF THE SNF), associated since April 1, 2019; CARETRUST GP LLC (ADP OF THE SNF), associated since April 1, 2019; CTR PARTNERSHIP LP (ADP OF THE SNF), associated since April 1, 2019; ENSIGN SERVICES INC (ADP OF THE SNF), associated since December 1, 2009; EXPRESSWAY HEALTH HOLDINGS LLC (ADP OF THE SNF), associated since April 1, 2019; SHRIDHAR KOTTA (ADP OF THE SNF), associated since March 1, 2016; SHRIDHAR KOTTA (MANAGING CONTROL - GOVERNING BODY), associated since March 1, 2016; SHRIDHAR KOTTA (OPERATIONAL/MANAGERIAL CONTROL), associated since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Recent changes on this record

34 changes on this record are listed in the sections above: owner changes under Changes in ownership, filed cost reports in the finances table.

Inspections

  • Cycle 1: health August 19, 2026 (11 deficiencies), fire safety August 19, 2026 (0)
  • Cycle 2: health June 25, 2025 (6 deficiencies), fire safety June 25, 2025 (2)
  • Cycle 3: health May 9, 2024 (4 deficiencies), fire safety May 9, 2024 (0)
  • Cycle 3: health March 3, 2023 (4 deficiencies), fire safety March 3, 2023 (0)

Care Compare inspection summary: NH_SurveySummary_Oct2026.csv, October 1, 2026.

Deficiencies cited

23 deficiencies on file, by tag, newest citation first

every one from a health inspection; 13 cited from a complaint, marked below.

  • F 0635, Resident Assessment and Care Planning Deficiencies: Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Cited August 19, 2026 (scope and severity D, Deficient, Provider has date of correction, corrected August 20, 2026).
  • F 0677, Quality of Life and Care Deficiencies: Provide care and assistance to perform activities of daily living for any resident who is unable. Cited August 19, 2026 (scope and severity D, Deficient, Provider has date of correction, corrected August 20, 2026).
  • F 0695, Quality of Life and Care Deficiencies: Provide safe and appropriate respiratory care for a resident when needed. Cited August 19, 2026 (scope and severity D, Deficient, Provider has date of correction, corrected August 20, 2026).
  • F 0880, Infection Control Deficiencies: Provide and implement an infection prevention and control program. Cited August 19, 2026 (scope and severity E, Deficient, Provider has date of correction, corrected August 20, 2026); June 25, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected June 26, 2025); May 9, 2024 (scope and severity D, Deficient, Provider has date of correction, corrected May 23, 2024).
  • F 0842, Resident Assessment and Care Planning Deficiencies: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Cited July 29, 2026 (scope and severity E, from a complaint, Deficient, Provider has date of correction, corrected August 18, 2026); February 4, 2026 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected February 5, 2026); May 9, 2024 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected May 23, 2024).
  • F 0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies: Develop and implement policies and procedures to prevent abuse, neglect, and theft. Cited April 9, 2026 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected April 10, 2026).
  • F 0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Cited April 9, 2026 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected April 10, 2026); March 3, 2023 (scope and severity D, Deficient, Provider has date of correction, corrected March 3, 2023).
  • F 0684, Quality of Life and Care Deficiencies: Provide appropriate treatment and care according to orders, resident’s preferences and goals. Cited April 9, 2026 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected April 10, 2026).
  • F 0694, Quality of Life and Care Deficiencies: Provide for the safe, appropriate administration of IV fluids for a resident when needed. Cited February 18, 2026 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected February 19, 2026).
  • F 0761, Pharmacy Service Deficiencies: Ensure 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. Cited December 10, 2025 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected December 11, 2025).
  • F 0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies: Protect each resident from the wrongful use of the resident's belongings or money. Cited June 25, 2025 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected June 26, 2025).
  • F 0656, Resident Assessment and Care Planning Deficiencies: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Cited June 25, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected June 26, 2025).
  • F 0925, Environmental Deficiencies: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Cited June 25, 2025 (scope and severity E, Deficient, Provider has date of correction, corrected June 26, 2025).
  • F 0740, Quality of Life and Care Deficiencies: Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Cited May 22, 2025 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected May 23, 2025).
  • F 0755, Pharmacy Service Deficiencies: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Cited May 22, 2025 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected May 23, 2025).
  • F 0558, Resident Rights Deficiencies: Reasonably accommodate the needs and preferences of each resident. Cited April 12, 2024 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected April 13, 2024).
  • F 0689, Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Cited April 12, 2024 (scope and severity J, from a complaint, Past Non-Compliance, corrected December 7, 2023); March 3, 2023 (scope and severity D, Deficient, Provider has date of correction, corrected March 3, 2023).

Care Compare health citations: NH_HealthCitations_Oct2026.csv, October 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
April 12, 2024Fine$8,021112709

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

Care Compare provider information

  • Provider Type: Medicare and Medicaid
  • Ownership Type: For profit - Corporation
  • Legal Business Name: FANNIN COUNTY HOSPITAL AUTHORITY
  • Date First Approved to Provide Medicare and Medicaid Services: 1991-07-01
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Cameron
  • Telephone Number: 9564234959
  • Chain Name: THE ENSIGN GROUP
  • Chain ID: 507
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Number of Certified Beds: 100
  • Average Number of Residents per Day: 87.3
  • Overall Rating: 4
  • Health Inspection Rating: 3
  • QM Rating: 5
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 5
  • Processing Date: 2026-10-01

Care Compare provider information: NH_ProviderInfo_Oct2026.csv, October 1, 2026.

The citable document with full history — $295

Other public records in Texas

A figure on Veranda Rehabilitation and Healthcare’s record that does not match its CMS file? Corrections, quoting 455925.