Skilled nursing facility · CMS certification number 675138
INSPIRATION HILLS REHABILITATION CENTER
SAN ANTONIO, Texas · Medicare and Medicaid · 134 certified beds in Care Compare
INSPIRATION HILLS REHABILITATION CENTER: 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 28, 2025.
- Net patient revenue rose from $4.0M in fiscal year 2023 to $6.3M in fiscal year 2024.
- Its result from service to patients: $1.1M (2022), −$379K (2023), −$65K (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $6.3M ranks 359th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 4 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 loss on service to patients.
INSPIRATION HILLS REHABILITATION CENTER: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1435949 | 2023 · report 1391278 | 2022 · report 1353315 | 2021 · report 1355390 | 2020 · report 1342183 | 2019 · report 1308558 | 2018 · report 1253890 | 2017 · report 1217184 | 2016 · report 1188200 | 2015 · report 1177335 | 2014 · report 1148888 | 2013 · report 1109613 | 2012 · report 1044225 | 2011 · report 1014253 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | May 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 | — | 244 | — | — | — | — | — | — | — | — | — | — | — | — |
| Processed by CMS | August 28, 2025 | August 6, 2024 | June 21, 2023 | June 28, 2023 | February 9, 2023 | January 13, 2022 | April 15, 2020 | December 28, 2018 | May 2, 2018 | October 19, 2017 | December 15, 2016 | September 16, 2015 | July 29, 2013 | October 26, 2012 |
| Total patient revenue | $7,869,876 | $5,163,962 | $9,343,052 | $6,797,843 | $8,207,032 | $9,363,743 | $8,540,256 | $10,185,206 | $8,991,947 | $8,414,748 | $7,134,669 | $7,261,591 | $8,526,712 | $8,396,514 |
| Contractual allowances and discounts | $1,534,338 | $1,165,839 | $1,167,013 | −$685,195 | −$741,213 | $1,613,593 | $1,252,445 | $2,340,186 | $2,419,048 | $2,058,073 | $1,041,250 | $1,245,254 | $1,471,752 | $671,818 |
| Net patient revenue | $6,335,538 | $3,998,123 | $8,176,039 | $7,483,038 | $8,948,245 | $7,750,150 | $7,287,811 | $7,845,020 | $6,572,899 | $6,356,675 | $6,093,419 | $6,016,337 | $7,054,960 | $7,724,696 |
| Total operating expenses | $6,400,670 | $4,376,881 | $7,053,952 | $7,462,322 | $8,342,549 | $7,396,223 | $7,337,899 | $7,510,651 | $7,062,531 | $6,702,698 | $6,327,192 | $6,323,610 | $7,062,385 | $7,110,611 |
| Net income from service to patients | −$65,132 | −$378,758 | $1,122,087 | $20,716 | $605,696 | $353,927 | −$50,088 | $334,369 | −$489,632 | −$346,023 | −$233,773 | −$307,273 | −$7,425 | $614,085 |
| Total other income | −$2,224 | $510 | $1,657 | $1,606 | $3,552 | $2,974 | $3,865 | $218 | $18,360 | $4,483 | $6,768 | — | $1,417 | $35 |
| Net income after other income | −$67,356 | −$378,248 | $1,123,744 | $22,322 | $609,248 | $356,901 | −$46,223 | $334,587 | −$471,272 | −$341,540 | −$227,005 | −$307,273 | −$6,008 | $614,120 |
| Net income | −$67,356 | −$378,248 | $1,123,744 | $22,322 | $609,248 | $356,901 | −$46,223 | $334,587 | −$471,272 | −$341,540 | −$227,005 | −$307,273 | −$6,008 | $614,120 |
| Total facility beds, all components | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 |
| Bed days available, all components | 49,044 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 2,695 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 1,914 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 21,086 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 25,695 | 15,838 | 21,315 | 22,400 | 26,330 | 31,190 | 29,255 | 36,614 | 34,047 | 30,913 | 33,303 | 35,752 | 37,721 | 43,012 |
| Medicare discharges | 55 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 18 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 29 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 102 | 157 | 440 | 284 | 189 | 236 | 234 | 327 | 263 | 237 | 246 | 189 | 169 | 193 |
| Average length of stay, Medicare, in days | 49 | 33.23 | 29.44 | 45.35 | 102.03 | 80.99 | 68.49 | 69.59 | 72.85 | 59.07 | 60.72 | 91.17 | 76.71 | 74.94 |
| Average length of stay, Medicaid, in days | 106.33 | 194.98 | 190.63 | 328.51 | 195.82 | 195.63 | 216.79 | 243.54 | 224.63 | 134.63 | 241.38 | 262.78 | 295.91 | 298.47 |
| Average length of stay, all patients, in days | 251.91 | 100.88 | 48.44 | 78.87 | 139.31 | 132.16 | 125.02 | 111.97 | 129.46 | 130.43 | 135.38 | 189.16 | 223.2 | 222.86 |
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 417949 | 2009 · report 383013 | 2008 · report 349318 | 2007 · report 322182 | 2006 · report 295248 | 2005 · report 263292 | 2004 · report 244253 | 2003 · report 180644 | 2002 · report 199558 | 2001 · report 175482 | 2000 · report 161186 | 1999 · report 99243 | 1998 · report 99241 | 1997 · report 99239 | 1996 · report 99236 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | April 15, 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 | — | — | — | — | — | — | — | — | — | — | — | — | — | 260 | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled | settled | settled | settled | settled | settled |
| Processed by CMS | September 19, 2011 | July 21, 2010 | July 14, 2009 | July 30, 2008 | October 26, 2007 | September 18, 2006 | March 3, 2006 | June 8, 2004 | November 12, 2004 | May 5, 2004 | September 30, 2003 | January 16, 2001 | November 1, 2000 | June 9, 1999 | June 17, 1998 |
| Net patient revenue | $7,874,279 | $8,372,463 | $7,878,929 | $7,163,877 | $6,232,053 | $5,104,283 | $4,955,256 | $5,304,898 | $5,092,301 | $4,352,380 | $4,236,654 | $3,596,954 | $4,516,099 | $3,729,030 | $2,449,778 |
| Total operating expenses | $7,068,336 | $7,501,100 | $7,081,987 | $6,490,998 | $5,793,767 | $4,906,000 | $4,951,953 | $4,763,014 | $4,748,718 | $4,598,013 | $4,228,620 | $4,123,241 | $4,153,104 | $3,251,682 | $2,717,537 |
| Net income from service to patients | $805,943 | $871,363 | $796,942 | $672,879 | $438,286 | $198,283 | $3,303 | $541,884 | $343,583 | −$245,633 | $8,034 | −$526,287 | $362,995 | $477,348 | −$267,759 |
| Total other income | $10 | $283 | $4,439 | $2,312 | $3,738 | $9,288 | $319 | $1,747 | $582 | $866 | $4,134 | $1,469 | $24,219 | — | — |
| Net income | $805,953 | $871,646 | $801,381 | $675,191 | $442,024 | $207,571 | $3,622 | $543,631 | $344,165 | −$244,767 | $12,168 | −$524,818 | $387,214 | $477,348 | −$267,759 |
| Total facility beds, all components | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 | 134 |
| Total patient days, all components | 43,292 | 44,250 | 43,970 | 43,844 | 43,230 | 40,594 | 41,595 | 44,385 | 45,543 | 42,437 | 44,196 | 45,899 | 46,143 | 31,184 | 33,111 |
| Total discharges, all components | 191 | 194 | 209 | 236 | 230 | 191 | 213 | 242 | 203 | 212 | 202 | 215 | 227 | 212 | 65 |
| Average length of stay, Medicare, in days | 95.49 | 102.54 | 90.19 | 65.91 | 55.8 | 54.23 | 38.04 | 31.98 | 28.82 | 25.74 | 28.89 | 29.04 | 66.72 | 54.83 | 47.78 |
| Average length of stay, Medicaid, in days | 296.39 | 298.02 | 296.95 | 297.2 | 295.94 | 296.46 | 296.84 | 349.91 | 350.35 | 351.79 | 349.23 | 351.83 | 271.22 | 182.26 | 684.69 |
| Average length of stay, all patients, in days | 226.66 | 228.09 | 210.38 | 185.78 | 187.96 | 212.53 | 195.28 | 183.41 | 224.35 | 200.17 | 218.79 | 213.48 | 203.27 | 147.09 | 509.4 |
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.
INSPIRATION HILLS REHABILITATION CENTER: nurse staffing hours by quarter →
Who owns INSPIRATION HILLS REHABILITATION CENTER, as filed with CMS
Care Compare
- 5% OR GREATER MORTGAGE INTEREST: ALLANTE PROPERTIES OF TEXAS, LP (organization), since 05/01/2023; PRINCE, DANNY (individual), since 05/01/2023
- ADP OF THE SNF: ALLANTE PROPERTIES OF TEXAS, LP (organization), since 05/01/2023; AZIZ, WESAM (individual), since 05/01/2023; PRINCE, DANNY (individual), since 05/01/2023; THE WILLIAMSBURG CARE COMPANY, LP (organization), since 04/22/2025; WAMPLER, DEB (individual), since 05/01/2023
- CORPORATE OFFICER: HOOPER, GRADY (individual), since 05/01/2023
- OPERATIONAL/MANAGERIAL CONTROL: DKP INVESTMENTS, LLC (organization), since 05/01/2023; PRINCE, DANNY (individual), since 05/01/2023; THE WILLIAMSBURG CARE COMPANY, LP (organization), since 05/01/2023; WAMPLER, DEB (individual), since 05/01/2023
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 HAMILTON COUNTY HOSPITAL DISTRICT (enrollment ID O20230531002930).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: HAMILTON COUNTY HOSPITAL DISTRICT (organization), 100.00%, since 05/01/2023
- 5% OR GREATER MORTGAGE INTEREST: ALLANTE PROPERTIES OF TEXAS, LP (organization), 100.00%, since 05/01/2023; DANNY K PRINCE (individual), 99.00%, since 05/01/2023
- ADP OF THE SNF: ALLANTE PROPERTIES OF TEXAS, LP (organization), since 05/01/2023; DANNY K PRINCE (individual), since 05/01/2023; DEB WAMPLER (individual), since 05/01/2023; THE WILLIAMSBURG CARE COMPANY, LP (organization), since 04/22/2025; WESAM SABRI AZIZ (individual), since 05/01/2023
- CORPORATE OFFICER: GRADY HOOPER (individual), 0.00%, since 05/01/2023
- OPERATIONAL/MANAGERIAL CONTROL: DANNY K PRINCE (individual), 100.00%, since 05/01/2023; DEB WAMPLER (individual), since 05/01/2023; DKP INVESTMENTS, LLC (organization), since 05/01/2023; THE WILLIAMSBURG CARE COMPANY, LP (organization), 100.00%, since 05/01/2023
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: HAMILTON COUNTY HOSPITAL DISTRICT; ALLANTE PROPERTIES OF TEXAS, LP; ALLANTE PROPERTIES OF TEXAS, LP; THE WILLIAMSBURG CARE COMPANY, LP; DKP INVESTMENTS, LLC; THE WILLIAMSBURG CARE COMPANY, LP.
Private equity company, real estate investment trust and holding company: Paused by CMS: DANNY K PRINCE; DANNY K PRINCE; DEB WAMPLER; WESAM SABRI AZIZ; GRADY HOOPER; DANNY K PRINCE; DEB WAMPLER.
Changes in ownership
- August 1, 2025, enrollment ownership file; no longer listed: GRADY HOOPER (CORPORATE DIRECTOR); DEB WAMPLER (W-2 MANAGING EMPLOYEE); first listed: WESAM SABRI AZIZ (ADP OF THE SNF), associated since May 1, 2023; DKP INVESTMENTS, LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2023; GRADY HOOPER (CORPORATE OFFICER), associated since May 1, 2023; DANNY K PRINCE (ADP OF THE SNF), associated since May 1, 2023; DANNY K PRINCE (5% OR GREATER MORTGAGE INTEREST), associated since May 1, 2023; ALLANTE PROPERTIES OF TEXAS, LP (ADP OF THE SNF), associated since May 1, 2023; ALLANTE PROPERTIES OF TEXAS, LP (5% OR GREATER MORTGAGE INTEREST), associated since May 1, 2023; THE WILLIAMSBURG CARE COMPANY, LP (ADP OF THE SNF), associated since April 22, 2025; DEB WAMPLER (ADP OF THE SNF), associated since May 1, 2023; DEB WAMPLER (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- September 15, 2023, enrollment ownership file; no longer listed: SHAWN C GOLDEN (5% OR GREATER INDIRECT OWNERSHIP INTEREST); SLM INVESTMENTS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); LAUREN P GOLDEN (DIRECTOR); LAUREN P GOLDEN (5% OR GREATER INDIRECT OWNERSHIP INTEREST); DKP INVESTMENTS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); DLEN, INC. (GENERAL PARTNERSHIP INTEREST); PRINCE & LUFFEY LLC (OPERATIONAL/MANAGERIAL CONTROL); DANNY K PRINCE (DIRECTOR); DANNY K PRINCE (5% OR GREATER INDIRECT OWNERSHIP INTEREST); DANNY K PRINCE (5% OR GREATER DIRECT OWNERSHIP INTEREST); DEB WAMPLER (W-2 MANAGING EMPLOYEE); first listed: GRADY HOOPER (DIRECTOR), associated since May 1, 2023; DANNY K PRINCE (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2023; THE WILLIAMSBURG CARE COMPANY, LP (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2023; HAMILTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since May 1, 2023; DEB WAMPLER (W-2 MANAGING EMPLOYEE), associated since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
Inspections of INSPIRATION HILLS REHABILITATION CENTER
- Cycle 1: health June 4, 2026 (13 deficiencies), fire safety June 4, 2026 (7)
- Cycle 2: health April 4, 2025 (10 deficiencies), fire safety April 4, 2025 (3)
- Cycle 3: health February 23, 2024 (7 deficiencies), fire safety February 23, 2024 (2)
Deficiencies cited at INSPIRATION HILLS REHABILITATION CENTER
30 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 4 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0585, resident rights: June 4, 2026 (D, corrected June 5, 2026).
- F 0609, freedom from abuse, neglect, and exploitation: June 4, 2026 (D, corrected June 5, 2026).
- F 0656, resident assessment and care planning: June 4, 2026 (D, corrected June 5, 2026); November 26, 2025 (D, from a complaint, corrected December 12, 2025); April 4, 2025 (E, corrected April 23, 2025); February 23, 2024 (D, corrected February 28, 2024).
- F 0679, quality of life and care: June 4, 2026 (D, corrected June 5, 2026).
- F 0689, quality of life and care: June 4, 2026 (E, corrected June 5, 2026); April 4, 2025 (E, from a complaint, corrected April 23, 2025).
- F 0690, quality of life and care: June 4, 2026 (D, corrected June 5, 2026).
- F 0693, quality of life and care: June 4, 2026 (D, corrected June 5, 2026).
- F 0695, quality of life and care: June 4, 2026 (D, corrected June 5, 2026).
- F 0755, pharmacy service: June 4, 2026 (E, corrected June 5, 2026).
- F 0759, pharmacy service: June 4, 2026 (E, corrected June 5, 2026); April 4, 2025 (D, corrected April 23, 2025).
- F 0812, nutrition and dietary: June 4, 2026 (E, corrected June 5, 2026); April 4, 2025 (F, corrected April 23, 2025).
- F 0880, infection control: March 5, 2026 (D, from a complaint, corrected March 6, 2026); April 4, 2025 (D, corrected April 7, 2025).
- F 0657, resident assessment and care planning: April 4, 2025 (D, corrected April 23, 2025).
- F 0677, quality of life and care: April 4, 2025 (E, corrected April 14, 2025).
- F 0685, quality of life and care: April 4, 2025 (D, corrected April 23, 2025).
- F 0688, quality of life and care: April 4, 2025 (D, corrected April 23, 2025).
- F 0760, pharmacy service: April 4, 2025 (D, corrected April 23, 2025); February 23, 2024 (D, corrected February 28, 2024).
- F 0563, resident rights: February 23, 2024 (F, corrected February 28, 2024).
- F 0770, administration: February 23, 2024 (D, corrected February 28, 2024).
- F 0773, administration: February 23, 2024 (D, corrected February 28, 2024).
- F 0842, resident assessment and care planning: February 23, 2024 (D, corrected February 28, 2024).
- F 0640, resident assessment and care planning: January 11, 2024 (B, from a complaint, corrected January 25, 2024).
INSPIRATION HILLS REHABILITATION CENTER in Care Compare
- Ownership Type: For profit - Individual
- Legal Business Name: HAMILTON COUNTY HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 1993-03-19
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Bexar
- Telephone Number: 2104340671
- Chain Name: PARAMOUNT HEALTHCARE
- Chain ID: 775
- 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: 86.1
- Overall Rating: 3
- Health Inspection Rating: 3
- QM Rating: 4
- Long-Stay QM Rating: 4
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 INSPIRATION HILLS REHABILITATION CENTER: no penalty in Care Compare.
Other nursing facilities in SAN ANTONIO
Report a figure on INSPIRATION HILLS REHABILITATION CENTER’s record that differs from its CMS file, quoting 675138.