Skilled nursing facility · CMS certification number 675563
Colonial Nursing & Rehabilitation Center
Lindale, Texas · Medicare and Medicaid · 90 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $247,572.00 · Payment denials: 0. The most recent penalty on file: December 27, 2024, Fine, $247,572. Every penalty on file ↓
Colonial Nursing & 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 October 1, 2023 to September 30, 2024 (365 days), and CMS processed it on March 6, 2025.
- Net patient revenue fell from $5.0M in fiscal year 2023 to $4.5M in fiscal year 2024.
- Its result from service to patients: −$1.2M (2022), −$1.8M (2023), −$311K (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $4.5M ranks 504th 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.
Colonial Nursing & Rehabilitation Center: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1404823 | 2023 · report 1375166 | 2022 · report 1344620 | 2021 · report 1314899 | 2020 · report 1282657 | 2019 · report 1281957 | 2018 · report 1222199 | 2017 · report 1189446 | 2016 · report 1190063 | 2015 · report 1139716 | 2014 · report 1118975 | 2013 · report 1071074 | 2012 · report 1045878 | 2011 · report 1014219 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | October 1, 2023 | October 1, 2022 | October 1, 2021 | October 1, 2020 | October 1, 2019 | October 1, 2018 | October 1, 2017 | March 31, 2017 | January 1, 2016 | July 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | September 30, 2024 | September 30, 2023 | September 30, 2022 | September 30, 2021 | September 30, 2020 | September 30, 2019 | September 30, 2018 | September 30, 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 | — | — | — | — | — | — | — | 183 | — | 183 | — | — | — | — |
| Processed by CMS | March 6, 2025 | March 18, 2024 | March 20, 2023 | April 27, 2022 | April 20, 2021 | April 14, 2021 | March 29, 2019 | May 4, 2018 | May 22, 2018 | August 4, 2016 | February 12, 2016 | July 23, 2014 | August 7, 2013 | October 26, 2012 |
| Total patient revenue | $5,016,215 | $4,974,397 | $4,770,884 | $6,963,571 | $4,642,787 | $7,857,731 | $8,016,487 | $4,019,093 | $7,189,963 | $3,692,417 | $4,886,643 | $5,818,515 | $5,083,860 | $5,823,081 |
| Contractual allowances and discounts | $554,745 | — | −$307,610 | $1,394,368 | $162,764 | $1,835,406 | $1,811,336 | $1,019,724 | $1,758,131 | $896,148 | $3,926 | $1,064,662 | $1,004,108 | $1,120,559 |
| Net patient revenue | $4,461,470 | $4,974,397 | $5,078,494 | $5,569,203 | $4,480,023 | $6,022,325 | $6,205,151 | $2,999,369 | $5,431,832 | $2,796,269 | $4,882,717 | $4,753,853 | $4,079,752 | $4,702,522 |
| Total operating expenses | $4,772,955 | $6,792,972 | $6,232,932 | $5,621,527 | $5,537,974 | $6,199,069 | $6,327,869 | $3,005,431 | $5,720,505 | $2,980,398 | $5,498,480 | $5,156,936 | $4,762,701 | $4,744,962 |
| Net income from service to patients | −$311,485 | −$1,818,575 | −$1,154,438 | −$52,324 | −$1,057,951 | −$176,744 | −$122,718 | −$6,062 | −$288,673 | −$184,129 | −$615,763 | −$403,083 | −$682,949 | −$42,440 |
| Total other income | $384,548 | $363,751 | $230,554 | $52,323 | $479,874 | $221,142 | $234,324 | $12,536 | $8,632 | $2,803 | $3,487 | $6,901 | — | $15,835 |
| Net income after other income | $73,063 | −$1,454,824 | −$923,884 | −$1 | −$578,077 | $44,398 | $111,606 | $6,474 | −$280,041 | −$181,326 | −$612,276 | −$396,182 | −$682,949 | −$26,605 |
| Net income | $73,063 | −$1,454,824 | −$923,884 | −$1 | −$578,077 | $44,398 | $111,606 | $6,474 | −$280,042 | −$181,328 | −$612,276 | −$396,182 | −$663,212 | −$26,605 |
| Total facility beds, all components | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 |
| Bed days available, all components | 32,940 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,548 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 13,116 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 8,276 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 22,940 | 22,371 | 19,411 | 23,746 | 22,821 | 24,617 | 25,527 | 12,724 | 23,582 | 11,784 | 21,992 | 23,792 | 23,116 | 26,123 |
| Medicare discharges | 42 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 47 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 135 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 224 | 224 | 85 | 236 | 188 | 223 | 326 | 133 | 269 | 94 | 224 | 151 | 129 | 153 |
| Average length of stay, Medicare, in days | 36.86 | 49.76 | 84.65 | 62.18 | 47.12 | 30.83 | 35.71 | 37.2 | 38.87 | 38.73 | 36.66 | 55.79 | 65.79 | 65.62 |
| Average length of stay, Medicaid, in days | 279.06 | 290.43 | 404.9 | 217.02 | 211 | 251.38 | 195.02 | 435.56 | 352.49 | 1,351.5 | 413.39 | 295.53 | 288.29 | 293.27 |
| Average length of stay, all patients, in days | 102.41 | 99.87 | 228.36 | 100.62 | 121.39 | 110.39 | 78.3 | 95.67 | 87.67 | 125.36 | 98.18 | 157.56 | 179.19 | 170.74 |
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 418048 | 2009 · report 384045 | 2008 · report 348852 | 2007 · report 324066 | 2006 · report 298613 | 2005 · report 267995 | 2004 · report 240030 | 2003 · report 192962 | 2002 · report 208475 | 2001 · report 180663 | 2000 · report 101029 | 1999 · report 101028 | 1998 · report 101027 | 1997 · report 101025 | 1996 · report 101024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 25, 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 |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | as submitted | settled | settled |
| Processed by CMS | September 19, 2011 | July 27, 2010 | July 14, 2009 | August 15, 2008 | December 14, 2007 | December 8, 2006 | December 23, 2005 | September 1, 2004 | February 23, 2005 | June 8, 2004 | January 9, 2002 | November 1, 2001 | October 13, 1999 | June 24, 1999 | August 31, 1998 |
| Net patient revenue | $4,340,720 | $4,930,599 | $5,051,605 | $4,167,578 | $4,305,741 | $4,296,367 | $5,756,206 | $3,842,659 | $3,206,620 | $3,023,130 | $2,693,348 | $2,610,200 | $2,722,958 | $2,102,116 | — |
| Total operating expenses | $4,506,203 | $4,802,339 | $4,516,891 | $4,540,470 | $3,981,893 | $4,256,122 | $4,130,657 | $3,880,257 | $3,174,720 | $2,922,738 | $2,859,123 | $2,802,152 | $2,892,073 | $2,402,534 | $1,297,843 |
| Net income from service to patients | −$165,483 | $128,260 | $534,714 | −$372,892 | $323,848 | $40,245 | $1,625,549 | −$37,598 | $31,900 | $100,392 | −$165,775 | −$191,952 | −$169,115 | −$300,418 | — |
| Total other income | $123,703 | $1,823 | $5,414 | $4,844 | $11,126 | $14,049 | −$30,788 | — | — | $720 | $712 | — | $1,977 | $9,801 | — |
| Total other expenses | — | — | — | — | — | — | — | — | — | — | — | $2,144 | $14,063 | — | — |
| Net income | −$41,780 | $130,083 | $540,128 | −$368,048 | $334,974 | $54,294 | $1,594,761 | −$37,598 | $31,900 | $101,112 | −$165,063 | −$194,096 | −$181,201 | −$290,617 | — |
| Total facility beds, all components | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 83 | 60 |
| Total patient days, all components | 27,096 | 26,479 | 29,146 | 30,018 | 30,548 | 30,866 | 31,274 | 30,620 | 28,612 | 27,449 | 29,560 | 30,861 | 30,536 | 24,206 | 19,244 |
| Total discharges, all components | 153 | 159 | 175 | 140 | 112 | 164 | 124 | 274 | 123 | 104 | 80 | 53 | 118 | 70 | 21 |
| Average length of stay, Medicare, in days | 57.95 | 59.74 | 57.98 | 72.46 | 74.62 | 65.82 | 69.35 | 46.34 | 62 | 49.64 | 40.25 | 67.8 | 41.26 | 38.09 | 116 |
| Average length of stay, Medicaid, in days | 293.65 | 291.82 | 296.1 | 480.85 | 472.69 | 436.12 | 447.17 | 120.22 | 451.79 | 413.21 | 482.33 | 1,162.44 | 586.2 | 780.05 | 1,050.46 |
| Average length of stay, all patients, in days | 177.1 | 166.53 | 166.55 | 214.41 | 272.75 | 188.21 | 252.21 | 111.75 | 232.62 | 263.93 | 369.5 | 582.28 | 258.78 | 345.8 | 916.38 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.
Colonial Nursing & Rehabilitation Center: nurse staffing hours by quarter →
Who owns Colonial Nursing & Rehabilitation Center, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: HOPKINS COUNTY HOSPITAL DISTRICT (organization), 100%%, since 03/31/2017
- CORPORATE OFFICER: SMITH, MICHAEL (individual), NOT APPLICABLE, since 12/01/2021
- OPERATIONAL/MANAGERIAL CONTROL: SMITH, MICHAEL (individual), NOT APPLICABLE, since 12/01/2021
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of HOPKINS COUNTY HOSPITAL DISTRICT (enrollment ID O20170510002019).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: HOPKINS COUNTY HOSPITAL DISTRICT (organization), 100.00%, since 03/31/2017
- CORPORATE OFFICER: MICHAEL BRENT SMITH (individual), since 12/01/2021
- OPERATIONAL/MANAGERIAL CONTROL: MICHAEL BRENT SMITH (individual), since 12/01/2021
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: HOPKINS COUNTY HOSPITAL DISTRICT.
Private equity company, real estate investment trust and holding company: Paused by CMS: MICHAEL BRENT SMITH; MICHAEL BRENT SMITH.
Changes in ownership
- July 1, 2026, enrollment ownership file; no longer listed: MICHAEL BRENT SMITH (W-2 MANAGING EMPLOYEE); first listed: MICHAEL BRENT SMITH (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- October 2, 2023, enrollment ownership file; no longer listed: CATHERINE C GREENLAW (W-2 MANAGING EMPLOYEE); BENEVOLENT HEALTHCARE PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL); first listed: MICHAEL BRENT SMITH (W-2 MANAGING EMPLOYEE), associated since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- February 15, 2023, enrollment ownership file; no longer listed: RONALD FOLWELL (OPERATIONAL/MANAGERIAL CONTROL); RONALD FOLWELL (OFFICER); RYAN OVERTURF (W-2 MANAGING EMPLOYEE); first listed: CATHERINE C GREENLAW (W-2 MANAGING EMPLOYEE), associated since November 29, 2022; MICHAEL BRENT SMITH (OFFICER), associated since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- July 27, 2026: A deficiency was cited under tag F 0842, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 27, 2026: A deficiency was cited under tag F 0558, scope and severity D. NH_HealthCitations_Sep2026_2.csv
Inspections of Colonial Nursing & Rehabilitation Center
- Cycle 1: health March 18, 2026 (8 deficiencies), fire safety March 18, 2026 (2)
- Cycle 2: health January 8, 2025 (12 deficiencies), fire safety January 8, 2025 (0)
- Cycle 3: health December 12, 2023 (5 deficiencies), fire safety December 12, 2023 (1)
Deficiencies cited at Colonial Nursing & Rehabilitation Center
25 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 0558, resident rights: July 27, 2026 (D, from a complaint, corrected July 31, 2026).
- F 0842, resident assessment and care planning: July 27, 2026 (D, from a complaint, corrected July 31, 2026); March 18, 2026 (E, corrected March 27, 2026); January 8, 2025 (D, corrected February 21, 2025).
- F 0550, resident rights: March 18, 2026 (D, corrected March 27, 2026).
- F 0640, resident assessment and care planning: March 18, 2026 (B, corrected March 27, 2026).
- F 0641, resident assessment and care planning: March 18, 2026 (D, corrected March 27, 2026); January 8, 2025 (E, corrected February 21, 2025).
- F 0692, quality of life and care: March 18, 2026 (E, corrected March 27, 2026).
- F 0755, pharmacy service: November 25, 2025 (D, from a complaint, corrected December 1, 2025); January 8, 2025 (D, corrected February 21, 2025); July 10, 2024 (D, from a complaint, corrected August 24, 2024).
- F 0693, quality of life and care: January 8, 2025 (D, corrected February 21, 2025).
- F 0727, nursing and physician services: January 8, 2025 (F, corrected February 21, 2025); December 12, 2023 (E, corrected January 2, 2024).
- F 0731, nursing and physician services: January 8, 2025 (F, corrected February 21, 2025).
- F 0759, pharmacy service: January 8, 2025 (D, corrected February 21, 2025).
- F 0812, nutrition and dietary: January 8, 2025 (F, corrected February 21, 2025).
- F 0880, infection control: January 8, 2025 (D, corrected February 21, 2025).
- F 0600, freedom from abuse, neglect, and exploitation: December 27, 2024 (K, from a complaint, corrected December 28, 2024).
- F 0607, freedom from abuse, neglect, and exploitation: December 27, 2024 (K, from a complaint, corrected December 28, 2024).
- F 0689, quality of life and care: December 27, 2024 (G, from a complaint, corrected December 28, 2024); July 10, 2024 (D, from a complaint, corrected August 24, 2024).
- F 0644, resident assessment and care planning: December 12, 2023 (D, corrected January 12, 2024).
- F 0725, nursing and physician services: December 12, 2023 (E, corrected January 2, 2024).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| December 27, 2024 | Fine | $247,572 | 113496 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Colonial Nursing & Rehabilitation Center in Care Compare
- Ownership Type: For profit - Individual
- Legal Business Name: HOPKINS COUNTY HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 1996-01-25
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Smith
- Telephone Number: 9033523727
- 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: 57.7
- Overall Rating: 1
- Health Inspection Rating: 2
- QM Rating: 4
- Long-Stay QM Rating: 4
- Short-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.
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Report a figure on Colonial Nursing & Rehabilitation Center’s record that differs from its CMS file, quoting 675563.