Skilled nursing facility · CMS certification number 675929
Cedar Creek Nursing and Rehabilitation Center
Bandera, Texas · Medicare and Medicaid · 62 certified beds in Care Compare
Cedar Creek Nursing and 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 $2.5M in fiscal year 2023 to $2.8M in fiscal year 2024.
- Its result from service to patients: −$427K (2022), −$456K (2023), −$314K (2024).
- Its cost reports on file run from fiscal year 2002 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on August 28, 2025, no other change appears in the CMS files.
- Its net patient revenue of $2.8M ranks 620th 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 loss on service to patients.
Cedar Creek Nursing and Rehabilitation Center: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1436031 | 2023 · report 1391649 | 2022 · report 1361642 | 2021 · report 1327999 | 2020 · report 1301556 | 2019 · report 1272241 | 2018 · report 1238695 | 2017 · report 1210174 | 2016 · report 1168833 | 2015 · report 1134889 | 2014 · report 1105316 | 2013 · report 1112483 | 2012 · report 1081638 | 2011 · report 1014663 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 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 | February 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 |
| Processed by CMS | August 28, 2025 | August 8, 2024 | August 9, 2023 | July 26, 2022 | September 30, 2021 | October 22, 2020 | July 29, 2019 | August 22, 2018 | July 17, 2017 | July 25, 2016 | July 25, 2015 | November 10, 2015 | December 4, 2014 | October 26, 2012 |
| Total patient revenue | $3,071,459 | $2,889,951 | $2,769,471 | $2,698,434 | $3,134,514 | $2,918,304 | $2,951,195 | $2,756,290 | $2,810,207 | $2,089,109 | $2,363,209 | $2,451,722 | $3,365,043 | $3,618,893 |
| Contractual allowances and discounts | $308,659 | $402,014 | $427,618 | $416,811 | $370,506 | $417,430 | $573,737 | $293,677 | $352,316 | $212,237 | $254,157 | $305,987 | $1,188,296 | $1,334,745 |
| Net patient revenue | $2,762,800 | $2,487,937 | $2,341,853 | $2,281,623 | $2,764,008 | $2,500,874 | $2,377,458 | $2,462,613 | $2,457,891 | $1,876,872 | $2,109,052 | $2,145,735 | $2,176,747 | $2,284,148 |
| Total operating expenses | $3,076,796 | $2,943,569 | $2,768,838 | $2,733,682 | $2,801,249 | $2,557,128 | $2,563,337 | $2,704,021 | $2,759,323 | $2,463,949 | $2,474,816 | $2,627,652 | $2,269,488 | $2,301,514 |
| Net income from service to patients | −$313,996 | −$455,632 | −$426,985 | −$452,059 | −$37,241 | −$56,254 | −$185,879 | −$241,408 | −$301,432 | −$587,077 | −$365,764 | −$481,917 | −$92,741 | −$17,366 |
| Total other income | $180,816 | $467,149 | $822,044 | $470,827 | $595,862 | $178 | $751 | $278 | $723 | $15,249 | $697 | $23,343 | $57,320 | $41,557 |
| Net income after other income | −$133,180 | $11,517 | $395,059 | $18,768 | $558,621 | −$56,076 | −$185,128 | −$241,130 | −$300,709 | −$571,828 | −$365,067 | −$458,574 | −$35,421 | $24,191 |
| Net income | −$133,180 | $11,517 | $395,059 | $18,768 | $558,621 | −$56,076 | −$185,128 | −$241,130 | −$300,709 | −$571,828 | −$365,067 | −$458,574 | −$35,421 | $24,191 |
| Total facility beds, all components | 62 | 62 | 62 | 62 | 62 | 62 | 62 | 62 | 62 | 62 | 62 | 62 | 62 | 62 |
| Bed days available, all components | 22,692 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,209 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 17,130 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 6,127 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 24,466 | 10,918 | 10,816 | 9,905 | 13,654 | 13,159 | 12,115 | 12,489 | 12,452 | 10,704 | 10,879 | 12,094 | 13,301 | 13,347 |
| Medicare discharges | 35 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 71 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 84 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 190 | 60 | 47 | 74 | 50 | 62 | 56 | 62 | 94 | 54 | 44 | 76 | 77 | 73 |
| Average length of stay, Medicare, in days | 34.54 | 51.22 | 120.71 | 48.07 | 76.46 | 81.57 | 85.5 | 53.31 | 45.92 | 37.06 | 51.86 | 162.8 | 53.58 | 73.07 |
| Average length of stay, Medicaid, in days | 241.27 | 447.59 | 405.32 | 269.48 | 494.3 | 365.28 | 333.42 | 324.34 | 216.05 | 263.45 | 532.79 | 151.43 | 252.31 | — |
| Average length of stay, all patients, in days | 128.77 | 181.97 | 230.13 | 133.85 | 273.08 | 212.24 | 216.34 | 201.44 | 132.47 | 198.22 | 247.25 | 159.13 | 172.74 | 182.84 |
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: every report is settled.
| Form CMS-2540-96 | 2010 · report 431204 | 2009 · report 381511 | 2008 · report 356128 | 2007 · report 323094 | 2006 · report 298343 | 2005 · report 274128 | 2004 · report 239655 | 2003 · report 183550 | 2002 · report 171143 |
|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | June 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | October 5, 2004 | January 1, 2003 | August 20, 2002 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | May 31, 2003 | December 31, 2002 |
| Days, where not a full year | — | 213 | — | — | — | — | 87 | 150 | 133 |
| Processed by CMS | August 13, 2012 | July 14, 2010 | September 8, 2009 | August 6, 2008 | December 12, 2007 | March 9, 2007 | December 20, 2005 | June 21, 2004 | March 17, 2004 |
| Net patient revenue | $1,870,072 | $1,344,033 | $2,531,125 | $2,221,189 | $2,272,151 | $2,024,139 | $405,233 | $717,294 | $358,559 |
| Total operating expenses | $2,178,339 | $1,456,785 | $2,656,804 | $2,326,815 | $2,098,491 | $2,127,069 | $477,721 | $622,176 | $282,495 |
| Net income from service to patients | −$308,267 | −$112,752 | −$125,679 | −$105,626 | $173,660 | −$102,930 | −$72,488 | $95,118 | $76,064 |
| Total other income | $115 | $142 | — | — | $14 | $89 | — | — | $13 |
| Net income | −$308,152 | −$112,610 | −$125,679 | −$105,626 | $173,674 | −$102,841 | −$72,488 | $95,118 | $76,077 |
| Total facility beds, all components | 62 | 62 | 62 | 62 | 62 | 62 | 62 | 62 | 62 |
| Total patient days, all components | 13,760 | 9,026 | 16,952 | 16,438 | 17,413 | 16,569 | 3,721 | 6,423 | 4,101 |
| Total discharges, all components | 29 | 47 | 76 | 87 | 113 | 119 | 36 | 50 | 24 |
| Average length of stay, Medicare, in days | 55.08 | 44.22 | 74.43 | 59.56 | 78.41 | 45.73 | 11.33 | 37.88 | 44 |
| Average length of stay, Medicaid, in days | — | — | — | 365.44 | 340.87 | 225.63 | 206.36 | 173.04 | 214.08 |
| Average length of stay, all patients, in days | 474.48 | 192.04 | 223.05 | 188.94 | 154.1 | 139.24 | 103.36 | 128.46 | 170.88 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002. Checked against the form’s own arithmetic: what that check shows.
Cedar Creek Nursing and Rehabilitation Center: nurse staffing hours by quarter →
Who owns Cedar Creek Nursing and Rehabilitation Center, as filed with CMS
Care Compare
- OPERATIONAL/MANAGERIAL CONTROL: BLAKE, GARY (individual), since 02/01/2013; BLAKE, MALISA (individual), since 02/01/2013; CREATIVE SOLUTIONS IN HEALTHCARE INC (organization), since 02/01/2013
- W-2 MANAGING EMPLOYEE: HUGGINS, LINDA (individual), since 02/01/2013
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 BANDERA I ENTERPRISES LLC (enrollment ID O20130805000330).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: HONOR X ENTERPRISES, LLC (organization), 100.00%, since 02/01/2013
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: GARY R BLAKE (individual), 50.00%, since 01/23/2013; MALISA A BLAKE (individual), 50.00%, since 01/23/2013
- OPERATIONAL/MANAGERIAL CONTROL: CREATIVE SOLUTIONS IN HEALTHCARE INC (organization), 100.00%, since 02/01/2013; GARY R BLAKE (individual), 50.00%, since 02/01/2013; MALISA A BLAKE (individual), 50.00%, since 02/01/2013
- W-2 MANAGING EMPLOYEE: LINDA F HUGGINS (individual), 0.00%, since 02/01/2013
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: HONOR X ENTERPRISES, LLC; CREATIVE SOLUTIONS IN HEALTHCARE INC.
Private equity company, real estate investment trust and holding company: Paused by CMS: GARY R BLAKE; MALISA A BLAKE; GARY R BLAKE; MALISA A BLAKE; LINDA F HUGGINS.
Inspections of Cedar Creek Nursing and Rehabilitation Center
- Cycle 1: health May 8, 2026 (11 deficiencies), fire safety May 8, 2026 (6)
- Cycle 2: health March 7, 2025 (18 deficiencies), fire safety March 7, 2025 (3)
- Cycle 3: health February 7, 2024 (11 deficiencies), fire safety February 7, 2024 (2)
Deficiencies cited at Cedar Creek Nursing and Rehabilitation Center
40 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 16 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0812, nutrition and dietary: May 29, 2026 (E, from a complaint, corrected June 26, 2026); December 21, 2025 (E, from a complaint, corrected January 6, 2026); March 7, 2025 (E, corrected March 10, 2025); February 7, 2024 (E, corrected February 27, 2024); December 18, 2023 (D, from a complaint, corrected January 12, 2024).
- F 0578, resident rights: May 8, 2026 (D, corrected June 1, 2026).
- F 0627, resident rights: May 8, 2026 (D, corrected May 9, 2026).
- F 0645, resident assessment and care planning: May 8, 2026 (D, corrected May 9, 2026).
- F 0761, pharmacy service: May 8, 2026 (E, corrected June 8, 2026); December 21, 2025 (D, from a complaint, corrected January 6, 2026); March 7, 2025 (D, corrected March 10, 2025); February 7, 2024 (D, corrected February 27, 2024).
- F 0842, resident assessment and care planning: May 8, 2026 (D, corrected May 11, 2026); March 7, 2025 (D, corrected March 10, 2025).
- F 0583, resident rights: December 21, 2025 (D, from a complaint, corrected January 6, 2026); February 12, 2025 (D, from a complaint, corrected February 13, 2025).
- F 0755, pharmacy service: December 21, 2025 (E, from a complaint, corrected January 6, 2026).
- F 0813, nutrition and dietary: December 21, 2025 (D, from a complaint, corrected January 6, 2026).
- F 0550, resident rights: March 7, 2025 (D, corrected March 10, 2025).
- F 0656, resident assessment and care planning: March 7, 2025 (D, corrected March 10, 2025); February 12, 2025 (D, from a complaint, corrected February 13, 2025); February 6, 2025 (D, from a complaint, corrected February 7, 2025); February 7, 2024 (D, corrected February 27, 2024).
- F 0689, quality of life and care: March 7, 2025 (D, corrected March 10, 2025); February 7, 2024 (D, corrected February 27, 2024).
- F 0695, quality of life and care: March 7, 2025 (D, corrected March 10, 2025).
- F 0804, nutrition and dietary: March 7, 2025 (E, corrected March 10, 2025).
- F 0809, nutrition and dietary: March 7, 2025 (E, corrected March 10, 2025).
- F 0880, infection control: March 7, 2025 (E, corrected March 10, 2025).
- F 0925, environmental: March 7, 2025 (D, corrected March 14, 2025); February 12, 2025 (F, from a complaint, corrected February 13, 2025).
- F 0609, freedom from abuse, neglect, and exploitation: February 12, 2025 (E, from a complaint, corrected February 13, 2025); December 18, 2023 (D, from a complaint, corrected January 12, 2024).
- F 0677, quality of life and care: February 12, 2025 (E, from a complaint, corrected February 13, 2025).
- F 0688, quality of life and care: February 12, 2025 (D, from a complaint, corrected February 13, 2025).
- F 0657, resident assessment and care planning: February 7, 2024 (D, corrected February 27, 2024).
- F 0759, pharmacy service: February 7, 2024 (E, corrected February 27, 2024).
- F 0760, pharmacy service: February 7, 2024 (E, corrected February 27, 2024).
- F 0908, environmental: February 7, 2024 (E, corrected February 27, 2024).
- F 0607, freedom from abuse, neglect, and exploitation: December 18, 2023 (D, from a complaint, corrected January 12, 2024).
Cedar Creek Nursing and Rehabilitation Center in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: BANDERA I ENTERPRISES LLC
- Date First Approved to Provide Medicare and Medicaid Services: 2002-08-20
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Bandera
- Telephone Number: 8304603767
- Chain Name: CREATIVE SOLUTIONS IN HEALTHCARE
- Chain ID: 169
- 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: 33.2
- Overall Rating: 2
- 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 Cedar Creek Nursing and Rehabilitation Center: no penalty in Care Compare; no change in ownership since September 20, 2022.
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Report a figure on Cedar Creek Nursing and Rehabilitation Center’s record that differs from its CMS file, quoting 675929.