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Skilled nursing facility · CMS certification number 675933

Treasure Hills Healthcare and Rehabilitation Cente

HARLINGEN, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

Download this facility’s record (CSV)

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. 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 December 1, 2023 to December 31, 2024 (396 days), and CMS processed it on May 19, 2025.
  • Net patient revenue rose from $8.4M in fiscal year 2023 to $11.8M in fiscal year 2024.
  • Its result from service to patients: $2.7M (2022), $2.0M (2023), $2.8M (2024).
  • Its cost reports on file run from fiscal year 2002 to fiscal year 2024.
  • Its net patient revenue of $11.8M ranks 78th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
  • 1 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also reports 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 14230912023 · report 13792152022 · report 13598632021 · report 13284202020 · report 12897252019 · report 12541852018 · report 12401882017 · report 12104162016 · report 11721422015 · report 11763472014 · report 11068452013 · report 11076482012 · report 10823442011 · report 1014235
Period beganDecember 1, 2023January 1, 2023January 1, 2022January 1, 2021November 1, 2019January 1, 2019January 1, 2018January 1, 2017January 1, 2016January 1, 2015January 1, 2014January 1, 2013January 1, 2012January 1, 2011
Period endedDecember 31, 2024November 30, 2023December 31, 2022December 31, 2021December 31, 2020October 31, 2019December 31, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014December 31, 2013December 31, 2012December 31, 2011
Days in the period396333364364426303364364365364364364365364
Processed by CMSMay 19, 2025May 23, 2024July 25, 2023July 29, 2022July 19, 2021April 16, 2020August 8, 2019August 23, 2018August 4, 2017September 25, 2017August 5, 2015August 12, 2015December 11, 2014October 26, 2012
Total patient revenue$14,890,283$10,672,915$11,171,077$9,777,813$10,168,562$10,523,957$11,957,804$11,430,464$12,055,553$13,038,753$12,236,156$12,169,385$13,848,964$13,549,308
Contractual allowances and discounts$3,105,237$2,259,771$1,500,096$1,003,637−$244,409$4,267,271$4,964,420$4,628,402$5,000,065$5,722,909$5,063,279$5,238,563$6,134,995$5,526,485
Net patient revenue$11,785,046$8,413,144$9,670,981$8,774,176$10,412,971$6,256,686$6,993,384$6,802,062$7,055,488$7,315,844$7,172,877$6,930,822$7,713,969$8,022,823
Total operating expenses$8,952,981$6,364,186$7,008,443$6,515,299$7,560,686$6,090,997$6,731,092$6,566,762$6,605,222$7,029,475$6,949,742$6,789,804$7,059,138$6,942,411
Net income from service to patients$2,832,065$2,048,958$2,662,538$2,258,877$2,852,285$165,689$262,292$235,300$450,266$286,369$223,135$141,018$654,831$1,080,412
Total other income$3,449$541$30,245$2,414$1,709$121,109$207,805$84,074$18,280$20,085$10,188$22,833$24,802$26,289
Net income after other income$2,835,514$2,049,499$2,692,783$2,261,291$2,853,994$286,798$470,097$319,374$468,546$306,454$233,323$163,851$679,633$1,106,701
Net income$2,835,514$2,049,499$2,692,783$2,261,291$2,853,994$286,798$413,899$315,278$463,823$282,342$223,644$163,851$679,633$1,106,701
Total facility beds, all components110110110110110120120120120120120120120120
Bed days available, all components43,670—————————————
Medicare (Title XVIII) patient days2,402—————————————
Medicaid (Title XIX) patient days25,162—————————————
Other-payer patient days6,092—————————————
Total patient days, all components33,65625,41428,85028,37735,29628,18233,20633,23033,62233,22934,28732,39033,24233,064
Medicare discharges55—————————————
Medicaid discharges55—————————————
Other-payer discharges155—————————————
Total discharges, all components265188217160165176164151140184166185184240
Average length of stay, Medicare, in days43.6759.3664.1458.884.1543.2353.6546.2257.0455.7266.759.8760.5855.54
Average length of stay, Medicaid, in days457.49317.75417.86570.79405.66335.32410.08503.77340.28289.23376.1291.17303.13218.84
Average length of stay, all patients, in days127135.18132.95177.36213.92160.13202.48220.07240.16180.59206.55175.08180.66137.77

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 2002 to 2010
Form CMS-2540-962010 · report 4145072009 · report 3861222008 · report 3513792007 · report 3344432006 · report 2986192005 · report 2653742004 · report 2395272003 · report 2140642002 · report 148204
Period beganJanuary 1, 2010January 1, 2009January 1, 2008January 1, 2007January 1, 2006January 1, 2005January 1, 2004January 1, 2003September 3, 2002
Period endedDecember 31, 2010December 31, 2009December 31, 2008December 31, 2007December 31, 2006December 31, 2005December 31, 2004December 31, 2003December 31, 2002
Days in the period364364365364364364365364119, not a full year
Report statussettledsettledsettledreopenedsettledsettledsettledsettledas submitted
Processed by CMSAugust 3, 2011August 24, 2010July 17, 2009March 2, 2009December 14, 2007October 30, 2006December 19, 2005April 18, 2005June 11, 2003
Net patient revenue$7,809,023$8,084,758$7,653,518$7,128,864$7,033,976$5,963,240$5,116,257$3,565,968$1,121,650
Total operating expenses$6,951,481$7,318,762$6,637,473$6,075,714$6,410,125$5,591,778$4,647,384$3,501,877$1,127,297
Net income from service to patients$857,542$765,996$1,016,045$1,053,150$623,851$371,462$468,873$64,091−$5,647
Total other income$16,113$7,692$13,073$26,426$11,373$7,881$3,279$6,478$88
Total other expenses—$27,382—$279,202—$973$5,201——
Net income$873,655$746,306$1,029,118$800,374$635,224$378,370$466,951$70,569−$5,559
Total facility beds, all components120120120120120120120120120
Total patient days, all components33,58833,41135,23633,96233,40732,20232,13527,4728,833
Total discharges, all components2902652202619331856824372
Average length of stay, Medicare, in days40.0353.0661.7950.2589.5946.6118.239.6130.15
Average length of stay, Medicaid, in days223.39216.61283.47225.962,466.2166.11110.75171.04155.89
Average length of stay, all patients, in days115.82126.08160.16130.12359.22101.2656.58113.05122.68

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002. Checked against the form’s own arithmetic: what that check shows.

Nurse staffing

Treasure Hills Healthcare and Rehabilitation Cente: 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 INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 12/01/2023
BLACK RIDGE CANYON HEALTHCARE LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/27/2025
ENSIGN SERVICES INCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/01/2023
GUTIERREZ, AMYADP OF THE SNFIndividualNOT APPLICABLEsince 04/27/2025
LITTLETON HEALTH HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/02/2023
RODRIGUEZ, JOSEADP OF THE SNFIndividualNOT APPLICABLEsince 04/27/2025
STANDARD BEARER HEALTHCARE OP, LPADP OF THE SNFOrganizationNOT APPLICABLEsince 12/02/2023
THE ENSIGN GROUP INCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/02/2023
BURNAM, SOONCORPORATE OFFICERIndividualNOT APPLICABLEsince 12/01/2023
SANDERSON, CLARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 12/01/2023
GUTIERREZ, AMYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 12/01/2023
RODRIGUEZ, JOSEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 03/01/2024
BLACK RIDGE CANYON HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 12/01/2023
GUTIERREZ, AMYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2023

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 O20240120000203).

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

OwnerIndividual or organizationRoleOwnership percentageAssociation date
FANNIN COUNTY HOSPITAL AUTHORITYOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTNot stated in the filing12/01/2023
AMY L GUTIERREZIndividualADP OF THE SNFNot stated in the filing04/27/2025
BLACK RIDGE CANYON HEALTHCARE LLCOrganizationADP OF THE SNFNot stated in the filing04/27/2025
ENSIGN SERVICES INCOrganizationADP OF THE SNFNot stated in the filing12/01/2023
JOSE RODRIGUEZIndividualADP OF THE SNFNot stated in the filing04/27/2025
LITTLETON HEALTH HOLDINGS LLCOrganizationADP OF THE SNFNot stated in the filing12/02/2023
STANDARD BEARER HEALTHCARE OP, LPOrganizationADP OF THE SNFNot stated in the filing12/02/2023
THE ENSIGN GROUP INCOrganizationADP OF THE SNFNot stated in the filing12/02/2023
CLARK SANDERSONIndividualCORPORATE OFFICER0.0012/01/2023
SOON BURNAMIndividualCORPORATE OFFICER0.0012/01/2023
AMY L GUTIERREZIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing12/01/2023
JOSE RODRIGUEZIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing03/01/2024
AMY L GUTIERREZIndividualOPERATIONAL/MANAGERIAL CONTROL0.0012/01/2023
BLACK RIDGE CANYON HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL0.0012/01/2023

Private equity company, real estate investment trust and holding company: No: FANNIN COUNTY HOSPITAL AUTHORITY; BLACK RIDGE CANYON HEALTHCARE LLC; ENSIGN SERVICES INC; LITTLETON HEALTH HOLDINGS LLC; STANDARD BEARER HEALTHCARE OP, LP; THE ENSIGN GROUP INC; BLACK RIDGE CANYON HEALTHCARE LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: AMY L GUTIERREZ; JOSE RODRIGUEZ; CLARK SANDERSON; SOON BURNAM; AMY L GUTIERREZ; JOSE RODRIGUEZ; AMY L GUTIERREZ.

Changes in ownership

  • August 1, 2025, Medicare enrollment ownership file; no longer listed: SOON BURNAM (OPERATIONAL/MANAGERIAL CONTROL); AMY L GUTIERREZ (CONTRACTED MANAGING EMPLOYEE); first listed: SOON BURNAM (CORPORATE OFFICER), associated since December 1, 2023; JOSE RODRIGUEZ (ADP OF THE SNF), associated since April 27, 2025; JOSE RODRIGUEZ (MANAGING CONTROL - GOVERNING BODY), associated since March 1, 2024; AMY L GUTIERREZ (ADP OF THE SNF), associated since April 27, 2025; AMY L GUTIERREZ (MANAGING CONTROL - GOVERNING BODY), associated since December 1, 2023; BLACK RIDGE CANYON HEALTHCARE LLC (ADP OF THE SNF), associated since April 27, 2025; LITTLETON HEALTH HOLDINGS LLC (ADP OF THE SNF), associated since December 2, 2023; STANDARD BEARER HEALTHCARE OP, LP (ADP OF THE SNF), associated since December 2, 2023; ENSIGN SERVICES, INC. (ADP OF THE SNF), associated since December 1, 2023; THE ENSIGN GROUP INC (ADP OF THE SNF), associated since December 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • May 1, 2024, Medicare enrollment ownership file; no longer listed: SOON E BURNAM (OFFICER); CRAIG FITCH (OFFICER); RICK LEONARD (OPERATIONAL/MANAGERIAL CONTROL); RICK LEONARD (W-2 MANAGING EMPLOYEE); THE ENSIGN GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); ANDREW ASHTON (OFFICER); KEVIN NICCUM (DIRECTOR); KEYSTONE CARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); first listed: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2023; AMY L GUTIERREZ (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2023; AMY L GUTIERREZ (CONTRACTED MANAGING EMPLOYEE), associated since December 1, 2023; BLACK RIDGE CANYON HEALTHCARE LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2023; FANNIN COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since December 1, 2023; CLARK R SANDERSON (OFFICER), associated since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv

Recent changes on this record

40 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 December 10, 2025 (8 deficiencies), fire safety December 10, 2025 (1)
  • Cycle 2: health September 20, 2024 (11 deficiencies), fire safety September 20, 2024 (1)
  • Cycle 3: health June 16, 2023 (7 deficiencies), fire safety June 16, 2023 (1)

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

Deficiencies cited

26 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 12 cited from a complaint, marked below.

  • F 0584, Resident Rights Deficiencies: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Cited June 10, 2026 (scope and severity D, from a complaint, corrected June 11, 2026).
  • F 0695, Quality of Life and Care Deficiencies: Provide safe and appropriate respiratory care for a resident when needed. Cited June 10, 2026 (scope and severity D, from a complaint, corrected June 11, 2026); December 10, 2025 (scope and severity D, corrected December 11, 2025); September 20, 2024 (scope and severity D, corrected September 21, 2024).
  • F 0550, Resident Rights Deficiencies: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Cited December 10, 2025 (scope and severity D, corrected December 11, 2025).
  • F 0641, Resident Assessment and Care Planning Deficiencies: Ensure each resident receives an accurate assessment. Cited December 10, 2025 (scope and severity D, corrected December 11, 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 December 10, 2025 (scope and severity D, corrected December 11, 2025).
  • 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 December 10, 2025 (scope and severity D, corrected December 11, 2025).
  • F 0880, Infection Control Deficiencies: Provide and implement an infection prevention and control program. Cited December 10, 2025 (scope and severity D, corrected December 11, 2025).
  • 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 August 21, 2025 (scope and severity E, from a complaint, corrected August 22, 2025); June 18, 2025 (scope and severity E, from a complaint, corrected June 19, 2025); February 5, 2024 (scope and severity D, from a complaint, corrected February 6, 2024).
  • F 0644, Resident Assessment and Care Planning Deficiencies: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Cited August 21, 2025 (scope and severity D, from a complaint, corrected August 22, 2025).
  • 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 August 21, 2025 (scope and severity D, from a complaint, corrected August 22, 2025); September 20, 2024 (scope and severity D, corrected September 21, 2024).
  • F 0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Cited June 18, 2025 (scope and severity E, from a complaint, corrected June 19, 2025).
  • F 0758, Pharmacy Service Deficiencies: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Cited September 20, 2024 (scope and severity D, corrected September 21, 2024).
  • F 0803, Nutrition and Dietary Deficiencies: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Cited September 20, 2024 (scope and severity E, corrected September 21, 2024).
  • F 0804, Nutrition and Dietary Deficiencies: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Cited September 20, 2024 (scope and severity D, corrected September 21, 2024).
  • F 0812, Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Cited September 20, 2024 (scope and severity E, corrected September 21, 2024); June 16, 2023 (scope and severity D, corrected July 14, 2023).
  • F 0558, Resident Rights Deficiencies: Reasonably accommodate the needs and preferences of each resident. Cited August 15, 2024 (scope and severity D, from a complaint, corrected August 16, 2024).
  • F 0919, Environmental Deficiencies: Make sure that a working call system is available in each resident's bathroom and bathing area. Cited August 15, 2024 (scope and severity D, from a complaint, corrected August 16, 2024).
  • F 0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies: Develop and implement policies and procedures to prevent abuse, neglect, and theft. Cited February 5, 2024 (scope and severity D, from a complaint, corrected February 6, 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 February 5, 2024 (scope and severity D, from a complaint, corrected February 6, 2024).
  • F 0727, Nursing and Physician Services Deficiencies: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Cited June 16, 2023 (scope and severity D, corrected July 14, 2023).

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

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

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: 2002-09-03
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Cameron
  • Telephone Number: 9564252812
  • Chain Name: THE ENSIGN GROUP
  • Chain ID: 507
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Both
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Number of Certified Beds: 120
  • Average Number of Residents per Day: 93.4
  • Overall Rating: 4
  • Health Inspection Rating: 4
  • QM Rating: 4
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 2
  • 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 Treasure Hills Healthcare and Rehabilitation Cente’s record that does not match its CMS file? Corrections, quoting 675933.