Skilled nursing facility · CMS certification number 675947

Country Care Manor

La Vernia, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 91

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $22,143.00 · Payment denials: 0. The most recent penalty on file: November 21, 2025, Fine, $4,147. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 16, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,249,018	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,738,553	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,510,465	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,851,982	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$658,483	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$21,458	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$679,941	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $679,941 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	33,306	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	3,323	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	17,117	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	8,505	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	28,945	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	85	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	57	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	151	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	293	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	300.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	98.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1432421, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$10,684,720	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,561,681	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,123,039	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,959,869	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,163,170	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$608,267	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,771,437	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,771,437 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,009	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	450	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.84	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	140.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	66.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1387859, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 18, 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$9,912,864	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,302,465	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,610,399	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,495,065	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,115,334	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$436,855	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,552,189	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,552,189 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,693	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	353	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	92.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	175.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	81.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375099, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 22, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$9,598,302	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,252,815	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,345,487	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,115,550	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,229,937	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$783,363	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,013,300	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,013,300 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,793	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	251	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	448.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	102.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1326671, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$10,087,837	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,549,696	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,538,141	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,845,587	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$692,554	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$353,335	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,045,889	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,045,889 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,120	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	284	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	79.19	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	111.26	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	91.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1298486, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 22, 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$6,920,543	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$792,060	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,128,483	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,208,041	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$79,558	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,701	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$75,857	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$75,857 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,745	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	287	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	324.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	100.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1272242, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 26, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$7,698,976	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,495,589	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,203,387	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,800,912	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$402,475	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,853	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$407,328	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $407,328 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,753	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	293	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	210.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	98.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1232682, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 31, 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$6,909,707	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,572,461	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,337,246	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,402,751	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$65,505	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,821	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$62,684	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$62,684 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,234	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	274	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	291.37	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	95.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1204054, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 21, 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$5,512,495	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$144,825	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,367,670	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,350,803	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$16,867	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$854	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$16,013	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $16,013 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,092	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	190	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.16	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	471.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	147.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1216837, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended December 31, 2015

Cost report for February 28, 2015 to December 31, 2015 — a reporting period of 306 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$4,608,083	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$372,069	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,236,014	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,293,353	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$57,339	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,016	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$56,323	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$56,323 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,217	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	139	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	445.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	159.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1155975, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended December 31, 2014

Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$5,482,711	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$550,064	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,932,647	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,901,687	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$30,960	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,125	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$32,085	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $32,085 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,144	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	133	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	538.28	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	211.61	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1103527, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for July 1, 2013 to December 31, 2013 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 10, 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$2,720,278	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$262,853	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,457,425	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,170,654	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$286,771	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$207	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$286,978	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $202,328 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,782	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	63	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	561.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	234.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1114560, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$5,094,465	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$266,510	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,827,955	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,426,489	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$401,466	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,616	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$404,082	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $333,178 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,359	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	187	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	359.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	151.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1045344, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended December 31, 2011

Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$5,224,167	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$23,089	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,201,078	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,328,071	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$873,007	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,065	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$876,072	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $746,576 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	91	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,258	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	279	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	175.81	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	104.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1015522, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 25, 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$5,294,490	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,560,504	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$733,986	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,176	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$53,656	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $690,506 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,288	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	172	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.44	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	481.07	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	181.91	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 412815, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 27, 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$5,093,303	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,420,116	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$673,187	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$9,971	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $683,158 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,478	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	140	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.55	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	697.7	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	224.84	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 384169, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended December 31, 2008

Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 7, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$4,254,582	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,817,744	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$436,838	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,058	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $438,896 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,891	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	136	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.81	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	706	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	227.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 354170, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on July 24, 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,955,595	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,590,227	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$365,368	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,201	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $367,569 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,852	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	194	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.23	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	415.93	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	159.03	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 320948, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended December 31, 2006

Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 21, 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,732,529	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,483,229	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$249,300	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,889	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $253,189 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,325	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	157	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.18	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	376.47	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	199.52	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 292437, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended December 31, 2005

Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 22, 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,103,905	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,249,444	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$145,539	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,142	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$143,397 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,924	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	140	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.85	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	329.98	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	228.03	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 261658, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 31, 2004

Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 31, 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,214,509	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,007,626	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$206,883	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$541	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $207,424 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,765	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	140	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	39.21	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	308.57	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	219.75	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 232161, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for December 4, 2002 to December 31, 2003 — a reporting period of 392 days, on form CMS-2540-96, settled, processed by CMS on September 21, 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$3,269,115	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,083,361	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$185,754	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,520	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $189,274 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,066	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	140	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.21	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	356.11	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	236.19	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 194270, read from the public cost report file SNFFY2003.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
BEXAR COUNTY HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 02/28/2015
LUMENT REAL ESTATE CAPITAL LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 05/05/2014
AEGIS THERAPIES, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
ALAMO ADVISORS LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
BARBOSA, MARY ANN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/13/2021
CAMPBELL, LESLIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2020
CARE INN REALTY - LAVERNIA LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
CARVAJAL PHARMACY LTC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/01/2017
CASTILLO, LYNNEA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/28/2015
CLAYTON, JONATHON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2023
FELLBAUM, ERNEST	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/28/2015
NUTRITIOUS LIFESTYLES, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
PLANTE & MORAN PLLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
SEHLKE, BRYON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/16/2016
STUDER, STANLEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/28/2015
THOMPSON, CHASE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/16/2020
TOUCHSTONE COMMUNITIES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
TOUCHSTONE STRATEGIES - LAVERNIA LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/24/2025
TRIDENT HEALTH SERVICES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
ZERTUCHE, BENJAMIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2016
ZUROVEC, DARRELL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2017
HURLEY, CHRISTOPHER	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 09/26/2014
BARBOSA, MARY ANN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/13/2021
CAMPBELL, LESLIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2020
CASTILLO, LYNNEA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/28/2015
CLAYTON, JONATHON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2023
SEHLKE, BRYON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/16/2016
THOMPSON, CHASE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/16/2020
TOUCHSTONE STRATEGIES - LAVERNIA LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2016
ZERTUCHE, BENJAMIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2016
ZUROVEC, DARRELL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2017

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BEXAR COUNTY HOSPITAL DISTRICT (enrollment ID O20150507000850).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
BEXAR COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
LUMENT REAL ESTATE CAPITAL LLC	Organization	5% OR GREATER MORTGAGE INTEREST	Not stated in the filing	5/5/2014	Private equity company: No Real estate investment trust: No Holding company: No
AEGIS THERAPIES, INC.	Organization	ADP OF THE SNF	Not stated in the filing	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
ALAMO ADVISORS LP	Organization	ADP OF THE SNF	Not stated in the filing	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
BENJAMIN S ZERTUCHE	Individual	ADP OF THE SNF	Not stated in the filing	12/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BRYON SEHLKE	Individual	ADP OF THE SNF	Not stated in the filing	12/16/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
CARE INN REALTY - LAVERNIA LLC	Organization	ADP OF THE SNF	Not stated in the filing	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
CARVAJAL PHARMACY LTC	Organization	ADP OF THE SNF	Not stated in the filing	7/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
CHASE THOMPSON	Individual	ADP OF THE SNF	Not stated in the filing	8/16/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DARRELL D ZUROVEC	Individual	ADP OF THE SNF	Not stated in the filing	8/1/2017	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ERNEST C FELLBAUM	Individual	ADP OF THE SNF	Not stated in the filing	2/28/2015	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JONATHON DEWEY CLAYTON	Individual	ADP OF THE SNF	Not stated in the filing	5/1/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LESLIE D CAMPBELL	Individual	ADP OF THE SNF	Not stated in the filing	4/1/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LYNNEA CASTILLO	Individual	ADP OF THE SNF	Not stated in the filing	2/28/2015	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARY ANN BARBOSA	Individual	ADP OF THE SNF	Not stated in the filing	9/13/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
NUTRITIOUS LIFESTYLES, INC.	Organization	ADP OF THE SNF	Not stated in the filing	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
PLANTE & MORAN PLLC	Organization	ADP OF THE SNF	Not stated in the filing	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
STANLEY S STUDER	Individual	ADP OF THE SNF	Not stated in the filing	2/28/2015	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
TOUCHSTONE COMMUNITIES INC	Organization	ADP OF THE SNF	Not stated in the filing	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
TOUCHSTONE STRATEGIES - LAVERNIA LLC	Organization	ADP OF THE SNF	Not stated in the filing	7/24/2025	Private equity company: No Real estate investment trust: No Holding company: No
TRIDENT HEALTH SERVICES INC	Organization	ADP OF THE SNF	Not stated in the filing	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
CHRISTOPHER REED HURLEY	Individual	CORPORATE OFFICER	Not stated in the filing	9/26/2014	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BENJAMIN S ZERTUCHE	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	12/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BRYON SEHLKE	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	12/16/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
CHASE THOMPSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/16/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DARRELL D ZUROVEC	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/1/2017	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JONATHON DEWEY CLAYTON	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	5/1/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LESLIE D CAMPBELL	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	4/1/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LYNNEA CASTILLO	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	2/28/2015	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARY ANN BARBOSA	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	9/13/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
TOUCHSTONE STRATEGIES - LAVERNIA LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	3/1/2016	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

September 1, 2025: CHRISTOPHER REED HURLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: BEXAR COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: CHASE THOMPSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: GEORGE B HERNANDEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: GEORGE B HERNANDEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: DAISY NOGUERA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: STANLEY S STUDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: JONATHON DEWEY CLAYTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: JONATHON DEWEY CLAYTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: TRIDENT HEALTH SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: ERNEST C FELLBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: MARY ANN BARBOSA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 13, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: MARY ANN BARBOSA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 13, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: CHRISTOPHER REED HURLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 26, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: TOUCHSTONE STRATEGIES - LAVERNIA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: LESLIE D CAMPBELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: LESLIE D CAMPBELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: BRYON SEHLKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 16, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: BRYON SEHLKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 16, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: BENJAMIN S ZERTUCHE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: BENJAMIN S ZERTUCHE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: AEGIS THERAPIES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: CARE INN REALTY - LAVERNIA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: TOUCHSTONE COMMUNITIES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: BEXAR COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: DARRELL D ZUROVEC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: DARRELL D ZUROVEC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: NUTRITIOUS LIFESTYLES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: PLANTE & MORAN PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: ALAMO ADVISORS LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: LUMENT REAL ESTATE CAPITAL LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 5, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: LYNNEA CASTILLO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: LYNNEA CASTILLO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: CHASE THOMPSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 16, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: CHASE THOMPSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 16, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: CARVAJAL PHARMACY LTC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
October 31, 2022: SUSAN PETERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
October 31, 2022: WILLIAM R BEDWELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
October 31, 2022: REED HURLEY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since March 13, 2014. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
October 31, 2022: CHASE THOMPSON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since August 16, 2020. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
October 31, 2022: DAISY NOGUERA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since January 10, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Recent changes on this record

September 1, 2025: CHRISTOPHER REED HURLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: BEXAR COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: CHASE THOMPSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: GEORGE B HERNANDEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: GEORGE B HERNANDEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: DAISY NOGUERA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: STANLEY S STUDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: JONATHON DEWEY CLAYTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: JONATHON DEWEY CLAYTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: TRIDENT HEALTH SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: ERNEST C FELLBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: MARY ANN BARBOSA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 13, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: MARY ANN BARBOSA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 13, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: CHRISTOPHER REED HURLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 26, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: TOUCHSTONE STRATEGIES - LAVERNIA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: LESLIE D CAMPBELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: LESLIE D CAMPBELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: BRYON SEHLKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 16, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: BRYON SEHLKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 16, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: BENJAMIN S ZERTUCHE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: BENJAMIN S ZERTUCHE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: AEGIS THERAPIES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: CARE INN REALTY - LAVERNIA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: TOUCHSTONE COMMUNITIES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: BEXAR COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: DARRELL D ZUROVEC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: DARRELL D ZUROVEC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: NUTRITIOUS LIFESTYLES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: PLANTE & MORAN PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: ALAMO ADVISORS LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: LUMENT REAL ESTATE CAPITAL LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 5, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: LYNNEA CASTILLO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: LYNNEA CASTILLO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: CHASE THOMPSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 16, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: CHASE THOMPSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 16, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
September 1, 2025: CARVAJAL PHARMACY LTC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
June 16, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
July 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
March 18, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
October 31, 2022: SUSAN PETERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	December 17, 2025	December 17, 2025	5	1
2	September 18, 2024	September 18, 2024	4	0
3	August 2, 2023	August 2, 2023	3	3

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

12 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
December 17, 2025	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	December 18, 2025
December 17, 2025	Health	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.	E	No	Deficient, Provider has date of correction	December 18, 2025
December 17, 2025	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	No	Deficient, Provider has date of correction	January 31, 2026
November 21, 2025	Health	F 0555	Resident Rights Deficiencies	Honor the resident's right to choose his or her attending physician.	D	Yes	Deficient, Provider has date of correction	November 22, 2025
November 21, 2025	Health	F 0627	Resident Rights Deficiencies	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.	D	Yes	Deficient, Provider has date of correction	November 22, 2025
September 18, 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	Yes	Deficient, Provider has date of correction	September 19, 2024
September 18, 2024	Health	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.	E	Yes	Deficient, Provider has date of correction	September 19, 2024
September 18, 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	Yes	Deficient, Provider has date of correction	October 14, 2024
September 18, 2024	Health	F 0944	Administration Deficiencies	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.	D	Yes	Deficient, Provider has date of correction	September 19, 2024
August 2, 2023	Health	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.	E	No	Deficient, Provider has date of correction	August 3, 2023
August 2, 2023	Health	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.	D	No	Deficient, Provider has date of correction	August 3, 2023
August 2, 2023	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	No	Deficient, Provider has date of correction	August 3, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
November 21, 2025	Fine	$4,147			135993
November 25, 2024	Fine	$17,996			113352

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Government - Hospital district
Legal Business Name	BEXAR COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2002-12-04
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Wilson
Telephone Number	8307792355
Chain Name	TOUCHSTONE COMMUNITIES
Chain ID	521
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	91
Average Number of Residents per Day	77.2
Overall Rating	4
Health Inspection Rating	4
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	2
Processing Date	2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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The citable document for Country Care Manor

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