Velarion Records

Skilled nursing facility · CMS certification number 675958

Avir at Citizens Trail

TEXARKANA, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 114

Download this facility’s record (CSV)

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: $120,751.00 · Payment denials: 0. The most recent penalty on file: July 17, 2024, Fine, $16,055. 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 June 1, 2024 to December 31, 2024 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$2,191,350CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$468,187CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,659,537CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,612,324CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$47,213CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$149,084CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$196,297CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $196,297 (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
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components24,396CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days710CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,357CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days2,767CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components11,834CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges11CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges5CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges43CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components59CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days64.55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,671.4CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days200.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436035, 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 May 13, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,287,455CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$618,365CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,905,820CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,662,120CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$243,700CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$481,891CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$725,591CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $725,591 (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
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,988CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components77CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days74.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days742.65CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days285.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1377663, 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 July 14, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$4,198,215CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$162,504CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,360,719CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,039,405CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$321,314CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$261,232CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$582,546CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $582,546 (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
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,345CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components93CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days88.79CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days866.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days186.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1356601, 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 June 14, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$2,932,894CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$627,367CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,560,261CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,487,606CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$72,655CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$295,743CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$368,398CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $368,398 (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
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,240CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components71CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days79.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days690.69CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days200.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1319673, 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 October 28, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$3,418,790CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$642,470CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,061,260CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,694,488CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$366,772CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$394,577CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$761,349CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $761,349 (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
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,545CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components99CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days86.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days776.93CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days167.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1303392, 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 March 3, 2022.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$7,856,938CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,937,927CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,919,011CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,441,591CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$522,580CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$6,971CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$529,551CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$529,551 (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
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,209CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components153CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days256.02CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days145.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1311302, 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 January 27, 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$10,738,630CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,374,834CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,363,796CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,556,115CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$192,319CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,152CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$189,167CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$189,167 (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
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,790CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components237CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days230.31CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days125.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249938, 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 December 17, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$11,678,223CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,870,042CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,808,181CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,849,349CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$41,168CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$3,158CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$44,326CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$44,326 (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
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,342CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components332CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.51CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days170.09CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days97.42CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1216106, 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 June 19, 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$12,003,558CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,307,071CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,696,487CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,602,920CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$93,567CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$2,912CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$90,655CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $90,655 (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
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,931CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components290CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days178.26CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1194203, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended December 31, 2015

Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$12,405,157CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,789,611CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,615,546CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,610,282CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$5,264CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$190,649CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$195,913CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $195,913 (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
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,352CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components366CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.03CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days45.85CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days88.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1155976, 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 October 26, 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$12,085,745CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,824,481CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,261,264CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,064,177CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$197,087CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$14,693CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$211,780CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $211,780 (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
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,915CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components281CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days280.73CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days120.69CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1145493, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 23, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$9,980,196CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,262,390CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,717,806CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,621,148CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$96,658CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,674CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$110,332CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $110,332 (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
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,123CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components238CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days268.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.37CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1089067, 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 July 23, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$8,522,463CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,961,217CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,561,246CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,419,611CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$141,635CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$14,206CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$155,841CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $155,841 (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
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,317CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components232CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days190.84CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days117.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1041237, 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
FigureAs filedWhere it comes from
Total patient revenue$5,275,147CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,451,739CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,823,408CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,913,646CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$90,238CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$24,689CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$65,549CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$65,549 (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
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,858CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components136CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days371.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days197.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013470, 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 August 1, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$3,833,610CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,603,564CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,230,046CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$25,183CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,255,229 (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
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,346CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components111CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.15CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,378.75CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days255.37CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414034, 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 16, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,011,972CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,857,256CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$154,716CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$33,751CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $188,467 (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
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,000CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components63CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days107.09CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days945.54CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days460.32CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 381913, 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 July 17, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$3,463,553CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,507,860CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$44,307CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,587CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$35,720 (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
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,825CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components129CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days52.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days589.86CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days207.95CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 351382, 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, settled, processed by CMS on June 24, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$3,420,269CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,425,281CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$5,012CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,444CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$3,568 (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
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,638CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components99CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51.58CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days910.09CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days269.07CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 317039, 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 1, 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$3,370,520CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,421,069CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$50,549CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$71,783CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $21,234 (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
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,812CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components100CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days70.22CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days776.58CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days268.12CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 290835, 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 September 15, 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$2,919,216CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,223,108CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$303,892CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$49,568CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$254,324 (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
FigureAs filedWhere it comes from
Total facility beds, all components174CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,749CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components135CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.15CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days341.93CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days190.73CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 263128, 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 December 23, 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$3,053,226CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,999,606CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$53,620CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$18,724CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $72,344 (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
FigureAs filedWhere it comes from
Total facility beds, all components174CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,359CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components162CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.72CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days248.84CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days119.5CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 240034, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for April 3, 2003 to December 31, 2003 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 6, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$2,224,292CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,501,596CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$277,304CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$140CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$277,164 (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
FigureAs filedWhere it comes from
Total facility beds, all components174CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components27,736CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components190CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days41.04CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days189.98CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days145.98CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 216243, 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 managerRoleTypeOwnership percentageAssociation
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 06/01/2024
1008 CITIZENS TRAIL PROPERTY OWNER LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/01/2025
BRADFORD, JEFFREYADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2024
FERGUSON, CLAYADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2024
JOHNSON, JUSTINADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2024
SLIMMER, CHRISTOPHERADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2024
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/01/2025
WELLTOWER OP, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/01/2025
HOLT, ERINCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/25/2020
KEETON, WENDYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/29/2012
KISSLING, MONICACORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/27/2017
MCBEAN, PATRICIACORPORATE DIRECTORIndividualNOT APPLICABLEsince 08/30/2021
OWENS, ANGELACORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/22/2016
TROMPLER, KELLYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/22/2022
SANDERSON, CLARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/29/2012
1008 CITIZENS TRAIL OPCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/01/2025
BRADFORD, JEFFREYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2024
FANNIN COUNTY HOSPITAL AUTHORITYOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2024
FERGUSON, CLAYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2024
JOHNSON, JUSTINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2024
SLIMMER, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2024

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FANNIN COUNTY HOSPITAL AUTHORITY (enrollment ID O20240813001578).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
FANNIN COUNTY HOSPITAL AUTHORITYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
1008 CITIZENS TRAIL PROPERTY OWNER LLCOrganizationADP OF THE SNFNot stated in the filing8/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CHRISTOPHER M SLIMMERIndividualADP OF THE SNFNot stated in the filing6/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CLAY WALT FERGUSONIndividualADP OF THE SNFNot stated in the filing6/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEFFREY BRADFORDIndividualADP OF THE SNFNot stated in the filing6/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JUSTIN B JOHNSONIndividualADP OF THE SNFNot stated in the filing6/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WELLTOWER NNN GROUP, LLCOrganizationADP OF THE SNFNot stated in the filing8/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
WELLTOWER OP, LLCOrganizationADP OF THE SNFNot stated in the filing8/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
ANGELA OWENSIndividualCORPORATE DIRECTOR06/22/2016
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ERIN HOLTIndividualCORPORATE DIRECTOR02/25/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KELLY TROMPLERIndividualCORPORATE DIRECTOR02/22/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MONICA KISSLINGIndividualCORPORATE DIRECTOR06/27/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PATRICIA MCBEANIndividualCORPORATE DIRECTOR08/30/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WENDY KEETONIndividualCORPORATE DIRECTOR010/29/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CLARK R SANDERSONIndividualCORPORATE OFFICER010/29/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
1008 CITIZENS TRAIL OPCO, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CHRISTOPHER M SLIMMERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CLAY WALT FERGUSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
FANNIN COUNTY HOSPITAL AUTHORITYOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JEFFREY BRADFORDIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JUSTIN B JOHNSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1November 20, 2025November 20, 2025262
2August 21, 2024August 21, 202454
3July 12, 2023July 12, 2023213

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

Deficiencies cited

52 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
November 20, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0584Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.ENoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0813Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.FNoDeficient, Provider has date of correctionNovember 21, 2025
November 20, 2025HealthF 0926Environmental DeficienciesHave policies on smoking.DNoDeficient, Provider has date of correctionNovember 21, 2025
August 21, 2024HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DNoDeficient, Provider has date of correctionAugust 22, 2024
August 21, 2024HealthF 0584Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionAugust 22, 2024
August 21, 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correctionAugust 22, 2024
August 21, 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionAugust 22, 2024
August 21, 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correctionAugust 22, 2024
July 17, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesPast Non-ComplianceOctober 8, 2023
July 17, 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.JYesPast Non-ComplianceOctober 8, 2023
February 24, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KYesDeficient, Provider has date of correctionMarch 13, 2024
February 24, 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.KYesDeficient, Provider has date of correctionMarch 13, 2024
February 24, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.KYesDeficient, Provider has date of correctionMarch 13, 2024
February 24, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionMarch 13, 2024
February 24, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correctionMarch 13, 2024
July 12, 2023HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.ENoDeficient, Provider has date of correctionAugust 9, 2023
July 12, 2023HealthF 0584Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correctionAugust 9, 2023
July 12, 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionAugust 9, 2023
July 12, 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correctionAugust 9, 2023
July 12, 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.ENoDeficient, Provider has date of correctionAugust 9, 2023
July 12, 2023HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correctionAugust 9, 2023
July 12, 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionAugust 9, 2023
July 12, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JNoDeficient, Provider has date of correctionAugust 9, 2023
July 12, 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionAugust 9, 2023
July 12, 2023HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correctionAugust 9, 2023
July 12, 2023HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FNoDeficient, Provider has date of correctionAugust 9, 2023
July 12, 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correctionAugust 9, 2023
July 12, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionAugust 9, 2023
July 12, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionAugust 9, 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
July 17, 2024Fine$16,055113040
February 24, 2024Fine$104,696112386

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameFANNIN COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid Services2003-04-03
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishBowie
Telephone Number9038389526
Chain NameAVIR HEALTH GROUP
Chain ID719
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds114
Average Number of Residents per Day52.1
Overall Rating1
Health Inspection Rating1
QM Rating2
Long-Stay QM Rating3
Short-Stay QM Rating1
Processing Date2026-09-01

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

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