Skilled nursing facility · CMS certification number 675974

Medina Valley Health & Rehabilitation Center

Castroville, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 116

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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

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

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 October 1, 2024 to August 31, 2025 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on March 12, 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$8,078,608	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$682,236	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,396,372	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,410,507	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$14,135	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$481,383	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$467,248	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $467,248 (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 2025
Figure	As filed	Where it comes from
Total facility beds, all components	116	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	38,860	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,974	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	19,122	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	8,681	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	29,777	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	44	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	96	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	180	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	320	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	199.19	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	93.05	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448508, read from the public cost report file SNF10FY2025.zip.

Fiscal year 2024, ended September 30, 2024

Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 27, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$8,834,037	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,098,582	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,735,455	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,944,967	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$209,512	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$367,927	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$158,415	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $158,415 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,215	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	292	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.15	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	262.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405931, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended September 30, 2023

Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 20, 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$7,861,922	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$583,580	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,278,342	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,229,951	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$48,391	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$448,369	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$496,760	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $496,760 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,073	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	278	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	259.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	115.37	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375303, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended September 30, 2022

Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 17, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$7,170,894	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$925,384	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,245,510	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,985,392	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$739,882	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$528,289	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$211,593	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$211,593 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,538	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	180	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.26	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	271.51	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	169.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344574, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended September 30, 2021

Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$6,587,000	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$87,667	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,499,333	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,874,774	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$375,441	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,507,008	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,131,567	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,131,567 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,698	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	238	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	407.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	141.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314186, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended September 30, 2020

Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 26, 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$6,218,582	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$330,924	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,549,506	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,052,039	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$502,533	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$847,803	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$345,270	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $345,270 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,746	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	212	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	65.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	430.02	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	130.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281775, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended September 30, 2019

Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 20, 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$7,030,325	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$711,961	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,318,364	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,608,869	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$290,505	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$222,886	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$67,619	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$67,619 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,896	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	289	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	288.97	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	106.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252969, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended September 30, 2018

Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$8,276,098	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,083,943	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,192,155	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,016,447	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$175,708	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,902	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$181,610	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $181,610 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,260	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	298	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	257.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	108.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1222778, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended September 30, 2017

Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$7,084,838	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,021,590	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,063,248	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,348,584	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$285,336	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$476,876	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$191,540	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $191,540 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,862	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	281	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	763.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	99.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188946, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended September 30, 2016

Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 24, 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$7,147,807	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$844,131	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,303,676	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,161,432	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$142,244	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$872,501	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,014,745	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,014,745 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,957	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	221	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	338.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	131.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1156281, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended September 30, 2015

Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 4, 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$6,981,427	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$958,775	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,022,652	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,598,536	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$424,116	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$629,178	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,053,294	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,053,294 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,509	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	201	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	455.22	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	146.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1123199, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended September 30, 2014

Cost report for August 1, 2014 to September 30, 2014 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 6, 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$1,091,500	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$257,702	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$833,798	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$877,184	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$43,386	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$43,386	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$43,386 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	4,900	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	21	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	971.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	233.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1147638, 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 November 19, 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$6,753,768	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,373,494	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,380,274	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,259,190	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$121,084	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,045	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$122,129	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $122,118 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,174	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	198	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	338.38	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	152.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1113065, 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 October 20, 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$6,923,098	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$959,553	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,963,545	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,833,803	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$129,742	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$82,573	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$212,315	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $212,315 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,383	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	181	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	295.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	167.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1079232, 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	$7,043,978	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$766,349	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,277,629	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,726,158	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$551,471	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,668	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$560,139	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $560,139 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,585	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	208	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	293.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	156.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013608, 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 19, 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$6,236,155	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,496,255	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$739,900	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,804	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $750,704 (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	116	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,009	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	186	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	44.32	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	294.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	177.47	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 410530, 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 June 4, 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$6,528,768	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,391,815	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,136,953	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,942	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,138,895 (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	116	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,593	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	197	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.34	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	295.01	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	170.52	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 372429, 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 June 22, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$6,162,068	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,334,066	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$828,002	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$50,923	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $878,925 (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	116	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,943	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	199	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.39	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	297.75	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	175.59	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 346570, 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 July 23, 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$5,726,957	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,282,519	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$444,438	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,352	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $452,790 (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	116	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,281	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	198	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	54.04	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	297.56	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	193.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 318807, 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
Figure	As filed	Where it comes from
Net patient revenue	$5,645,467	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,796,721	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$848,746	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$32,055	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $880,801 (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	116	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,459	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	218	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	295.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	176.42	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 290836, 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 July 24, 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$4,948,704	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,524,169	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$424,535	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$29,511	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $454,046 (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	116	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,827	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	213	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.28	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	296.3	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	182.29	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 259566, 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 March 7, 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$4,796,183	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,269,906	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$526,277	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,980	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $533,257 (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	116	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,969	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	183	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.27	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	351.2	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	212.95	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 244453, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for June 20, 2003 to December 31, 2003 — a reporting period of 194 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 18, 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,496,862	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,411,483	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$85,379	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$82	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $85,461 (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	116	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,304	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	93	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	61.69	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	351.39	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	239.83	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 214517, 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 October 1, 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
MEDINA COUNTY HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 08/01/2014
BAUDER FAMILY INVESTMENTS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2026
BAUDER, KELLY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2026
BAUDER, MADISON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2026
BAUDER, PARKER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2026
BAUDER, WILLIAM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2026
BOULWARE ST JAMES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2026
BOULWARE, STEVEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2026
BOULWARE, THOMAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2026
GREGORY, PATRICE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/30/2020
JAAFAR, SALEH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2024
PMG REALCO - CASTROVILLE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2026
STEVEN BOULWARE FAMILY INVESTMENTS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2026
WALKER, KATIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2026
BELL, BILLIE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 06/03/2023
BOULWARE, DOUGLAS	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/12/2026
BAUDER, WILLIAM	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/01/2026
PMG OPCO - CASTROVILLE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2026

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MEDINA COUNTY HOSPITAL DISTRICT (enrollment ID O20141118002244).

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
MEDINA COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	8/1/2014	Private equity company: No Real estate investment trust: No Holding company: No
CASTROVILLE CARE CENTER, LTD	Organization	ADP OF THE SNF	Not stated in the filing	8/1/2014	Private equity company: No Real estate investment trust: No Holding company: No
DARLENE KUBIK	Individual	ADP OF THE SNF	Not stated in the filing	8/1/2014	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MAX HANEY	Individual	ADP OF THE SNF	Not stated in the filing	8/1/2014	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PATRICE GREGORY	Individual	ADP OF THE SNF	Not stated in the filing	11/30/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
RONALD M HANEY	Individual	ADP OF THE SNF	Not stated in the filing	8/1/2014	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
SALEH N JAAFAR	Individual	ADP OF THE SNF	Not stated in the filing	8/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BILLIE BELL	Individual	CORPORATE OFFICER	Not stated in the filing	6/3/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
CASCADE HEALTH SERVICES, LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	8/1/2014	Private equity company: No Real estate investment trust: No Holding company: No
CASCADE MEDINA HEALTH SERVICES, LTD	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/1/2014	Private equity company: No Real estate investment trust: No Holding company: No
RONALD M HANEY	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/1/2014	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

September 1, 2026: CASCADE MEDINA HEALTH SERVICES, LTD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: CASCADE HEALTH SERVICES, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: HANEY, RONALD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: DORROW, MARJORIE no longer appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: CASTROVILLE CARE CENTER, LTD no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: KUBIK, DARLENE no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: HANEY, RONALD no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: HANEY, MAX no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: WALKER, KATIE appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BOULWARE, THOMAS appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BOULWARE, STEVEN appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BAUDER, WILLIAM appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BAUDER, PARKER appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BAUDER, MADISON appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BAUDER, KELLY appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: STEVEN BOULWARE FAMILY INVESTMENTS LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: PMG REALCO - CASTROVILLE LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BOULWARE ST JAMES LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BAUDER FAMILY INVESTMENTS, LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BOULWARE, DOUGLAS appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BAUDER, WILLIAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: PMG OPCO - CASTROVILLE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
January 1, 2026: BILLIE BELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: TIMOTHY S HARDT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: WILLIAM T BAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: MEDINA COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: KEVIN FROSCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: TONY B JOHNSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: CARLTON E YOUNG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: ZACHARY ROBERT WINDROW no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: LORI CARTER KRIEGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JUDY N WINKLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: CASCADE MEDINA HEALTH SERVICES, LTD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: CASTROVILLE CARE CENTER, LTD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: RONALD M HANEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: RONALD M HANEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: MEDINA COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: MAX HANEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: SALEH N JAAFAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: PATRICE GREGORY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 30, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: DARLENE KUBIK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
December 1, 2025: BILLIE BELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
January 5, 2024: CASCADE HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
July 17, 2023: JANICE SIMONS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
July 17, 2023: BILLIE BELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since June 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
July 17, 2023: BILLIE BELL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since June 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
July 17, 2023: BILLIE BELL (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since June 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv

Recent changes on this record

September 1, 2026: CASCADE MEDINA HEALTH SERVICES, LTD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: CASCADE HEALTH SERVICES, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: HANEY, RONALD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: DORROW, MARJORIE no longer appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: CASTROVILLE CARE CENTER, LTD no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: KUBIK, DARLENE no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: HANEY, RONALD no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: HANEY, MAX no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: WALKER, KATIE appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BOULWARE, THOMAS appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BOULWARE, STEVEN appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BAUDER, WILLIAM appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BAUDER, PARKER appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BAUDER, MADISON appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BAUDER, KELLY appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: STEVEN BOULWARE FAMILY INVESTMENTS LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: PMG REALCO - CASTROVILLE LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BOULWARE ST JAMES LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BAUDER FAMILY INVESTMENTS, LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BOULWARE, DOUGLAS appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: BAUDER, WILLIAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
September 1, 2026: PMG OPCO - CASTROVILLE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
March 12, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
January 1, 2026: BILLIE BELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: TIMOTHY S HARDT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: WILLIAM T BAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: MEDINA COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: KEVIN FROSCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: TONY B JOHNSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: CARLTON E YOUNG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: ZACHARY ROBERT WINDROW no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: LORI CARTER KRIEGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JUDY N WINKLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: CASCADE MEDINA HEALTH SERVICES, LTD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: CASTROVILLE CARE CENTER, LTD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: RONALD M HANEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: RONALD M HANEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: MEDINA COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: MAX HANEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: SALEH N JAAFAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	February 27, 2026	February 27, 2026	7	4
2	November 15, 2024	November 15, 2024	18	12
3	September 22, 2023	September 22, 2023	11	2

From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.

Deficiencies cited

36 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
February 27, 2026	Health	F 0638	Resident Assessment and Care Planning Deficiencies	Assure that each resident’s assessment is updated at least once every 3 months.	B	No	Deficient, Provider has date of correction	March 27, 2026
February 27, 2026	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	March 27, 2026
February 27, 2026	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	March 27, 2026
February 27, 2026	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	D	No	Deficient, Provider has date of correction	March 27, 2026
February 27, 2026	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.	D	No	Deficient, Provider has date of correction	March 27, 2026
February 27, 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	March 27, 2026
February 27, 2026	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	D	No	Deficient, Provider has date of correction	March 27, 2026
November 15, 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	December 18, 2024
November 15, 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	December 18, 2024
November 15, 2024	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	December 18, 2024
November 15, 2024	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	December 18, 2024
November 15, 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	December 18, 2024
November 15, 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.	D	No	Deficient, Provider has date of correction	December 18, 2024
November 15, 2024	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, 2024
November 15, 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	December 18, 2024
November 15, 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	December 18, 2024
November 15, 2024	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.	E	No	Deficient, Provider has date of correction	December 18, 2024
November 15, 2024	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	B	No	Deficient, Provider has date of correction	December 18, 2024
November 15, 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.	D	No	Deficient, Provider has date of correction	December 18, 2024
November 15, 2024	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	No	Deficient, Provider has date of correction	December 18, 2024
November 15, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	December 18, 2024
November 15, 2024	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	D	No	Deficient, Provider has date of correction	December 17, 2024
October 30, 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	November 14, 2024
October 30, 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Past Non-Compliance	December 11, 2023
October 30, 2024	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	Yes	Deficient, Provider has date of correction	November 14, 2024
September 21, 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	Yes	Deficient, Provider has date of correction	October 1, 2024
July 26, 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	September 2, 2024
November 15, 2023	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.	D	Yes	Deficient, Provider has date of correction	December 11, 2023
September 22, 2023	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	E	No	Deficient, Provider has date of correction	October 25, 2023
September 22, 2023	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	October 25, 2023
September 22, 2023	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	D	No	Deficient, Provider has date of correction	October 25, 2023
September 22, 2023	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	October 25, 2023
September 22, 2023	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	October 25, 2023
September 22, 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.	E	No	Deficient, Provider has date of correction	October 25, 2023
September 22, 2023	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	D	No	Deficient, Provider has date of correction	October 25, 2023
September 22, 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	October 25, 2023

From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.

Penalties

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Partnership
Legal Business Name	MEDINA COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2003-06-20
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Medina
Telephone Number	8309312900
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	116
Average Number of Residents per Day	89.1
Overall Rating	3
Health Inspection Rating	4
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	3
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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