Skilled nursing facility · CMS certification number 676000
PINE RIDGE HEALTH CARE LLP
LIVINGSTON, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
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: 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 September 1, 2024 to August 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 23, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,379,020 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,190,401 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,188,619 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,424,210 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$235,591 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$235,591 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$235,591 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,070 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,060 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,894 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,368 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 20,322 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 128 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 55 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,223.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448068, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended August 31, 2024
Cost report for September 1, 2023 to August 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 20, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,699,030 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,400,786 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,298,244 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,500,462 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,202,218 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,202,218 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,202,218 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,682 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 10.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,507 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1404025, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended August 31, 2023
Cost report for September 1, 2022 to August 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 18, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,276,121 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,508,525 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,767,596 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,652,877 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$885,281 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$885,281 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$885,281 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,886 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,594.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 189.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375102, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended August 31, 2022
Cost report for September 1, 2021 to August 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,197,470 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $736,110 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,461,360 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,270,658 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$809,298 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$809,298 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$809,298 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,795 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,639.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 897.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344341, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended August 31, 2021
Cost report for September 1, 2020 to August 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,045,549 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $960,699 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,084,850 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,392,968 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$308,118 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$308,118 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$308,118 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,123 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 8,551.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 514.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313499, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended August 31, 2020
Cost report for September 1, 2019 to August 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,573,600 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,306,403 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,267,197 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,662,002 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$394,805 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$394,805 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$394,805 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,029 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,379 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 351.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282658, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended August 31, 2019
Cost report for September 1, 2018 to August 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 11, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,412,888 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,204,800 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,208,088 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,630,543 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,422,455 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,422,455 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,422,455 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,274 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,237.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 307.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250821, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended August 31, 2018
Cost report for September 1, 2017 to August 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 27, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,446,343 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,091,956 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,354,387 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,617,803 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,263,416 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,263,416 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,263,416 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,257 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 11,109.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 595.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220328, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended August 31, 2017
Cost report for September 1, 2016 to August 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,033,598 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,166,800 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,866,798 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,494,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$628,074 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$628,074 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$628,074 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,770 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,458 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 408.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188108, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended August 31, 2016
Cost report for September 1, 2015 to August 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,257,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,257,972 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,932,918 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$674,946 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$674,946 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$674,946 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,533 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,984.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 290.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1155804, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended August 31, 2015
Cost report for September 1, 2014 to August 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,141,675 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,141,675 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,118,101 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,023,574 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $1,023,574 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,023,574 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,302 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,787.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 253.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121901, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended August 31, 2014
Cost report for September 1, 2013 to August 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,525,617 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,747,346 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | −$221,729 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,769,113 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,990,842 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$4,990,842 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,990,842 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,326 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,866.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 311.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1100019, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended August 31, 2013
Cost report for September 1, 2012 to August 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 13, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,540,121 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $1,540,121 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,390,314 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,850,193 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$3,850,193 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,850,193 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,570 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 228 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 267.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056824, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended August 31, 2012
Cost report for September 1, 2011 to August 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 26, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,075,457 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,530,909 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,544,548 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,513,210 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$968,662 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$968,662 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$968,662 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,733 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 243.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026472, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended August 31, 2010
Cost report for September 1, 2009 to August 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 25, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,102,734 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,138,315 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,035,581 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$1,035,581 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,235 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 179 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 259.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 140.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 396285, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended August 31, 2009
Cost report for September 1, 2008 to August 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 9, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,481,117 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,811,931 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$330,814 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$330,814 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,857 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 178 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 269.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 145.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 365110, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended August 31, 2008
Cost report for September 1, 2007 to August 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 4, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,110,339 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,431,482 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$321,143 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$321,143 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,192 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 262 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 192.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 126.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 334565, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended August 31, 2007
Cost report for September 1, 2006 to August 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 20, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,245,493 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,482,540 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $762,953 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $762,953 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,259 | 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 | 74.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 244.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 178.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305176, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended August 31, 2006
Cost report for September 1, 2005 to August 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 16, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,355,079 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,507,627 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $847,452 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $847,452 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,600 | 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 | 34.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 399.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 181.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 294689, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended August 31, 2005
Cost report for September 1, 2004 to August 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 2, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,653,831 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,237,981 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $415,850 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $415,850 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,104 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 207 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 209.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 184.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 244126, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended August 31, 2004
Cost report for February 5, 2004 to August 31, 2004 — a reporting period of 208 days, not a full year, on form CMS-2540-96, settled, processed by CMS on January 19, 2005.
None of these figures is carried on this report.
CMS report record 204350, read from the public cost report file SNFFY2004.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.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ARNOLD, JASON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2025 |
| LUNA, JEFFREY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/20/2025 |
| MONTGOMERY, MITCHELL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2025 |
| MONTGOMERY, RAYMOND | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2025 |
| PANTEL, ANGELINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/20/2025 |
| WOOD, JERRY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/20/2025 |
| XU, SHIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/20/2025 |
| ARNOLD, JASON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2001 |
| MONTGOMERY, RAYMOND | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2001 |
| MONTGOMERY, MITCHELL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2001 |
| OAK MANAGEMENT | GENERAL PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2001 |
| BURMONT, INC. | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2001 |
| HOUSTON, CARLIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/23/2024 |
| LUNA, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/26/2013 |
| PANTEL, ANGELINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/25/2024 |
| WOOD, JERRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/02/2010 |
| XU, SHIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/19/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PINE RIDGE HEALTH CARE L L P (enrollment ID O20120523000723).
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 |
|---|---|---|---|---|---|
| ANGELINA PANTEL | Individual | ADP OF THE SNF | Not stated in the filing | 2/20/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON ARNOLD | Individual | ADP OF THE SNF | Not stated in the filing | 1/2/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY L LUNA | Individual | ADP OF THE SNF | Not stated in the filing | 2/20/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JERRY D WOOD | Individual | ADP OF THE SNF | Not stated in the filing | 2/20/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MITCHELL TODD MONTGOMERY | Individual | ADP OF THE SNF | Not stated in the filing | 1/2/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAYMOND MONTGOMERY | Individual | ADP OF THE SNF | Not stated in the filing | 1/2/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHIN XU | Individual | ADP OF THE SNF | Not stated in the filing | 2/20/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON ARNOLD | Individual | CORPORATE DIRECTOR | 100 | 1/1/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAYMOND MONTGOMERY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MITCHELL TODD MONTGOMERY | Individual | CORPORATE OFFICER | 100 | 1/1/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OAK MANAGEMENT | Organization | GENERAL PARTNERSHIP INTEREST | 1 | 1/1/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| BURMONT, INC. | Organization | LIMITED PARTNERSHIP INTEREST | 99 | 1/1/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANGELINA PANTEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/25/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARLIE HOUSTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/23/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY L LUNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/26/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JERRY D WOOD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/2/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHIN XU | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/19/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- May 1, 2025: MARY MOORE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: MARY MOORE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ERIC WOOD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ERIC WOOD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ANGELINA PANTEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ANGELINA PANTEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since March 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CARLIE HOUSTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JERRY D WOOD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JERRY D WOOD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since November 2, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JEFFREY L LUNA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JEFFREY L LUNA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since August 26, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: MITCHELL TODD MONTGOMERY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RAYMOND MONTGOMERY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JASON ARNOLD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SHIN XU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SHIN XU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since August 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
Recent changes on this record
- February 23, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- May 1, 2025: MARY MOORE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: MARY MOORE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ERIC WOOD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ERIC WOOD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ANGELINA PANTEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ANGELINA PANTEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since March 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CARLIE HOUSTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JERRY D WOOD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JERRY D WOOD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since November 2, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JEFFREY L LUNA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JEFFREY L LUNA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since August 26, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: MITCHELL TODD MONTGOMERY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RAYMOND MONTGOMERY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JASON ARNOLD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SHIN XU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SHIN XU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since August 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- February 20, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- March 18, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- March 14, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- April 21, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- April 20, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- February 11, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- February 27, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- May 2, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- April 18, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- April 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- June 25, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- March 13, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- March 26, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- March 25, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- March 9, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- March 4, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- March 20, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- October 16, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- March 2, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- January 19, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 20, 2026 | May 20, 2026 | 6 | 2 |
| 2 | March 26, 2025 | March 26, 2025 | 5 | 1 |
| 3 | February 14, 2024 | February 14, 2024 | 10 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
21 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 20, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | May 28, 2026 |
| May 20, 2026 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | May 28, 2026 |
| May 20, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | May 28, 2026 |
| May 20, 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | May 28, 2026 |
| May 20, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | May 28, 2026 |
| May 20, 2026 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | E | No | Deficient, Provider has date of correction | May 30, 2026 |
| March 26, 2025 | 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 | April 2, 2025 |
| March 26, 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | April 2, 2025 |
| March 26, 2025 | 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 | April 2, 2025 |
| March 26, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 2, 2025 |
| March 26, 2025 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | April 1, 2025 |
| August 8, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | August 21, 2024 |
| August 8, 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 | August 21, 2024 |
| February 14, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | February 16, 2024 |
| February 14, 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 | March 8, 2024 |
| February 14, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | E | No | Deficient, Provider has date of correction | March 8, 2024 |
| February 14, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | February 29, 2024 |
| February 14, 2024 | 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 | March 15, 2024 |
| February 14, 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. | F | No | Deficient, Provider has date of correction | February 29, 2024 |
| February 14, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 15, 2024 |
| November 1, 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 15, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 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 | PINE RIDGE HEALTH CARE L L P |
| Date First Approved to Provide Medicare and Medicaid Services | 2004-02-05 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Polk |
| Telephone Number | 9363275415 |
| 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 | 120 |
| Average Number of Residents per Day | 65.6 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On February 23, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for PINE RIDGE HEALTH CARE LLP
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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