Skilled nursing facility · CMS certification number 676021
CLAREWOOD HOUSE EXTENDED CARE CENTER
HOUSTON, Texas · Medicare and Medicaid · 60 certified beds in Care Compare
CLAREWOOD HOUSE EXTENDED CARE CENTER: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on June 12, 2025.
- Net patient revenue rose from $6.9M in fiscal year 2023 to $7.3M in fiscal year 2024.
- Its result from service to patients: $524K (2022), −$4.1M (2023), −$3.5M (2024).
- Its cost reports on file run from fiscal year 2004 to fiscal year 2024.
- Its net patient revenue of $7.3M ranks 298th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 4 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
CLAREWOOD HOUSE EXTENDED CARE CENTER: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-10 | 2024 · report 1429257 | 2023 · report 1388801 | 2022 · report 1353318 | 2021 · report 1328000 | 2020 · report 1298200 | 2019 · report 1260916 | 2018 · report 1229012 | 2017 · report 1208186 | 2016 · report 1174160 | 2015 · report 1140201 | 2014 · report 1118589 | 2013 · report 1072405 | 2012 · report 1041784 | 2011 · report 1014926 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Processed by CMS | June 12, 2025 | July 19, 2024 | June 21, 2023 | July 26, 2022 | September 1, 2021 | July 21, 2020 | June 14, 2019 | August 21, 2018 | August 21, 2017 | August 8, 2016 | February 4, 2016 | July 23, 2014 | July 23, 2013 | October 26, 2012 |
| Total patient revenue | $6,812,416 | $7,311,321 | $11,567,219 | $10,752,509 | $10,518,282 | $7,248,864 | $7,328,129 | $6,057,018 | $7,099,089 | $8,204,552 | $8,026,260 | $5,999,290 | $6,011,740 | $5,146,367 |
| Contractual allowances and discounts | −$460,909 | $445,927 | $488,442 | $430,356 | $420,549 | $571,898 | $502,953 | $1,767,211 | $2,400,076 | $2,975,018 | $3,334,769 | $2,116,797 | $2,220,796 | $925,660 |
| Net patient revenue | $7,273,325 | $6,865,394 | $11,078,777 | $10,322,153 | $10,097,733 | $6,676,966 | $6,825,176 | $4,289,807 | $4,699,013 | $5,229,534 | $4,691,491 | $3,882,493 | $3,790,944 | $4,220,707 |
| Total operating expenses | $10,814,497 | $10,945,331 | $10,555,248 | $9,797,927 | $9,845,339 | $10,088,090 | $10,275,641 | $10,161,576 | $4,683,981 | $4,637,805 | $4,429,626 | $4,453,721 | $4,112,823 | $3,856,415 |
| Net income from service to patients | −$3,541,172 | −$4,079,937 | $523,529 | $524,226 | $252,394 | −$3,411,124 | −$3,450,465 | −$5,871,769 | $15,032 | $591,729 | $261,865 | −$571,228 | −$321,879 | $364,292 |
| Total other income | $5,057,732 | $6,330,326 | −$4,487,887 | $3,539,753 | $2,388,787 | $7,112,696 | $3,907,486 | $8,093,007 | $443,955 | $443,909 | $539,084 | $712,240 | $629,355 | $466,516 |
| Net income after other income | $1,516,560 | $2,250,389 | −$3,964,358 | $4,063,979 | $2,641,181 | $3,701,572 | $457,021 | $2,221,238 | $458,987 | $1,035,638 | $800,949 | $141,012 | $307,476 | $830,808 |
| Net income | $1,516,560 | $2,250,389 | −$3,964,358 | $4,063,979 | $2,641,181 | $3,701,572 | $457,021 | $2,221,238 | $547,910 | $1,020,161 | $800,954 | $141,012 | $307,476 | $830,808 |
| Total facility beds, all components | 160 | 160 | 160 | 160 | 321 | 160 | 160 | 70 | 70 | 70 | 70 | 60 | 60 | 60 |
| Bed days available, all components | 58,560 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 771 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 3,783 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 25,470 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 30,024 | 35,217 | 43,475 | 42,158 | 92,582 | 43,683 | 44,514 | 17,366 | 18,713 | 20,032 | 19,709 | 19,013 | 17,540 | 18,714 |
| Medicare discharges | 9 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 1 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 46 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 56 | 106 | 94 | 54 | 56 | 102 | 69 | 105 | 70 | 111 | 58 | 69 | 66 | 50 |
| Average length of stay, Medicare, in days | 85.67 | 89.54 | 52.09 | 79.24 | 52.97 | 38.71 | 52.25 | 58.11 | 53.69 | 48.75 | 72.88 | 55.82 | 62.38 | 64.76 |
| Average length of stay, Medicaid, in days | 3,783 | 2,618 | 2,189 | 527 | — | — | — | — | — | — | — | — | — | — |
| Average length of stay, all patients, in days | 536.14 | 332.24 | 462.5 | 780.7 | 1,653.25 | 428.26 | 645.13 | 165.39 | 267.33 | 180.47 | 339.81 | 275.55 | 265.76 | 374.28 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-96 | 2010 · report 415802 | 2009 · report 380808 | 2008 · report 354171 | 2007 · report 358323 | 2006 · report 290732 | 2005 · report 261660 | 2004 · report 231107 |
|---|---|---|---|---|---|---|---|
| Processed by CMS | August 18, 2011 | July 14, 2010 | August 7, 2009 | October 27, 2009 | August 1, 2007 | August 22, 2006 | August 18, 2005 |
| Net patient revenue | $3,787,361 | $4,886,020 | $3,956,680 | $3,764,606 | $3,360,824 | $3,674,445 | $2,366,168 |
| Total operating expenses | $3,849,688 | $3,667,657 | $3,645,021 | $3,669,057 | $3,512,059 | $3,158,380 | $2,834,221 |
| Net income from service to patients | −$62,327 | $1,218,363 | $311,659 | $95,549 | −$151,235 | $516,065 | −$468,053 |
| Total other income | $527,760 | $558,434 | $485,718 | $669,732 | $572,038 | — | — |
| Total other expenses | — | — | $143,990 | — | $1,551 | — | — |
| Net income | $465,433 | $1,776,797 | $653,387 | $765,281 | $419,252 | $516,065 | −$468,053 |
| Total facility beds, all components | 60 | 60 | 60 | 60 | 60 | 60 | 60 |
| Total patient days, all components | 18,804 | 20,433 | 20,836 | 19,693 | 20,590 | 20,239 | 19,999 |
| Total discharges, all components | 73 | 63 | 46 | 112 | 88 | 120 | 72 |
| Average length of stay, Medicare, in days | 53.05 | 108.87 | 79.46 | 56.29 | 65.95 | 43.72 | 38.58 |
| Average length of stay, all patients, in days | 257.59 | 324.33 | 452.96 | 175.83 | 233.98 | 168.66 | 277.76 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004. Checked against the form’s own arithmetic: what that check shows.
CLAREWOOD HOUSE EXTENDED CARE CENTER: nurse staffing hours by quarter →
Who owns CLAREWOOD HOUSE EXTENDED CARE CENTER, as filed with CMS
Care Compare
- ADP OF THE SNF: PHEIFER, PATRICK (individual), since 09/10/2001; TANGUILIG-ROBINSON, CYNTHIA (individual), since 01/01/2020
- CORPORATE DIRECTOR: MADDOX, GARY (individual), since 11/01/2013
- DIRECT OWNERSHIP INTEREST: PHEIFER, PATRICK (individual), since 09/10/2001
- INDIRECT OWNERSHIP INTEREST: FREEMAN, CAROLINE (individual), since 01/01/2001; SPAW, RICHARD (individual), since 01/01/2009; TANGUILIG-ROBINSON, CYNTHIA (individual), since 01/01/2020
- MANAGING CONTROL - GOVERNING BODY: FREEMAN, CAROLINE (individual), since 01/01/2001; SPAW, RICHARD (individual), since 01/01/2009
- OPERATIONAL/MANAGERIAL CONTROL: PHEIFER, PATRICK (individual), since 09/10/2001; TANGUILIG-ROBINSON, CYNTHIA (individual), since 01/01/2020
- TRUSTEE OF THE SNF: FREEMAN, CAROLINE (individual), since 01/01/2001; MADDOX, GARY (individual), since 01/01/1992; SPAW, RICHARD (individual), since 01/01/2009
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of CLAREWOOD HOUSE, INC (enrollment ID O20040203000467).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: PATRICK JAMES PHEIFER (individual), 0.00%, since 01/10/2001
- ADP OF THE SNF: CYNTHIA GORDON TANGUILIG-ROBINSON (individual), since 01/01/2020; PATRICK JAMES PHEIFER (individual), since 09/10/2001
- CORPORATE DIRECTOR: GARY BRUCE MADDOX (individual), 0.00%, since 11/01/2013
- DIRECT OWNERSHIP INTEREST: PATRICK JAMES PHEIFER (individual), 0.00%, since 09/10/2001
- INDIRECT OWNERSHIP INTEREST: CAROLINE ANN FREEMAN (individual), 0.00%, since 01/01/2001; CYNTHIA GORDON TANGUILIG-ROBINSON (individual), 0.00%, since 01/01/2020; RICHARD HOENCKE SPAW (individual), 0.00%, since 01/01/2009; No owner named in the filing (individual), 0.00%, since 01/01/2025; No owner named in the filing (individual), 0.00%, since 01/01/2025; No owner named in the filing (individual), 0.00%, since 01/01/2025; No owner named in the filing (individual), 0.00%, since 01/01/2023
- MANAGING CONTROL - GOVERNING BODY: CAROLINE ANN FREEMAN (individual), since 01/01/2001; RICHARD HOENCKE SPAW (individual), since 01/01/2009
- OPERATIONAL/MANAGERIAL CONTROL: CYNTHIA GORDON TANGUILIG-ROBINSON (individual), since 01/01/2020; PATRICK JAMES PHEIFER (individual), since 09/10/2001
- TRUSTEE OF THE SNF: CAROLINE ANN FREEMAN (individual), since 01/01/2001; GARY BRUCE MADDOX (individual), since 01/01/1992; RICHARD HOENCKE SPAW (individual), since 01/01/2009; No owner named in the filing (individual), since 01/01/2025; No owner named in the filing (individual), since 01/01/2025; No owner named in the filing (individual), since 01/01/2025; No owner named in the filing (individual), since 01/01/2019
Private equity company, real estate investment trust and holding company: “Paused by CMS” for every owner listed here. Paused by CMS: Form CMS-855A, December 11, 2025.
Changes in ownership
- December 1, 2025, enrollment ownership file; no longer listed: PHIL NATHANS (CORPORATE DIRECTOR); EDWARD R ASHBAUGH (CORPORATE DIRECTOR); CAROLINE ANN FREEMAN (CORPORATE DIRECTOR); JUDY BOWEN (CORPORATE DIRECTOR); PATRICK JAMES PHEIFER (W-2 MANAGING EMPLOYEE); PATRICK JAMES PHEIFER (CORPORATE OFFICER); RICHARD HOENCKE SPAW (CORPORATE DIRECTOR); first listed: CAROLINE ANN FREEMAN (INDIRECT OWNERSHIP INTEREST), associated since January 1, 2001; CAROLINE ANN FREEMAN (TRUSTEE OF THE SNF), associated since January 1, 2001; CAROLINE ANN FREEMAN (MANAGING CONTROL - GOVERNING BODY), associated since January 1, 2001; PATRICK JAMES PHEIFER (DIRECT OWNERSHIP INTEREST), associated since September 10, 2001; PATRICK JAMES PHEIFER (ADP OF THE SNF), associated since September 10, 2001; PATRICK JAMES PHEIFER (OPERATIONAL/MANAGERIAL CONTROL), associated since September 10, 2001; PATRICK JAMES PHEIFER (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since January 10, 2001; CYNTHIA GORDON TANGUILIG-ROBINSON (INDIRECT OWNERSHIP INTEREST), associated since January 1, 2020; CYNTHIA GORDON TANGUILIG-ROBINSON (ADP OF THE SNF), associated since January 1, 2020; CYNTHIA GORDON TANGUILIG-ROBINSON (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2020; a listing under INDIRECT OWNERSHIP INTEREST with no owner named, associated since January 1, 2025; a listing under TRUSTEE OF THE SNF with no owner named, associated since January 1, 2025; RICHARD HOENCKE SPAW (INDIRECT OWNERSHIP INTEREST), associated since January 1, 2009; RICHARD HOENCKE SPAW (TRUSTEE OF THE SNF), associated since January 1, 2009; RICHARD HOENCKE SPAW (MANAGING CONTROL - GOVERNING BODY), associated since January 1, 2009; GARY BRUCE MADDOX (TRUSTEE OF THE SNF), associated since January 1, 1992. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- May 1, 2025, enrollment ownership file; no longer listed: THOMAS WILSON HUGHES (CORPORATE DIRECTOR). Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- September 1, 2024, enrollment ownership file; no longer listed: BETTY MILLER KRAUSE (DIRECTOR). Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- July 30, 2026: A deficiency was cited under tag F 0583, scope and severity D. NH_HealthCitations_Sep2026_2.csv
Inspections of CLAREWOOD HOUSE EXTENDED CARE CENTER
- Cycle 1: health December 3, 2025 (3 deficiencies), fire safety December 3, 2025 (0)
- Cycle 2: health September 12, 2024 (1 deficiencies), fire safety September 12, 2024 (1)
- Cycle 3: health August 17, 2023 (2 deficiencies), fire safety August 17, 2023 (1)
Deficiencies cited at CLAREWOOD HOUSE EXTENDED CARE CENTER
6 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 1 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0583, resident rights: July 30, 2026 (D, from a complaint, corrected August 13, 2026).
- F 0812, nutrition and dietary: December 3, 2025 (F, corrected January 29, 2026).
- F 0842, resident assessment and care planning: December 3, 2025 (D, corrected January 29, 2026).
- F 0661, resident assessment and care planning: September 12, 2024 (D, corrected September 26, 2024).
- F 0565, resident rights: August 17, 2023 (E, corrected August 31, 2023).
- F 0656, resident assessment and care planning: August 17, 2023 (D, corrected August 24, 2023).
CLAREWOOD HOUSE EXTENDED CARE CENTER in Care Compare
- Ownership Type: Non profit - Corporation
- Legal Business Name: CLAREWOOD HOUSE, INC
- Date First Approved to Provide Medicare and Medicaid Services: 2004-04-28
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Harris
- Telephone Number: 7137745821
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: None
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 35.2
- Overall Rating: 5
- Health Inspection Rating: 5
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 5
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for CLAREWOOD HOUSE EXTENDED CARE CENTER: no penalty in Care Compare.
Other nursing facilities in HOUSTON
Report a figure on CLAREWOOD HOUSE EXTENDED CARE CENTER’s record that differs from its CMS file, quoting 676021.