Skilled nursing facility · CMS certification number 676030
SHADY OAK NURSING AND REHABILITATION
MOULTON, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 61
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 April 1, 2024 to March 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 10, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,517,241 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $114,537 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,402,704 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,148,490 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$745,786 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $256,814 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$488,972 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$488,972 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 22,265 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 780 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,376 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,807 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 9,963 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 30 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 75 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 82 | 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 | 26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 85.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440578, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended March 31, 2024
Cost report for April 1, 2023 to March 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 21, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,623,992 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $183,176 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,440,816 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,349,297 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$908,481 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $328,447 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$580,034 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$580,034 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,343 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 101.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 270.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397670, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended March 31, 2023
Cost report for September 1, 2022 to March 31, 2023 — a reporting period of 211 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 23, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,627,559 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $126,374 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,501,185 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,780,923 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$279,738 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $220,634 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$59,104 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$59,104 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,035 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 39 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 304.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 180.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367023, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended August 31, 2022
Cost report for July 1, 2022 to August 31, 2022 — a reporting period of 61 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 3, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $522,139 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $52,697 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $469,442 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $520,174 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$50,732 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $76,957 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $26,225 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $26,225 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 2,185 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 5 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 113.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 437 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343808, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 13, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,987,195 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $434,221 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,552,974 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,274,852 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $278,122 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $633,835 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $911,957 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $911,683 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,901 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 54 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 135 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 449.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 238.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308566, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 2, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,917,016 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $570,474 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,346,542 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,038,011 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $308,531 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $359,535 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $668,066 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $668,066 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,429 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 160.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,188.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 385.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280770, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,329,229 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $575,849 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,753,380 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,854,270 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$100,890 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,930 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$47,960 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$48,609 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,616 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 831.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 378.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249521, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,508,994 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $715,519 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,793,475 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,983,144 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$189,669 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $75,315 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$114,354 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$115,601 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,051 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 33 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 147.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 661.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 395.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217489, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 26, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,046,047 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $834,942 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,211,105 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,278,484 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$67,379 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $114,535 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $47,156 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $46,838 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,662 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 90.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 414.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 264.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182848, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 26, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,647,437 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,117,242 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,530,195 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,373,898 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $156,297 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $334,369 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $490,666 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $489,214 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,915 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 141.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 496.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 288.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151934, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 2, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,295,178 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $797,860 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,497,318 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,277,605 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $219,713 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,528 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $227,241 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $227,241 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,380 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 104.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 384.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 238.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1147416, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for March 1, 2014 to June 30, 2014 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,429,004 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $223,771 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,205,233 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,118,680 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $86,553 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $476 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $87,029 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $86,836 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,618 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 25 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 400.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 224.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1118000, 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 August 4, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,420,306 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $642,867 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,777,439 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,810,463 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$33,024 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$32,993 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$32,994 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,491 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 89.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 383.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 249.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074832, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,267,830 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $563,885 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,703,945 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,814,663 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$110,718 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $332,913 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $222,195 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $222,195 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,700 | 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 | 96.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 238.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 198.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043619, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,216,613 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $516,303 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,700,310 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,780,604 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$80,294 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,994 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$78,300 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$78,300 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,934 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 228.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1013472, 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 September 8, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,827,603 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,805,849 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $21,754 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $52,401 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $74,155 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,357 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 130 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 263.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 133.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417016, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 22, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $2,760,779 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,078 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 290.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 158.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 383178, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 31, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,754,014 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,657,090 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $96,924 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,201 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $332 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $106,793 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,775 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 110.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 94.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355946, 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 August 6, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,551,257 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,325,358 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $225,899 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,404 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $547 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $235,756 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,264 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 173.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 139.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323097, 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 July 30, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,573,727 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,267,433 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $306,294 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,623 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $322,915 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,052 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 202 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 155.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 99.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 290153, 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 17, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,322,088 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,113,978 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $208,110 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$129 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $207,981 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,236 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 151 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 179.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 134.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 258803, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for May 4, 2004 to December 31, 2004 — a reporting period of 241 days, not a full year, on form CMS-2540-96, settled, processed by CMS on December 16, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,306,111 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,324,672 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$18,561 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,069 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$15,492 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,750 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 156.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 114.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 239441, 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 |
|---|---|---|---|---|
| BLAKE, GARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| HOUSER, HERBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/20/2025 |
| MOULTON I ENTERPRISES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/20/2025 |
| THOMAS, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| HUGGINS, LINDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/01/2022 |
| WILLIG, ZACHARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| THOMPSON, JOHNNY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2025 |
| BOWERS, SEAN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2024 |
| CISNEROS, ALFRED | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/18/2008 |
| COBB, TRAVIS | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/05/2022 |
| COOPER, STEPHEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/11/2022 |
| HARDIN, SHERRIE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/04/2024 |
| KERZEE, RICHARD | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/24/2007 |
| KORENEK, PATRICIA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/05/2018 |
| SOECHTING, PAUL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/22/2024 |
| STRACK, JOE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/11/2022 |
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| MOULTON I ENTERPRISES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20221026001127).
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 |
|---|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY R BLAKE | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HERBERT CLAYBORN HOUSER | Individual | ADP OF THE SNF | Not stated in the filing | 5/20/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN W THOMAS | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MOULTON I ENTERPRISES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LINDA F HUGGINS | Individual | CORPORATE DIRECTOR | 0 | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ZACHARY WILLIG | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHNNY THOMPSON | Individual | CORPORATE OFFICER | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALFRED CISNEROS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/18/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOE STRACK | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/11/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICIA A KORENEK | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/5/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL SOECHTING | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/22/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD KERZEE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/24/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SEAN BOWERS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHERRIE HARDIN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN COOPER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/11/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRAVIS COBB | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/5/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARY R BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MALISA A BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MOULTON I ENTERPRISES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- August 1, 2025: HONOR X ENTERPRISES, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ALFRED CISNEROS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 18, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ZACHARY WILLIG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHERRIE HARDIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HERBERT CLAYBORN HOUSER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: TRAVIS COBB (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOE STRACK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MOULTON I ENTERPRISES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SEAN BOWERS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: STEPHEN COOPER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PAUL SOECHTING (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GARY R BLAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PATRICIA A KORENEK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 5, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOHN W THOMAS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOHNNY THOMPSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: RICHARD KERZEE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 24, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- February 15, 2023: CITIZENS MEDICAL CENTER COUNTY OF VICTORIA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: JAMES F NEUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: TANYA SEILER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: PAUL B HOLM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: LUIS A GUERRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MICHAEL R OLSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MICHAEL R OLSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: BEN GALVIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: RUSSELL MARSHALL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: HONOR X ENTERPRISES, LLC (OTHER) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: LINDA F HUGGINS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MOULTON I ENTERPRISES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: DAVID MAK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since May 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- October 10, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2025: HONOR X ENTERPRISES, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ALFRED CISNEROS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 18, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ZACHARY WILLIG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHERRIE HARDIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HERBERT CLAYBORN HOUSER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: TRAVIS COBB (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOE STRACK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MOULTON I ENTERPRISES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SEAN BOWERS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: STEPHEN COOPER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PAUL SOECHTING (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GARY R BLAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PATRICIA A KORENEK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 5, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOHN W THOMAS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOHNNY THOMPSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: RICHARD KERZEE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 24, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- October 21, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- October 23, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- March 3, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- February 15, 2023: CITIZENS MEDICAL CENTER COUNTY OF VICTORIA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: JAMES F NEUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: TANYA SEILER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: PAUL B HOLM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: LUIS A GUERRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MICHAEL R OLSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MICHAEL R OLSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: BEN GALVIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: RUSSELL MARSHALL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: HONOR X ENTERPRISES, LLC (OTHER) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: LINDA F HUGGINS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MOULTON I ENTERPRISES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: DAVID MAK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since May 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- January 17, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- January 13, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- March 2, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 5, 2025 | September 5, 2025 | 4 | 3 |
| 2 | August 8, 2024 | August 8, 2024 | 2 | 4 |
| 3 | July 14, 2023 | July 14, 2023 | 8 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
14 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| September 5, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | September 8, 2025 |
| September 5, 2025 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | No | Deficient, Provider has date of correction | September 8, 2025 |
| September 5, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | September 8, 2025 |
| September 5, 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | September 8, 2025 |
| August 8, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 8, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | No | Deficient, Provider has date of correction | August 9, 2024 |
| July 14, 2023 | Health | F 0570 | Resident Rights Deficiencies | Assure the security of all personal funds of residents deposited with the facility. | F | No | Deficient, Provider has date of correction | August 9, 2023 |
| July 14, 2023 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | August 9, 2023 |
| July 14, 2023 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | August 9, 2023 |
| July 14, 2023 | 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 | August 9, 2023 |
| July 14, 2023 | 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 | August 9, 2023 |
| July 14, 2023 | Health | F 0944 | Administration Deficiencies | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | No | Deficient, Provider has date of correction | August 9, 2023 |
| July 14, 2023 | Health | F 0946 | Administration Deficiencies | Provide training in compliance and ethics. | E | No | Deficient, Provider has date of correction | August 9, 2023 |
| July 14, 2023 | Health | F 0949 | Administration Deficiencies | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | No | Deficient, Provider has date of correction | August 9, 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 - Corporation |
| Legal Business Name | WEST WHARTON COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 1980-12-10 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Lavaca |
| Telephone Number | 3615967373 |
| Chain Name | CREATIVE SOLUTIONS IN HEALTHCARE |
| Chain ID | 169 |
| 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 | 61 |
| Average Number of Residents per Day | 33.3 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 2 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 1 |
| 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
One email a day naming what moved on SHADY OAK NURSING AND REHABILITATION: the field, the value before, the value after, and the date of the file that first showed it.
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 October 10, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for SHADY OAK NURSING AND REHABILITATION
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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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676030.