Velarion Records

Skilled nursing facility · CMS certification number 676045

BRENTWOOD TERRACE HEALTHCARE AND REHABILITATION

PARIS, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 119

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 2 · Fines: 1 · Fines, total amount: $234,447.00 · Payment denials: 1. The most recent penalty on file: March 2, 2024, Fine, $234,447. 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 September 29, 2025.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$6,694,209CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$412,427CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,281,782CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,666,791CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,385,009CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$790,965CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$594,044CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$594,044 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,435CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,267CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days19,371CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days7,195CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components27,833CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges51CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges112CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges141CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components304CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days172.96CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days91.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440322, 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 December 3, 2024.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$6,386,742CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$276,591CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,110,151CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,145,220CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,035,069CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,419,544CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$384,475CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $384,475 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,908CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components226CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days232.98CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days127.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1399879, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended March 31, 2023

Cost report for February 1, 2023 to March 31, 2023 — a reporting period of 58 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 18, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$845,908CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$32,503CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$813,405CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$977,545CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$164,140CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$131,984CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$32,156CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$32,156 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components4,693CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components39CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days228.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days120.33CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375103, read from the public cost report file SNF10FY2023.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 February 2, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$7,364,104CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,239,041CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,125,063CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,808,741CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,683,678CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,791,128CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$107,450CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $107,450 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,523CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components251CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days243.32CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1341667, 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 March 31, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$7,942,001CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,823,208CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,118,793CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,399,274CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,280,481CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,468,099CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$187,618CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $187,618 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,295CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components201CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.59CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days350.77CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days145.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313362, 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 March 19, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$7,888,458CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,406,283CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,482,175CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,643,732CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$161,557CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$475,344CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$313,787CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $313,787 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,314CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components160CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days516.21CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days208.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281476, 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 March 17, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,680,838CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$892,352CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,788,486CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,186,146CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$397,660CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$1,856CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$399,516CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$399,516 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,257CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components232CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.65CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days443.87CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days143.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252687, 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 28, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$7,407,158CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,149,120CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,258,038CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,178,566CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$79,472CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,520CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$83,992CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $83,992 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,172CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components254CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days333.34CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days138.47CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1220465, 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.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$8,063,250CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,369,995CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,693,255CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,557,330CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$135,925CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$2,723CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$133,202CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $133,202 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,228CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components274CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days274.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days128.57CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188494, 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 February 27, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$7,797,988CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,352,312CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,445,676CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,560,278CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$114,602CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$267CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$114,869CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$114,869 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,201CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components246CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.65CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days300.81CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days139.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1153510, 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 February 19, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$7,722,915CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,341,582CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,381,333CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,402,655CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$21,322CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$1,487CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$22,809CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$22,809 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,694CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components231CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days302.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days145.86CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1119275, 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 February 27, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$8,190,517CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,673,292CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,517,225CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,707,697CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$190,472CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$2,746CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$193,218CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$193,218 (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%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,300CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components255CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days313.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days134.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1086439, 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 20, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$7,796,450CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,280,196CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,516,254CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,616,676CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$100,422CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,342CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$94,080CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$94,080 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,456CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components239CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days296.65CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days152.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1057141, 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 19, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$7,793,475CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,323,396CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,470,079CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,686,451CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$216,372CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,738CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$213,634CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$213,634 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,973CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components235CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days453.84CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days153.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1026090, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2011, ended August 31, 2011

Cost report for September 1, 2010 to August 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 21, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$6,909,952CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,812,760CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$97,192CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,056CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $99,248 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components36,969CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components241CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.21CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days489.2CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days153.4CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 424903, read from the public cost report file SNFFY2010.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 February 24, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$5,830,145CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,346,413CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$516,268CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$146CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$516,122 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,818CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components192CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.41CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days433.63CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days186.55CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 394369, 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 February 16, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$3,031,133CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,038,615CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$7,482CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$377CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$7,105 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,099CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components115CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days67CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days277CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days183.47CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 363979, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended August 31, 2008

Cost report for November 1, 2007 to August 31, 2008 — a reporting period of 304 days, on form CMS-2540-96, settled, processed by CMS on May 4, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$1,360,007CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,601,416CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$241,409CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$324CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$241,085 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components10,592CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components51CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.12CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days609.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days207.69CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 338530, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended October 31, 2007

Cost report for January 1, 2007 to October 31, 2007 — a reporting period of 303 days, on form CMS-2540-96, settled, processed by CMS on June 6, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$1,696,204CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,789,537CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$93,333CMS-2540-96 worksheet G300000 line 500 column 100

Net income: −$93,333 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components12,921CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components58CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days58.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days290.69CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days222.78CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 311844, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended December 31, 2006

Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 8, 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$2,342,043CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,128,773CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$213,270CMS-2540-96 worksheet G300000 line 500 column 100

Net income: $213,270 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,975CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components81CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days77.45CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days295.71CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days234.26CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 291486, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended December 31, 2005

Cost report for January 12, 2005 to December 31, 2005 — a reporting period of 353 days, on form CMS-2540-96, settled, processed by CMS on March 14, 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$2,278,867CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,296,851CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$17,984CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$833CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$17,151 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components204CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,022CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components90CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days291.32CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days244.69CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 274825, read from the public cost report file SNFFY2005.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
HUGGINS, LINDACORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/01/2023
MAK, DAVIDCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/17/2021
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2023
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2023
PARIS I ENTERPRISES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 02/01/2023

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 O20230405001267).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
WEST WHARTON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1002/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
LINDA F HUGGINSIndividualCORPORATE DIRECTORNot stated in the filing2/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DAVID MAKIndividualCORPORATE OFFICERNot stated in the filing5/17/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GARY R BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROL502/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MALISA A BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing2/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PARIS I ENTERPRISES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1002/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
HONOR X ENTERPRISES, LLCOrganizationOTHER1002/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1July 29, 2026July 29, 2026104
2June 4, 2025June 4, 202582
3January 8, 2025January 8, 2025212
3March 2, 2024March 2, 2024333

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

Deficiencies cited

58 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
July 29, 2026HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionJuly 30, 2026
July 29, 2026HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.ENoDeficient, Provider has date of correctionJuly 30, 2026
July 29, 2026HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correctionJuly 30, 2026
July 29, 2026HealthF 0810Nutrition and Dietary DeficienciesProvide special eating equipment and utensils for residents who need them and appropriate assistance.DNoDeficient, Provider has date of correctionJuly 30, 2026
July 29, 2026HealthF 0849Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DNoDeficient, Provider has date of correctionJuly 30, 2026
July 29, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionJuly 30, 2026
July 21, 2026HealthF 0744Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DYesDeficient, Provider has date of correctionJuly 22, 2026
March 4, 2026HealthF 0676Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DYesDeficient, Provider has date of correctionMarch 5, 2026
November 21, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correctionNovember 22, 2025
November 21, 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correctionNovember 22, 2025
June 4, 2025HealthF 0553Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.DNoDeficient, Provider has date of correctionJune 5, 2025
June 4, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesPast Non-ComplianceApril 24, 2025
June 4, 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionJune 5, 2025
June 4, 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DYesDeficient, Provider has date of correctionJune 5, 2025
June 4, 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionJune 5, 2025
June 4, 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.EYesDeficient, Provider has date of correctionJune 5, 2025
June 4, 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correctionJune 5, 2025
June 4, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionJune 5, 2025
January 8, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correctionJanuary 24, 2025
January 8, 2025HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.EYesDeficient, Provider has date of correctionJanuary 24, 2025
January 8, 2025HealthF 0578Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionFebruary 3, 2025
January 8, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionJanuary 24, 2025
January 8, 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correctionJanuary 24, 2025
January 8, 2025HealthF 0807Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DNoDeficient, Provider has date of correctionJanuary 24, 2025
January 8, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionJanuary 24, 2025
March 2, 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KYesDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.KYesDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EYesDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.JYesDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.ENoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KYesDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.LYesDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.KYesDeficient, Provider has date of correctionApril 19, 2024
March 2, 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.KYesDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0802Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0835Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.LYesDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.DNoDeficient, Provider has date of correctionMarch 3, 2024
March 2, 2024HealthF 0940Administration DeficienciesDevelop, implement, and/or maintain an effective training program for all new and existing staff members.ENoDeficient, Provider has date of correctionMarch 3, 2024
February 7, 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DYesDeficient, Provider has date of correctionFebruary 8, 2024
February 7, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionFebruary 8, 2024
February 7, 2024HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EYesDeficient, Provider has date of correctionFebruary 11, 2024
November 20, 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DYesDeficient, Provider has date of correctionNovember 21, 2023
August 4, 2023HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.EYesDeficient, Provider has date of correctionAugust 5, 2023
August 4, 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correctionAugust 5, 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
March 2, 2024Fine$234,447112617
March 2, 2024Payment DenialMarch 30, 202420

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameWEST WHARTON COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2005-01-12
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishLamar
Telephone Number9037844111
Chain NameCREATIVE SOLUTIONS IN HEALTHCARE
Chain ID169
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds119
Average Number of Residents per Day76.0
Overall Rating1
Health Inspection Rating1
QM Rating2
Long-Stay QM Rating4
Short-Stay QM Rating1
Processing Date2026-09-01

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

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