Skilled nursing facility · CMS certification number 676049
LEGEND HEALTHCARE AND REHABILITATION - PARIS
PARIS, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $16,149.00 · Payment denials: 0. The most recent penalty on file: November 20, 2024, Fine, $16,149. 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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 24, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,511,049 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,208,409 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,302,640 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,583,461 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $719,179 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $385 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $719,564 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $719,564 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,691 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 17,529 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,986 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 26,206 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 75 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 143 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 253 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 500.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445652, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 25, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,601,420 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,441,530 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,159,890 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,963,829 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,196,061 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,340 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,197,401 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,197,401 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,648 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 234 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 611.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1386584, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 25, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,854,658 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$275,026 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,129,684 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,220,189 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $909,495 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,578 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $913,073 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $913,073 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,455 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,034.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398051, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 19, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,872,949 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$534,393 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,407,342 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,319,470 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,087,872 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,333 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,091,205 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,091,205 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,449 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 527.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1347841, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,541,730 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,210,326 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,752,056 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,872,440 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $879,616 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,704 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $889,320 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $889,320 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,299 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 193 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 386.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1289730, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 14, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,501,757 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$68,739 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,570,496 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,098,819 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $471,677 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,247 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $475,924 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $475,924 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,551 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 308.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1270516, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 12, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,187,552 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$443,160 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,630,712 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,047,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $583,437 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,939 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $601,376 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $601,376 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,285 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 247 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 421.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1245549, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for April 1, 2017 to December 31, 2017 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,548,624 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$253,344 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,801,968 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,419,870 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $382,098 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,539 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $396,637 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $396,637 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,648 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 473.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209954, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for May 1, 2016 to December 31, 2016 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 25, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,808,897 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$109,158 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,918,055 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,340,852 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$422,797 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,987 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$418,810 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$418,810 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,267 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 132 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 619.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 153.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175004, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,750,241 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,341,839 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,408,402 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,665,742 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$257,340 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,211 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$251,129 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$263,228 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,395 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 289.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142973, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 15, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,900,602 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,582,328 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,318,274 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,389,839 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$71,565 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$21,320 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$92,885 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$92,885 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,763 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 235 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 526.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148895, 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 December 23, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,111,778 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,110,932 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,000,846 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,521,892 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$521,046 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $759 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$520,287 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$542,152 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,949 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 256 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 333.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1116193, 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 August 22, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,251,447 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,131,485 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,119,962 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,478,826 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$358,864 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $158 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$358,706 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$371,950 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,192 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 330 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 250.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047209, 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 | $8,423,663 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,703,937 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,719,726 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,447,610 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $272,116 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,333 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $273,449 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $261,411 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,906 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 261 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 274.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1014732, 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 August 13, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,298,690 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,084,917 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $213,773 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,611 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $16,176 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $200,208 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,774 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 277 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 241 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 132.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431141, 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 15, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,231,364 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,497,962 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $733,402 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $52 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $16,384 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $717,070 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,279 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 337 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 446.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 381788, 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 July 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,002,232 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,204,191 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $798,041 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,016 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,982 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $788,075 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,997 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 393 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 473.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 101.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 350272, 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 20, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,771,606 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,971,342 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $800,264 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,069 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $15,053 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $790,280 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,144 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 377 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 305.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 98.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324632, 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 November 6, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,971,852 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,835,582 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,136,270 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $280 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,042 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,123,508 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,995 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 211 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 770.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 161.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295893, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 30, 2005 to December 31, 2005 — a reporting period of 335 days, on form CMS-2540-96, settled, processed by CMS on November 17, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,510,538 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,056,871 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $453,667 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,963 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,567 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $449,063 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,790 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 473.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 186.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266709, 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.
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 |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/01/2017 |
| BURNS, STEPHEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2022 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2016 |
| LAWRENCE, RA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2017 |
| SHERMAN HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| STANDARD BEARER HEALTHCARE OP, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| THE ENSIGN GROUP INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2017 |
| SANDERSON, CLARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/29/2012 |
| BURNS, STEPHEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/01/2022 |
| LAWRENCE, RA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 04/01/2017 |
| BURNS, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2022 |
| EIFFEL HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2017 |
| LAWRENCE, RA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FANNIN COUNTY HOSPITAL AUTHORITY (enrollment ID O20171201000010).
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 |
|---|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| RA LAWRENCE | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHERMAN HEALTH HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| STANDARD BEARER HEALTHCARE OP, LP | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEPHEN J BURNS | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THE ENSIGN GROUP INC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAD KEETCH | Individual | CORPORATE OFFICER | 0 | 4/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLARK R SANDERSON | Individual | CORPORATE OFFICER | 100 | 10/29/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | CORPORATE OFFICER | 0 | 4/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RA LAWRENCE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 4/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN J BURNS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 8/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EIFFEL HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| RA LAWRENCE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 4/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN J BURNS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RA LAWRENCE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RA LAWRENCE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHERMAN HEALTH HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEPHEN J BURNS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEPHEN J BURNS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEPHEN J BURNS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STANDARD BEARER HEALTHCARE OP, LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHAD KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: THE ENSIGN GROUP INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- February 15, 2023: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: FANNIN COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since January 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- July 1, 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RA LAWRENCE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RA LAWRENCE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHERMAN HEALTH HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEPHEN J BURNS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEPHEN J BURNS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEPHEN J BURNS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STANDARD BEARER HEALTHCARE OP, LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHAD KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: THE ENSIGN GROUP INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- December 24, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 25, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- June 25, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 19, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- February 15, 2023: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: FANNIN COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since January 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- July 19, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- October 14, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- November 12, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- May 2, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 25, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- December 15, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- December 6, 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 30, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- December 23, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 22, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- August 13, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- July 15, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- July 14, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 20, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- November 6, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- November 17, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 5, 2026 | February 5, 2026 | 14 | 0 |
| 2 | November 20, 2024 | November 20, 2024 | 9 | 1 |
| 3 | October 12, 2023 | October 12, 2023 | 20 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
43 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 5, 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | February 13, 2026 |
| February 5, 2026 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | February 13, 2026 |
| February 5, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | No | Deficient, Provider has date of correction | February 13, 2026 |
| February 5, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | February 13, 2026 |
| February 5, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | February 13, 2026 |
| February 5, 2026 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | February 13, 2026 |
| February 5, 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has date of correction | February 13, 2026 |
| February 5, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | February 13, 2026 |
| February 5, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | February 13, 2026 |
| February 5, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | February 13, 2026 |
| February 5, 2026 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | No | Deficient, Provider has date of correction | February 13, 2026 |
| February 5, 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Yes | Deficient, Provider has date of correction | February 13, 2026 |
| February 5, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | February 13, 2026 |
| February 5, 2026 | Health | F 0926 | Environmental Deficiencies | Have policies on smoking. | D | No | Deficient, Provider has date of correction | February 13, 2026 |
| July 24, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | August 15, 2025 |
| November 20, 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | No | Deficient, Provider has date of correction | December 24, 2024 |
| November 20, 2024 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | E | No | Deficient, Provider has date of correction | December 24, 2024 |
| November 20, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | December 24, 2024 |
| November 20, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | No | Past Non-Compliance | November 14, 2024 |
| November 20, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | December 24, 2024 |
| November 20, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement 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. | D | No | Deficient, Provider has date of correction | December 24, 2024 |
| November 20, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 24, 2024 |
| November 20, 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | December 24, 2024 |
| October 12, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 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 | November 20, 2023 |
| October 12, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0712 | Nursing and Physician Services Deficiencies | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 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. | E | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | November 20, 2023 |
| October 12, 2023 | Health | F 0926 | Environmental Deficiencies | Have policies on smoking. | D | No | Deficient, Provider has date of correction | November 20, 2023 |
| September 27, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | October 24, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| November 20, 2024 | Fine | $16,149 | 113436 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | FANNIN COUNTY HOSPITAL AUTHORITY |
| Date First Approved to Provide Medicare and Medicaid Services | 2005-01-30 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Lamar |
| Telephone Number | 9037379820 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 79.9 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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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 December 24, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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