Skilled nursing facility · CMS certification number 676114

RIVER HILLS HEALTH AND REHABILITATION CENTER

KERRVILLE, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 150

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: 3 · Fines: 3 · Fines, total amount: $112,133.00 · Payment denials: 0. The most recent penalty on file: February 8, 2025, Fine, $49,392. 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 July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 24, 2025.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$11,367,047	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$401,459	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,768,506	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,703,257	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$65,249	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$502,391	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$567,640	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $567,640 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	54,750	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	3,045	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	15,271	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	22,433	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	40,749	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	87	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	52	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	217	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	356	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	293.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	114.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445591, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended June 30, 2024

Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 28, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,077,996	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$773,281	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,851,277	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,065,251	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$213,974	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$329,244	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$115,270	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $115,270 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	44,142	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	375	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	595.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	117.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1441593, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended June 30, 2023

Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 21, 2023.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$8,547,823	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$2,020,538	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,568,361	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,716,252	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$852,109	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,263,584	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$3,115,693	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,115,693 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,185	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	449	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	342.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	80.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1371100, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended June 30, 2022

Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$7,938,881	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,507,410	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,446,291	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,503,476	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$942,815	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$365,290	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,308,105	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,308,105 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,419	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	317	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	421.34	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	108.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339617, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended June 30, 2021

Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$7,943,765	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$597,722	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,346,043	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,991,449	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$354,594	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$610,063	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$964,657	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $964,657 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,148	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	264	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	678.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	102.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1311098, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended June 30, 2020

Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 17, 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$8,365,944	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,060,913	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,305,031	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,333,447	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$28,416	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$637,548	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$609,132	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $609,132 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,343	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	335	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	615.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	78.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1280298, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended June 30, 2019

Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$6,834,741	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$6,834,741	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,823,590	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$11,151	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,585	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$14,736	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $14,736 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,836	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	324	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	579.58	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	82.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249436, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended June 30, 2018

Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$10,415,888	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,014,187	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,401,701	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,169,107	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$767,406	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$767,406	CMS-2540-10 worksheet G300000 line 2500 column 100

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,777	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	360	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	242.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	74.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1217491, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended June 30, 2017

Cost report for April 1, 2017 to June 30, 2017 — a reporting period of 90 days, not a full year, on form CMS-2540-10, settled, processed by CMS on February 28, 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,278,518	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,286,847	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,991,671	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,848,366	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$143,305	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$284	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$143,589	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $5 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	7,465	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	107	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	153.38	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1184475, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 10, 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$14,880,132	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,945,027	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,935,105	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,323,963	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$611,142	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$18,457	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$592,685	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $592,685 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,223	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	433	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	190.57	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	81.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1172646, 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 October 19, 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$14,562,481	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,045,667	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,516,814	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,260,102	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$256,712	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$34,739	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$221,973	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $221,973 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,750	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	469	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.66	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	175.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1177336, 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 13, 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$14,277,233	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,914,055	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,363,178	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,148,982	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$214,196	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,852	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$218,048	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $125,555 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,233	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	449	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	266.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	74.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1148403, 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 11, 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$12,406,321	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,576,903	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,829,418	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,380,217	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$449,201	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$693	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$449,894	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $381,067 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,736	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	453	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	268.21	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	81.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1114692, 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 December 1, 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$11,054,139	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,562,384	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,491,755	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,791,723	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$299,968	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$28,168	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$271,800	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$271,803 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,917	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	352	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	897.21	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	99.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1081270, 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 December 6, 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$11,721,327	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,818,482	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,902,845	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,214,109	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$311,264	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$42,116	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$269,148	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$273,223 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,415	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	368	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.66	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	912.58	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	93.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1051714, 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 July 25, 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$7,807,546	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,583,895	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$223,651	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$22,325	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $245,976 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,968	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	366	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.04	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	811	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	95.54	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 412825, 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 September 17, 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$6,449,991	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,611,883	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$161,892	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$768	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$55,655	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$216,779 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,391	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	399	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.71	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	174.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	78.67	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 387894, 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 October 21, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$5,447,926	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,976,114	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$528,188	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,009	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$15,114	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$541,293 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,976	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	35.08	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	364.49	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	91.92	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 358124, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for March 31, 2007 to December 31, 2007 — a reporting period of 275 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 27, 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,776,462	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,366,259	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$589,797	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$33	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$589,764 (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
Figure	As filed	Where it comes from
Total facility beds, all components	150	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,191	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	258	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.86	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	255.82	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	78.26	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 325090, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended December 31, 2006

Cost report for October 1, 2006 to December 31, 2006 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 29, 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$727,588	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,302,644	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$575,056	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$134	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$574,922 (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
Figure	As filed	Where it comes from
Total facility beds, all components	300	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	3,201	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	45	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.39	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	202.75	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	71.13	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 293008, read from the public cost report file SNFFY2007.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 manager	Role	Type	Ownership percentage	Association
AZIZ, WESAM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2026
BANDERA HWY HEALTH HOLDINGS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2026
CROWN MOUNTAIN HEALTHCARE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/19/2026
ENSIGN SERVICES, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/13/2026
LOPEZ, ALAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/11/2025
STANDARD BEARER HEALTHCARE OP LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2026
THE ENSIGN GROUP, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2026
KEETCH, CHAD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 03/01/2011
APOLINAR, ADAM	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/01/2026
BURNAM, SOON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/01/2026
UVALDE COUNTY HOSPITAL AUTHORITY	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 05/01/2026
AZIZ, WESAM	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 05/01/2026
AZIZ, WESAM	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2026
CROWN MOUNTAIN HEALTHCARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 05/01/2026
LOPEZ, ALAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/11/2025

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of UVALDE COUNTY HOSPITAL AUTHORITY (enrollment ID O20170720000333).

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
ALAN LOPEZ	Individual	ADP OF THE SNF	Not stated in the filing	3/11/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BANDERA HWY HEALTH HOLDINGS LLC	Organization	ADP OF THE SNF	Not stated in the filing	5/1/2026	Private equity company: No Real estate investment trust: No Holding company: No
CROWN MOUNTAIN HEALTHCARE LLC	Organization	ADP OF THE SNF	Not stated in the filing	5/19/2026	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	2/13/2026	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	5/1/2026	Private equity company: No Real estate investment trust: No Holding company: No
THE ENSIGN GROUP, INC.	Organization	ADP OF THE SNF	Not stated in the filing	5/1/2026	Private equity company: No Real estate investment trust: No Holding company: No
WESAM SABRI AZIZ	Individual	ADP OF THE SNF	Not stated in the filing	5/1/2026	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
No owner named in the filing	Organization	ADP OF THE SNF	Not stated in the filing	5/1/2026	Private equity company: No Real estate investment trust: No Holding company: No
CHAD KEETCH	Individual	CORPORATE DIRECTOR	Not stated in the filing	3/1/2011	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ADAM APOLINAR	Individual	CORPORATE OFFICER	Not stated in the filing	5/1/2026	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
SOON BURNAM	Individual	CORPORATE OFFICER	Not stated in the filing	5/1/2026	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
UVALDE COUNTY HOSPITAL AUTHORITY	Organization	INDIRECT OWNERSHIP INTEREST	Not stated in the filing	5/1/2026	Private equity company: No Real estate investment trust: No Holding company: No
WESAM SABRI AZIZ	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	5/1/2026	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ALAN LOPEZ	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	3/11/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
CROWN MOUNTAIN HEALTHCARE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	5/1/2026	Private equity company: No Real estate investment trust: No Holding company: No
WESAM SABRI AZIZ	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	5/1/2026	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

July 1, 2026: TERRI CONTRERAS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: 2091KV LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DEREK D RANKIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CHRISTOPHER R LOCKHART no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CHRISTOPHER R LOCKHART no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: RIVER HILLS CHM LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CHRISTOPHER MARTIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LAUREN HERNANDEZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LAUREN HERNANDEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CROWN MOUNTAIN HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CROWN MOUNTAIN HEALTHCARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: WESAM SABRI AZIZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: WESAM SABRI AZIZ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: WESAM SABRI AZIZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CHAD KEETCH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2011. 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 February 13, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: THE ENSIGN GROUP, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: STANDARD BEARER HEALTHCARE OP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: BANDERA HWY HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
November 1, 2025: UVALDE COUNTY HOSPITAL AUTHORITY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: DEREK D RANKIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: RIVER HILLS CHM LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: UVALDE COUNTY HOSPITAL AUTHORITY (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: 2091KV LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: DEREK D RANKIN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: ALAN LOPEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: ALAN LOPEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: CHRISTOPHER R LOCKHART (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: CHRISTOPHER R LOCKHART (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: RIVER HILLS CHM LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: CHRISTOPHER MARTIN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: LAUREN HERNANDEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 19, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: LAUREN HERNANDEZ (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 19, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2023: SOUTHWEST LTC KERRVILLE LTD. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: THOMAS J NORDWICK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: THOMAS J NORDWICK no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: DEREK D RANKIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: RIVER HILLS CHM LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
January 1, 2023: TERRI CONTRERAS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since April 29, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
January 1, 2023: ADAM APOLINAR (OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv

Recent changes on this record

July 1, 2026: TERRI CONTRERAS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: 2091KV LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: DEREK D RANKIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CHRISTOPHER R LOCKHART no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CHRISTOPHER R LOCKHART no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: RIVER HILLS CHM LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CHRISTOPHER MARTIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LAUREN HERNANDEZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LAUREN HERNANDEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CROWN MOUNTAIN HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CROWN MOUNTAIN HEALTHCARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: WESAM SABRI AZIZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: WESAM SABRI AZIZ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: WESAM SABRI AZIZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CHAD KEETCH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2011. 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 February 13, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: THE ENSIGN GROUP, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: STANDARD BEARER HEALTHCARE OP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: BANDERA HWY HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
December 24, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
November 1, 2025: UVALDE COUNTY HOSPITAL AUTHORITY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: DEREK D RANKIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: RIVER HILLS CHM LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: UVALDE COUNTY HOSPITAL AUTHORITY (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: 2091KV LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: DEREK D RANKIN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: ALAN LOPEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: ALAN LOPEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: CHRISTOPHER R LOCKHART (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: CHRISTOPHER R LOCKHART (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: RIVER HILLS CHM LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: CHRISTOPHER MARTIN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: LAUREN HERNANDEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 19, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: LAUREN HERNANDEZ (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 19, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
October 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
December 21, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
November 1, 2023: SOUTHWEST LTC KERRVILLE LTD. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: THOMAS J NORDWICK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	June 13, 2025	June 13, 2025	22	4
2	April 19, 2024	April 19, 2024	26	5
3	March 4, 2023	March 4, 2023	9	2

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

Deficiencies cited

57 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
June 19, 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	Yes	Deficient, Provider has date of correction	July 7, 2026
May 7, 2026	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	June 1, 2026
May 7, 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	Yes	Deficient, Provider has date of correction	June 1, 2026
May 7, 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	Yes	Deficient, Provider has date of correction	June 1, 2026
February 4, 2026	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	Yes	Deficient, Provider has date of correction	February 6, 2026
February 4, 2026	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	Yes	Deficient, Provider has date of correction	February 6, 2026
November 26, 2025	Health	F 0882	Infection Control Deficiencies	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	F	Yes	Deficient, Provider has date of correction	December 19, 2025
September 16, 2025	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	Yes	Deficient, Provider has date of correction	October 1, 2025
June 13, 2025	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	July 11, 2025
June 13, 2025	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	July 11, 2025
June 13, 2025	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	Yes	Deficient, Provider has date of correction	July 11, 2025
June 13, 2025	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.	E	No	Deficient, Provider has date of correction	July 11, 2025
June 13, 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	No	Deficient, Provider has date of correction	July 11, 2025
June 13, 2025	Health	F 0685	Quality of Life and Care Deficiencies	Assist a resident in gaining access to vision and hearing services.	D	No	Deficient, Provider has date of correction	July 11, 2025
June 13, 2025	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	July 11, 2025
June 13, 2025	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	E	No	Deficient, Provider has date of correction	July 11, 2025
June 13, 2025	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	E	No	Deficient, Provider has date of correction	July 11, 2025
June 13, 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	July 11, 2025
June 13, 2025	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	July 11, 2025
June 13, 2025	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	July 11, 2025
June 13, 2025	Health	F 0813	Nutrition and Dietary Deficiencies	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	D	No	Deficient, Provider has date of correction	July 11, 2025
June 13, 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	July 11, 2025
May 13, 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E	Yes	Deficient, Provider has date of correction	June 3, 2025
May 13, 2025	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	Yes	Deficient, Provider has date of correction	June 3, 2025
February 8, 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	J	Yes	Deficient, Provider has date of correction	February 9, 2025
February 8, 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	J	Yes	Deficient, Provider has date of correction	February 9, 2025
February 8, 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	J	Yes	Deficient, Provider has date of correction	February 9, 2025
February 8, 2025	Health	F 0770	Administration Deficiencies	Provide timely, quality laboratory services/tests to meet the needs of residents.	D	Yes	Deficient, Provider has date of correction	February 9, 2025
December 21, 2024	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	Yes	Deficient, Provider has date of correction	December 22, 2024
December 21, 2024	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	Yes	Deficient, Provider has date of correction	December 22, 2024
December 21, 2024	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	Yes	Deficient, Provider has date of correction	December 22, 2024
December 21, 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	Yes	Deficient, Provider has date of correction	December 22, 2024
December 21, 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	Yes	Deficient, Provider has date of correction	December 22, 2024
September 9, 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	Yes	Deficient, Provider has date of correction	September 30, 2024
September 9, 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	E	Yes	Deficient, Provider has date of correction	September 30, 2024
September 9, 2024	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	Yes	Deficient, Provider has date of correction	September 30, 2024
September 9, 2024	Health	F 0839	Administration Deficiencies	Employ staff that are licensed, certified, or registered in accordance with state laws.	D	Yes	Deficient, Provider has date of correction	September 30, 2024
April 19, 2024	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	E	No	Deficient, Provider has date of correction	May 31, 2024
April 19, 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	May 31, 2024
April 19, 2024	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	May 31, 2024
April 19, 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	May 31, 2024
April 19, 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	May 31, 2024
April 19, 2024	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	E	No	Deficient, Provider has date of correction	May 31, 2024
April 19, 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	May 31, 2024
April 19, 2024	Health	F 0813	Nutrition and Dietary Deficiencies	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	D	No	Deficient, Provider has date of correction	May 31, 2024
April 19, 2024	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	May 31, 2024
April 19, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	May 31, 2024
April 19, 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	No	Deficient, Provider has date of correction	May 31, 2024
January 10, 2024	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.	J	Yes	Deficient, Provider has date of correction	January 29, 2024
January 10, 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	J	Yes	Deficient, Provider has date of correction	January 29, 2024
March 4, 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.	E	No	Deficient, Provider has date of correction	March 5, 2023
March 4, 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	March 5, 2023
March 4, 2023	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	E	No	Deficient, Provider has date of correction	March 5, 2023
March 4, 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	March 5, 2023
March 4, 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	March 5, 2023
March 4, 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.	E	No	Deficient, Provider has date of correction	March 5, 2023
March 4, 2023	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	C	No	Deficient, Provider has date of correction	March 5, 2023

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

Penalties

Penalty date	Type	Fine amount	Fine ID
February 8, 2025	Fine	$49,392	113604
December 21, 2024	Fine	$47,467	113483
January 10, 2024	Fine	$15,274	112155

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 - Individual
Legal Business Name	UVALDE COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid Services	2006-10-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Kerr
Telephone Number	8302579900
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	150
Average Number of Residents per Day	99.2
Overall Rating	1
Health Inspection Rating	1
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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