Velarion Records

Skilled nursing facility · CMS certification number 676121

SILVER TREE NURSING AND REHABILITATION CENTER

SCHERTZ, 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: 3 · Fines: 3 · Fines, total amount: $114,303.00 · Payment denials: 0. The most recent penalty on file: October 10, 2025, Fine, $16,471. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for April 1, 2024 to March 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on September 24, 2025.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$10,235,028CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$822,105CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,412,923CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,562,301CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$149,378CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$488,109CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$338,731CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $338,731 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,800CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days5,101CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days11,763CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days14,117CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components30,981CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges155CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges99CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges241CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components495CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days118.82CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days62.59CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440113, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended March 31, 2024

Cost report for April 1, 2023 to March 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 8, 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$10,788,598CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$640,618CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,147,980CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,803,076CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$344,904CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$697,866CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,042,770CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,042,770 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,485CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components334CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days278.11CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days100.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1446252, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended March 31, 2023

Cost report for June 1, 2022 to March 31, 2023 — a reporting period of 303 days, on form CMS-2540-10, settled, processed by CMS on October 11, 2023.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$7,709,591CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$865,504CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,844,087CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,925,141CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,081,054CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,295,712CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$214,658CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $214,658 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,670CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components276CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days334.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days100.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366505, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended May 31, 2022

Cost report for January 1, 2022 to May 31, 2022 — a reporting period of 150 days, not a full year, on form CMS-2540-10, settled, processed by CMS on February 14, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$3,572,120CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$530,105CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,042,015CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,572,350CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$530,335CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$115,395CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$414,940CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$414,940 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,724CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components99CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days597.11CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days128.53CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342432, 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 July 22, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$8,026,403CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,001,537CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,024,866CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,182,391CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,157,525CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$545,223CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$612,302CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$612,302 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,930CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components272CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days359.66CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days95.33CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1327082, 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 February 14, 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,811,579CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,629,243CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,182,336CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,694,225CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,511,889CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$822,200CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$689,689CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$689,689 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,024CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components263CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days467.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days117.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342431, 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 29, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$10,404,858CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,824,732CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,580,126CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,863,152CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$283,026CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,984CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$275,042CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$275,042 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,392CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components463CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days468.65CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days76.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1272809, 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 July 22, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$10,804,341CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,280,114CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,524,227CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,745,954CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$221,727CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,797CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$211,930CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$211,930 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,147CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components513CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.02CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days240.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days68.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237889, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$9,456,929CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,684,815CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,772,114CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,348,251CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$576,137CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,238CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$568,899CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$568,899 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,515CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components480CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.01CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days321.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days65.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1207182, 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 July 18, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$10,450,998CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,950,137CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,500,861CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,959,748CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$458,887CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,910CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$454,977CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$454,977 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,372CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components623CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days236.41CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days55.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169657, 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 July 25, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$12,027,276CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,215,388CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,811,888CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,194,572CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$617,316CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,965CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$624,281CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $624,281 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,132CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components474CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days298.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days78.34CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1136200, 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 August 5, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$11,776,967CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,109,681CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,667,286CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,051,540CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$615,746CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,551CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$621,297CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $621,297 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,657CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components473CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days282.21CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days77.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1106847, 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 September 9, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$13,286,753CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,565,427CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,721,326CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,762,663CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$958,663CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,152CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$967,815CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $967,815 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,334CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components375CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days747.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days99.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1109090, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 29, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$13,097,628CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,149,593CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,948,035CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,085,771CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$862,264CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,836CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$865,100CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $865,100 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,043CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components313CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days572.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days127.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044238, 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.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$12,057,368CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,233,381CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,823,987CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,080,326CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,743,661CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11,176CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,754,837CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,754,837 (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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,370CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components433CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days437.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days93.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1015531, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for November 1, 2010 to December 31, 2010 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on July 22, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$1,378,267CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,398,678CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$20,411CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,699CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$16,712 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components6,443CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components71CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.89CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days428.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days90.75CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 412598, read from the public cost report file SNFFY2011.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 August 20, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$6,679,864CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,910,312CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$230,448CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$98,061CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$132,387 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,891CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components287CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days36.12CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days919.4CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days125.06CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385978, 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 16, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$7,013,765CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,259,956CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$246,191CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$29,328CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$216,863 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,834CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components373CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.08CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days311.59CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days96.07CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 357860, 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 September 30, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$5,685,185CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,019,921CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$334,736CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$9,511CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$325,225 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components27,829CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components326CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.41CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days272.55CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days85.37CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 326276, 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 October 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
BLAKE, GARYADP OF THE SNFIndividualNOT APPLICABLEsince 09/01/2022
KASPERKHAN, JIBRAILADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
LINAHAN, KORIADP OF THE SNFIndividualNOT APPLICABLEsince 05/20/2025
SCHERTZ I ENTERPRISES, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/20/2025
HUGGINS, LINDACORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2022
WILLIG, ZACHARYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
THOMPSON, JOHNNYCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
BOWERS, SEANMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 07/01/2024
CISNEROS, ALFREDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/18/2008
COBB, TRAVISMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/05/2022
COOPER, STEPHENMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/11/2022
HARDIN, SHERRIEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 09/04/2024
KERZEE, RICHARDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 09/24/2007
KORENEK, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/05/2018
SOECHTING, PAULMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/22/2024
STRACK, JOEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/11/2022
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2022
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2022
SCHERTZ I ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 09/01/2022

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20220706001815).

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

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
WEST WHARTON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
GARY R BLAKEIndividualADP OF THE SNFNot stated in the filing9/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JIBRAIL KASPERKHANIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KORI LINAHANIndividualADP OF THE SNFNot stated in the filing5/20/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SCHERTZ I ENTERPRISES, LLCOrganizationADP OF THE SNFNot stated in the filing5/20/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
LINDA F HUGGINSIndividualCORPORATE DIRECTOR06/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ZACHARY WILLIGIndividualCORPORATE DIRECTOR01/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHNNY THOMPSONIndividualCORPORATE OFFICER01/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ALFRED CISNEROSIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing2/18/2008
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOE STRACKIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing2/11/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PATRICIA A KORENEKIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing5/5/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PAUL SOECHTINGIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing11/22/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RICHARD KERZEEIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing9/24/2007
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SEAN BOWERSIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing7/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHERRIE HARDINIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing9/4/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHEN COOPERIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing11/11/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TRAVIS COBBIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/5/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GARY R BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROL509/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MALISA A BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROL509/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SCHERTZ I ENTERPRISES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1009/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1June 12, 2026June 12, 2026188
2April 18, 2025April 18, 2025257
3March 7, 2024March 7, 2024181

From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.

Deficiencies cited

61 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
August 6, 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionAugust 31, 2026
June 12, 2026HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correctionJune 13, 2026
June 12, 2026HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DNoDeficient, Provider has date of correctionJune 13, 2026
June 12, 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.ENoDeficient, Provider has date of correctionJune 13, 2026
June 12, 2026HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correctionJune 13, 2026
June 12, 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correctionJune 13, 2026
June 12, 2026HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionJune 13, 2026
June 12, 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correctionJune 13, 2026
June 12, 2026HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correctionJune 13, 2026
June 12, 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.ENoDeficient, Provider has date of correctionJune 13, 2026
June 12, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionJune 13, 2026
January 28, 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correctionJanuary 29, 2026
January 28, 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionJanuary 29, 2026
January 28, 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionJanuary 29, 2026
December 1, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionDecember 2, 2025
October 10, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionOctober 11, 2025
October 10, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesPast Non-ComplianceAugust 29, 2025
October 10, 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionOctober 11, 2025
April 27, 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JYesPast Non-ComplianceApril 25, 2025
April 27, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.JYesPast Non-ComplianceApril 25, 2025
April 18, 2025HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.BNoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DNoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DNoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0940Administration DeficienciesDevelop, implement, and/or maintain an effective training program for all new and existing staff members.ENoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0941Administration DeficienciesDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DNoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0942Resident Rights DeficienciesEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DNoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0946Administration DeficienciesProvide training in compliance and ethics.ENoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DNoDeficient, Provider has date of correctionApril 19, 2025
April 18, 2025HealthF 0949Administration DeficienciesProvide behavior health training consistent with the requirements and as determined by a facility assessment.DNoDeficient, Provider has date of correctionApril 19, 2025
January 17, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correctionJanuary 18, 2025
January 17, 2025HealthF 0602Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.DYesPast Non-ComplianceAugust 1, 2024
January 17, 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DYesDeficient, Provider has date of correctionJanuary 18, 2025
January 17, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionJanuary 18, 2025
June 14, 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionJune 15, 2024
March 7, 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correctionMarch 8, 2024
March 7, 2024HealthF 0638Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.DYesDeficient, Provider has date of correctionMarch 8, 2024
March 7, 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correctionMarch 8, 2024
March 7, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EYesDeficient, Provider has date of correctionMarch 8, 2024
March 7, 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correctionMarch 8, 2024
March 7, 2024HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DYesDeficient, Provider has date of correctionMarch 8, 2024
March 7, 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correctionMarch 8, 2024
March 7, 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DYesDeficient, Provider has date of correctionMarch 8, 2024
March 7, 2024HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DYesDeficient, Provider has date of correctionMarch 8, 2024
March 7, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correctionMarch 8, 2024
March 7, 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionMarch 8, 2024
March 7, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionMarch 8, 2024
February 1, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionFebruary 2, 2024
December 22, 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.JYesDeficient, Provider has date of correctionJanuary 31, 2024
December 22, 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correctionDecember 23, 2023
December 22, 2023HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EYesDeficient, Provider has date of correctionDecember 23, 2023
December 22, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionDecember 23, 2023

From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
October 10, 2025Fine$16,471136513
April 27, 2025Fine$15,156113804
December 22, 2023Fine$82,676112055

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - Hospital district
Legal Business NameWEST WHARTON COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2006-11-21
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishGuadalupe
Telephone Number2105669100
Chain NameCREATIVE SOLUTIONS IN HEALTHCARE
Chain ID169
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day97.2
Overall Rating2
Health Inspection Rating2
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating3
Processing Date2026-09-01

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

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One email a day naming what moved on SILVER TREE NURSING AND REHABILITATION CENTER: the field, the value before, the value after, and the date of the file that first showed it.

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On August 6, 2026: A deficiency was cited under tag F 0656, scope and severity D. That is one line of the alert.

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