Skilled nursing facility · CMS certification number 676139
GREEN OAKS NURSING & REHABILITATION
ARLINGTON, Texas · Medicare and Medicaid · 142 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $83,850.00 · Payment denials: 0. The most recent penalty on file: January 20, 2024, Fine, $83,850. Every penalty on file ↓
GREEN OAKS NURSING & REHABILITATION: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering September 1, 2024 to August 31, 2025 (364 days), and CMS processed it on February 17, 2026.
- Net patient revenue rose from $8.3M in fiscal year 2024 to $10.1M in fiscal year 2025.
- Its result from service to patients: −$747K (2023), −$240K (2024), $447K (2025).
- Its cost reports on file run from fiscal year 2007 to fiscal year 2025.
- Its net patient revenue of $10.1M ranks 98th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 1 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also reports a gain on service to patients.
GREEN OAKS NURSING & REHABILITATION: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1447864 | 2024 · report 1445967 | 2023 · report 1402233 | 2022 · report 1343098 | 2021 · report 1359383 | 2020 · report 1341282 | 2019 · report 1311418 | 2018 · report 1243557 | 2017 · report 1209271 | 2016 · report 1211335 | 2015 · report 1176857 | 2014 · report 1146782 | 2013 · report 1116133 | 2012 · report 1080433 | 2011 · report 1052735 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | September 1, 2024 | September 1, 2023 | September 1, 2022 | October 1, 2021 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | September 1, 2011 |
| Period ended | August 31, 2025 | August 31, 2024 | August 31, 2023 | August 31, 2022 | September 30, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | — | 272 | — | — | — | — | — | — | — | — | — | 121 |
| Processed by CMS | February 17, 2026 | January 6, 2026 | January 14, 2025 | February 23, 2023 | July 20, 2023 | January 30, 2023 | March 4, 2022 | September 19, 2019 | August 21, 2018 | September 17, 2018 | October 17, 2017 | November 21, 2016 | December 22, 2015 | November 18, 2014 | December 19, 2013 |
| Total patient revenue | $14,548,966 | $12,545,652 | $11,414,263 | $9,987,370 | $6,792,203 | $10,553,737 | $12,275,439 | $11,043,971 | $16,594,728 | $17,907,964 | $19,562,059 | $16,576,365 | $17,127,059 | $17,637,144 | $6,294,282 |
| Contractual allowances and discounts | $4,493,068 | $4,203,394 | $3,444,477 | $2,682,286 | $973,787 | $1,699,018 | $2,992,444 | $3,032,783 | $7,777,831 | $7,889,817 | $8,570,141 | $6,390,023 | $6,992,773 | $7,716,334 | $3,074,506 |
| Net patient revenue | $10,055,898 | $8,342,258 | $7,969,786 | $7,305,084 | $5,818,416 | $8,854,719 | $9,282,995 | $8,011,188 | $8,816,897 | $10,018,147 | $10,991,918 | $10,186,342 | $10,134,286 | $9,920,810 | $3,219,776 |
| Total operating expenses | $9,609,057 | $8,581,824 | $8,716,578 | $6,800,592 | $7,077,434 | $8,773,052 | $9,071,102 | $8,575,314 | $9,370,934 | $9,803,828 | $10,350,317 | $10,017,834 | $9,677,125 | $9,319,877 | $3,213,892 |
| Net income from service to patients | $446,841 | −$239,566 | −$746,792 | $504,492 | −$1,259,018 | $81,667 | $211,893 | −$564,126 | −$554,037 | $214,319 | $641,601 | $168,508 | $457,161 | $600,933 | $5,884 |
| Total other income | $5,833 | $539 | $859 | $26,369 | $1,431,764 | $832,438 | $16,025 | $4,404 | $18,873 | $44,291 | $28,545 | $24,895 | $94,602 | $273,926 | $4,232 |
| Net income after other income | $452,674 | −$239,027 | −$745,933 | $530,861 | $172,746 | $914,105 | $227,918 | −$559,722 | −$535,164 | $258,610 | $670,146 | $193,403 | $551,763 | $874,859 | $10,116 |
| Net income | $452,674 | −$239,027 | −$745,933 | $530,861 | $172,746 | $914,105 | $227,918 | −$559,722 | −$535,164 | $258,610 | $670,146 | $193,403 | $551,763 | $874,859 | $10,116 |
| Total facility beds, all components | 142 | 142 | 142 | 142 | 142 | 142 | 142 | 142 | 142 | 142 | 142 | 142 | 142 | 142 | 142 |
| Bed days available, all components | 51,830 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 2,852 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 22,097 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 11,207 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 36,156 | 30,777 | 30,416 | 26,365 | 20,293 | 31,558 | 37,830 | 34,689 | 37,293 | 39,783 | 43,678 | 42,915 | 44,752 | 40,430 | 15,573 |
| Medicare discharges | 72 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 46 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 315 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 433 | 379 | 358 | 325 | 348 | 378 | 464 | 374 | 410 | 471 | 465 | 467 | 461 | 466 | 137 |
| Average length of stay, Medicare, in days | 39.61 | 31.44 | 31.84 | 35.39 | 34.2 | 41.84 | 36.65 | 30.99 | 37.91 | 39.8 | 44.47 | 52.46 | 40.65 | 43.82 | 34.79 |
| Average length of stay, Medicaid, in days | 480.37 | 362.78 | 259.76 | 282.21 | 247.92 | 679.14 | 520.28 | 492.73 | 403.85 | 297.42 | 415.6 | 308.37 | 404.61 | 156.2 | 379.26 |
| Average length of stay, all patients, in days | 83.5 | 81.21 | 84.96 | 81.12 | 58.31 | 83.49 | 81.53 | 92.75 | 90.96 | 84.46 | 93.93 | 91.9 | 97.08 | 86.76 | 113.67 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 413032 | 2009 · report 386591 | 2008 · report 357023 | 2007 · report 327463 |
|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | May 15, 2007 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 |
| Days, where not a full year | — | — | — | 230 |
| Processed by CMS | July 26, 2011 | August 27, 2010 | September 21, 2009 | October 29, 2008 |
| Net patient revenue | $9,005,028 | $9,567,912 | $8,831,117 | $2,763,335 |
| Total operating expenses | $8,947,480 | $9,315,425 | $8,817,256 | $3,218,020 |
| Net income from service to patients | $57,548 | $252,487 | $13,861 | −$454,685 |
| Total other income | $37,872 | $54,126 | $28,480 | $16,509 |
| Net income | $95,420 | $306,613 | $42,341 | −$438,176 |
| Total facility beds, all components | 142 | 142 | 142 | 142 |
| Total patient days, all components | 44,999 | 46,131 | 40,588 | 13,164 |
| Total discharges, all components | 380 | 435 | 409 | 184 |
| Average length of stay, Medicare, in days | 37.86 | 46.12 | 46.68 | 38.36 |
| Average length of stay, Medicaid, in days | 1,100.65 | 298.67 | 347.59 | 269.05 |
| Average length of stay, all patients, in days | 118.42 | 106.05 | 99.24 | 71.54 |
Net income, fiscal years 2010, 2009, 2008, 2007. Checked against the form’s own arithmetic: what that check shows.
GREEN OAKS NURSING & REHABILITATION: nurse staffing hours by quarter →
Who owns GREEN OAKS NURSING & REHABILITATION, as filed with CMS
Care Compare
- ADP OF THE SNF: BALSAMO, KRYSTAL (individual), since 09/29/2021; CIBC BANK USA (organization), since 04/01/2021; CULP, ROLAND (individual), since 04/01/2021; DASPIT, LAURENCE (individual), since 04/01/2021; DOHN, WILLIAM (individual), since 03/27/2019; GARY, JONICA (individual), since 05/01/2024; HMG SERVICES LLC (organization), since 04/01/2021; JOHANAN, ERIC (individual), since 05/06/2024; KLAG, BEHTANY (individual), since 10/23/2024; PERRYMAN, JOE (individual), since 09/01/2023; PICO, ANA (individual), since 04/01/2021; PRINCE, DEREK (individual), since 04/01/2021; QUESTCARE MATRIX PLLC (organization), since 04/01/2018; REINARZ, CHRISTIAN (individual), since 05/13/2024; STANBRIDGE, NORMA (individual), since 09/29/2014; ZIONS BANCORPORATION (organization), since 04/01/2021
- CORPORATE DIRECTOR: STRAMECKI, ANTHONY (individual), since 11/01/2016; VRATIS, KACEY (individual), since 11/01/2020; WAY, GEORGE (individual), since 01/01/2013
- CORPORATE OFFICER: MURRELL, EDWARD (individual), since 11/01/2012; ROLLO, JEFFERY (individual), since 11/01/2012; WAY, GEORGE (individual), since 01/01/2013
- OPERATIONAL/MANAGERIAL CONTROL: BALSAMO, KRYSTAL (individual), since 09/29/2021; CIBC BANK USA (organization), since 04/01/2021; CULP, ROLAND (individual), since 02/01/2021; DASPIT, LAURENCE (individual), since 04/01/2021; DOHN, WILLIAM (individual), since 03/27/2019; GARY, JONICA (individual), since 05/01/2024; HMG PARK MANOR OF GREEN OAKS, LLC (organization), since 10/01/2021; JOHANAN, ERIC (individual), since 05/06/2024; KLAG, BEHTANY (individual), since 10/23/2024; MURRELL, EDWARD (individual), since 04/01/2018; PICO, ANA (individual), since 04/01/2021; PRINCE, DEREK (individual), since 04/01/2021; REINARZ, CHRISTIAN (individual), since 05/13/2024; ROLLO, JEFFERY (individual), since 04/01/2021; STRAMECKI, ANTHONY (individual), since 04/01/2021; VRATIS, KACEY (individual), since 04/01/2021; WAY, GEORGE (individual), since 04/01/2021
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of WINNIE-STOWELL HOSPITAL DISTRICT (enrollment ID O20211006000246).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: WINNIE-STOWELL HOSPITAL DISTRICT (organization), 100.00%, since 10/01/2021
- ADP OF THE SNF: ANA I PICO (individual), since 04/01/2021; BEHTANY KLAG (individual), since 10/23/2024; CHRISTIAN REINARZ (individual), since 05/13/2024; CIBC BANK USA (organization), since 04/01/2021; DEREK L PRINCE (individual), since 04/01/2021; ERIC JOHANAN (individual), since 05/06/2024; HMG SERVICES LLC (organization), since 04/01/2021; JOE L PERRYMAN (individual), since 09/01/2023; JONICA GARY (individual), since 05/01/2024; KRYSTAL BALSAMO (individual), since 09/29/2021; LAURENCE C DASPIT (individual), since 04/01/2021; NORMA STANBRIDGE (individual), since 09/29/2014; QUESTCARE MATRIX PLLC (organization), since 04/01/2018; ROLAND WAYNE CULP (individual), since 04/01/2021; WILLIAM W DOHN (individual), since 03/27/2019; ZIONS BANCORPORATION (organization), since 04/01/2021
- CORPORATE DIRECTOR: ANTHONY STRAMECKI (individual), 100.00%, since 11/01/2016; GEORGE WAY (individual), 100.00%, since 01/01/2013; KACEY VRATIS (individual), 100.00%, since 11/01/2020
- CORPORATE OFFICER: EDWARD R MURRELL (individual), 100.00%, since 11/01/2012; GEORGE WAY (individual), 100.00%, since 01/01/2013; JEFFERY ROLLO (individual), 100.00%, since 11/01/2012
- OPERATIONAL/MANAGERIAL CONTROL: ANA I PICO (individual), 25.00%, since 04/01/2021; ANTHONY STRAMECKI (individual), 100.00%, since 04/01/2021; BEHTANY KLAG (individual), since 10/23/2024; CHRISTIAN REINARZ (individual), since 05/13/2024; CIBC BANK USA (organization), since 04/01/2021; DEREK L PRINCE (individual), 33.33%, since 04/01/2021; EDWARD R MURRELL (individual), since 04/01/2018; ERIC JOHANAN (individual), since 05/06/2024; GEORGE WAY (individual), 100.00%, since 04/01/2021; HMG PARK MANOR OF GREEN OAKS, LLC (organization), 100.00%, since 10/01/2021; JEFFERY ROLLO (individual), 100.00%, since 04/01/2021; JONICA GARY (individual), since 05/01/2024; KACEY VRATIS (individual), 100.00%, since 04/01/2021; KRYSTAL BALSAMO (individual), since 09/29/2021; LAURENCE C DASPIT (individual), 33.33%, since 04/01/2021; ROLAND WAYNE CULP (individual), since 02/01/2021; WILLIAM W DOHN (individual), since 03/27/2019
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: WINNIE-STOWELL HOSPITAL DISTRICT; CIBC BANK USA; HMG SERVICES LLC; QUESTCARE MATRIX PLLC; ZIONS BANCORPORATION; CIBC BANK USA; HMG PARK MANOR OF GREEN OAKS, LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: ANA I PICO; BEHTANY KLAG; CHRISTIAN REINARZ; DEREK L PRINCE; ERIC JOHANAN; JOE L PERRYMAN; JONICA GARY; KRYSTAL BALSAMO; LAURENCE C DASPIT; NORMA STANBRIDGE; ROLAND WAYNE CULP; WILLIAM W DOHN; ANTHONY STRAMECKI; GEORGE WAY; KACEY VRATIS; EDWARD R MURRELL; GEORGE WAY; JEFFERY ROLLO; ANA I PICO; ANTHONY STRAMECKI; BEHTANY KLAG; CHRISTIAN REINARZ; DEREK L PRINCE; EDWARD R MURRELL; ERIC JOHANAN; GEORGE WAY; JEFFERY ROLLO; JONICA GARY; KACEY VRATIS; KRYSTAL BALSAMO; LAURENCE C DASPIT; ROLAND WAYNE CULP; WILLIAM W DOHN.
Changes in ownership
- November 1, 2025, enrollment ownership file; no longer listed: HMG PARTNERS III LLC (OTHER); DEREK L PRINCE (OTHER); CECILIA SAUCEDO (W-2 MANAGING EMPLOYEE); SHERRIE NORRIS (W-2 MANAGING EMPLOYEE); WINNIE-STOWELL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL); ROLAND WAYNE CULP (OTHER); first listed: DEREK L PRINCE (ADP OF THE SNF), associated since April 1, 2021; ZIONS BANCORPORATION (ADP OF THE SNF), associated since April 1, 2021; CIBC BANK USA (ADP OF THE SNF), associated since April 1, 2021; CIBC BANK USA (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2021; CHRISTIAN REINARZ (ADP OF THE SNF), associated since May 13, 2024; CHRISTIAN REINARZ (OPERATIONAL/MANAGERIAL CONTROL), associated since May 13, 2024; BEHTANY KLAG (ADP OF THE SNF), associated since October 23, 2024; BEHTANY KLAG (OPERATIONAL/MANAGERIAL CONTROL), associated since October 23, 2024; QUESTCARE MATRIX PLLC (ADP OF THE SNF), associated since April 1, 2018; JONICA GARY (ADP OF THE SNF), associated since May 1, 2024; JONICA GARY (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2024; WILLIAM W DOHN (ADP OF THE SNF), associated since March 27, 2019; WILLIAM W DOHN (OPERATIONAL/MANAGERIAL CONTROL), associated since March 27, 2019; LAURENCE C DASPIT (ADP OF THE SNF), associated since April 1, 2021; NORMA STANBRIDGE (ADP OF THE SNF), associated since September 29, 2014; JOE L PERRYMAN (ADP OF THE SNF), associated since September 1, 2023; KRYSTAL BALSAMO (ADP OF THE SNF), associated since September 29, 2021; KRYSTAL BALSAMO (OPERATIONAL/MANAGERIAL CONTROL), associated since September 29, 2021; HMG SERVICES LLC (ADP OF THE SNF), associated since April 1, 2021; EDWARD R MURRELL (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2018; ROLAND WAYNE CULP (ADP OF THE SNF), associated since April 1, 2021; ERIC JOHANAN (ADP OF THE SNF), associated since May 6, 2024; ERIC JOHANAN (OPERATIONAL/MANAGERIAL CONTROL), associated since May 6, 2024; ANA I PICO (ADP OF THE SNF), associated since April 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
Recent changes on this record
- August 12, 2026: A deficiency was cited under tag F 0627, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 12, 2026: A deficiency was cited under tag F 0628, scope and severity E. NH_HealthCitations_Oct2026.csv
Inspections of GREEN OAKS NURSING & REHABILITATION
- Cycle 1: health March 12, 2026 (10 deficiencies), fire safety March 12, 2026 (6)
- Cycle 2: health January 13, 2025 (9 deficiencies), fire safety January 13, 2025 (7)
- Cycle 3: health November 29, 2023 (5 deficiencies), fire safety November 29, 2023 (3)
Deficiencies cited at GREEN OAKS NURSING & REHABILITATION
27 deficiencies on file, by tag, newest citation first
every one from a health inspection; 15 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0627, resident rights: August 12, 2026 (D, from a complaint, Deficient, Provider has plan of correction, corrected September 4, 2026).
- F 0628, resident rights: August 12, 2026 (E, from a complaint, Deficient, Provider has plan of correction, corrected September 4, 2026).
- F 0636, resident assessment and care planning: March 12, 2026 (D, Deficient, Provider has date of correction, corrected April 3, 2026).
- F 0645, resident assessment and care planning: March 12, 2026 (D, Deficient, Provider has date of correction, corrected April 9, 2026).
- F 0655, resident assessment and care planning: March 12, 2026 (D, Deficient, Provider has date of correction, corrected March 13, 2026).
- F 0656, resident assessment and care planning: March 12, 2026 (D, Deficient, Provider has date of correction, corrected April 3, 2026); July 30, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected August 23, 2024).
- F 0695, quality of life and care: March 12, 2026 (D, Deficient, Provider has date of correction, corrected March 13, 2026).
- F 0755, pharmacy service: March 12, 2026 (E, Deficient, Provider has date of correction, corrected March 13, 2026); February 24, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected March 8, 2025).
- F 0761, pharmacy service: March 12, 2026 (E, Deficient, Provider has date of correction, corrected March 13, 2026); January 13, 2025 (E, Deficient, Provider has date of correction, corrected February 10, 2025).
- F 0880, infection control: March 12, 2026 (D, Deficient, Provider has date of correction, corrected March 13, 2026); January 13, 2025 (F, Deficient, Provider has date of correction, corrected February 10, 2025).
- F 0697, quality of life and care: September 4, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected September 6, 2025).
- F 0694, quality of life and care: February 26, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected March 8, 2025); January 13, 2025 (E, Deficient, Provider has date of correction, corrected February 10, 2025).
- F 0583, resident rights: February 24, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected March 8, 2025).
- F 0661, resident assessment and care planning: February 24, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected March 8, 2025).
- F 0812, nutrition and dietary: January 13, 2025 (F, Deficient, Provider has date of correction, corrected February 10, 2025); August 6, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected August 7, 2023).
- F 0803, nutrition and dietary: May 7, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected May 24, 2024); August 6, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected August 7, 2023).
- F 0760, pharmacy service: January 20, 2024 (K, from a complaint, Deficient, Provider has date of correction, corrected January 21, 2024).
- F 0553, resident rights: January 3, 2024 (B, from a complaint, Deficient, Provider has date of correction, corrected January 12, 2024).
- F 0609, freedom from abuse, neglect, and exploitation: November 16, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected November 17, 2023).
- F 0804, nutrition and dietary: August 6, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected August 7, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 20, 2024 | Fine | $83,850 | 112176 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
GREEN OAKS NURSING & REHABILITATION in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: WINNIE-STOWELL HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 2007-05-15
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Tarrant
- Telephone Number: 8172226000
- Chain Name: HMG HEALTHCARE
- Chain ID: 272
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Both
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 108.0
- Overall Rating: 3
- Health Inspection Rating: 2
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 5
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in ARLINGTON and Texas
Report a figure on GREEN OAKS NURSING & REHABILITATION’s record that differs from its CMS file, quoting 676139.