Skilled nursing facility · CMS certification number 676220
Granite Mesa Health Center
Marble Falls, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 124
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $59,345.00 · Payment denials: 0. The most recent penalty on file: January 27, 2025, Fine, $59,345. 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 October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,538,470 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,397,317 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,141,153 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,785,311 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $355,842 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $691 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $356,533 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $356,533 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 45,384 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,122 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 15,250 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,268 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 29,640 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 97 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 298 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 410 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,016.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402892, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 28, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,443,897 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,707,462 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,736,435 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,280,594 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $455,841 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $33,233 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $489,074 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $489,074 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,027 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 404 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,305.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375749, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 22, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,326,147 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $159,680 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,166,467 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,800,942 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,365,525 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $922 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,366,447 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,366,447 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,898 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 359 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,193.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344794, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,995,105 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $70,653 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,924,452 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,590,218 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $334,234 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,225 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $335,459 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $335,459 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,620 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 267 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 862.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314454, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 12, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,116,598 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $739,656 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,376,942 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,732,993 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $643,949 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,227 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $648,176 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $648,176 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,557 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 315 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 805.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283782, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 12, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,709,712 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,012,526 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,697,186 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,268,874 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $428,312 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,498 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $437,810 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $437,810 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,273 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 391 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 726.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252383, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 28, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,659,235 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,013,402 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,645,833 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,291,078 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $354,755 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,866 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $397,621 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $397,621 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,781 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,393.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222125, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for April 1, 2017 to September 30, 2017 — a reporting period of 182 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 27, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,260,979 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $498,651 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,762,328 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,781,993 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$19,665 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,800 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$17,865 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$17,865 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,295 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 828.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1196562, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for May 1, 2016 to December 31, 2016 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 24, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,130,265 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $809,357 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,320,908 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,272,366 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $48,542 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,769 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $52,311 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $52,311 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,987 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 192 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,286.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174770, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 2, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,121,790 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,635,677 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,486,113 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,746,351 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $739,762 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,394 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $749,156 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $650,681 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,493 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 268 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 391.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139431, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for December 4, 2013 to December 31, 2014 — a reporting period of 392 days, on form CMS-2540-10, settled, processed by CMS on November 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,608,246 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,374,155 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,234,091 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,178,562 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,055,529 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,468 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,087,997 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,087,997 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,281 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 292 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 969.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1147138, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 3, 2013
Cost report for January 1, 2013 to December 3, 2013 — a reporting period of 336 days, on form CMS-2540-10, settled, processed by CMS on February 12, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,663,877 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,728,966 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,934,911 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,091,343 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$156,432 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$156,432 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$156,432 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,246 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 213 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,475.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1118976, 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 4, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,564,759 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,252,013 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,312,746 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,973,621 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $339,125 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $339,125 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $339,125 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,358 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 760.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 235.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081728, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,248,842 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,631,344 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,617,498 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,916,913 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $700,585 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $700,585 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $700,585 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,035 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 337 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 757.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1014955, 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 September 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,707,763 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,002,497 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,294,734 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$6,294,734 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,412 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 363 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 269.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 58.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418199, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,923,181 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,764,073 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$840,892 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$840,891 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,899 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 242 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 623.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 140.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 409633, read from the public cost report file SNFFY2009.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/01/2017 |
| COPELAND HEALTHCARE, INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/06/2025 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2016 |
| NATIONAL HEALTH INVESTORS, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| SYED, ASIF | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/11/2019 |
| TEXAS NHI INVESTORS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| THOMPSON, AMBER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/27/2021 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2017 |
| GANN, KODY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2021 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| SYED, ASIF | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/11/2019 |
| THOMPSON, AMBER | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/27/2021 |
| COPELAND HEALTHCARE, INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2017 |
| SYED, ASIF | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/11/2019 |
| THOMPSON, AMBER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/27/2021 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GUADALUPE COUNTY HOSPITAL BOARD (enrollment ID O20170717002430).
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 |
|---|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMBER THOMPSON | Individual | ADP OF THE SNF | Not stated in the filing | 5/27/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ASIF S SYED | Individual | ADP OF THE SNF | Not stated in the filing | 2/11/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COPELAND HEALTHCARE, INC | Organization | ADP OF THE SNF | Not stated in the filing | 10/6/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| NATIONAL HEALTH INVESTORS, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| TEXAS NHI INVESTORS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAD KEETCH | Individual | CORPORATE OFFICER | 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 |
| KODY GANN | Individual | CORPORATE OFFICER | 0 | 2/1/2021 | 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 | 4/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMBER THOMPSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/27/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ASIF S SYED | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/11/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMBER THOMPSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 5/27/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ASIF S SYED | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/11/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COPELAND HEALTHCARE, INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- November 1, 2025: SOON BURNAM 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: AMBER THOMPSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SOON BURNAM (CORPORATE OFFICER) 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: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ASIF S SYED (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 11, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ASIF S SYED (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 11, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ASIF S SYED (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 11, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TEXAS NHI INVESTORS, 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: COPELAND HEALTHCARE, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AMBER THOMPSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AMBER THOMPSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NATIONAL HEALTH INVESTORS, INC. (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
- October 2, 2023: KASEY BRADBURN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KASEY BRADBURN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: AMBER THOMPSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: AMBER THOMPSON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- February 15, 2023: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- July 11, 2026: A deficiency was cited under tag F 0689, scope and severity G. NH_HealthCitations_Sep2026_2.csv
- November 1, 2025: SOON BURNAM 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: AMBER THOMPSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SOON BURNAM (CORPORATE OFFICER) 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: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ASIF S SYED (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 11, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ASIF S SYED (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 11, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ASIF S SYED (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 11, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TEXAS NHI INVESTORS, 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: COPELAND HEALTHCARE, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AMBER THOMPSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AMBER THOMPSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NATIONAL HEALTH INVESTORS, INC. (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
- January 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 28, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 2, 2023: KASEY BRADBURN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KASEY BRADBURN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: AMBER THOMPSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: AMBER THOMPSON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- March 22, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- February 15, 2023: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- April 21, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- May 12, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- March 12, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- March 28, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- June 27, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- December 18, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 24, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- March 24, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- November 30, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 2, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- February 12, 2016: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- December 4, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- September 20, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- July 19, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 31, 2025 | December 31, 2025 | 10 | 0 |
| 2 | October 2, 2024 | October 2, 2024 | 8 | 0 |
| 3 | August 2, 2023 | August 2, 2023 | 7 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
25 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 11, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | |
| January 16, 2026 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | February 3, 2026 |
| December 31, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | January 20, 2026 |
| December 31, 2025 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | No | Deficient, Provider has date of correction | January 20, 2026 |
| December 31, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | January 20, 2026 |
| December 31, 2025 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | January 20, 2026 |
| December 31, 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | January 20, 2026 |
| December 31, 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. | D | No | Deficient, Provider has date of correction | January 20, 2026 |
| December 31, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | January 20, 2026 |
| November 30, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | December 17, 2025 |
| April 9, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | May 13, 2025 |
| January 27, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | February 14, 2025 |
| October 2, 2024 | 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. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 2, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 2, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 2, 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 | No | Deficient, Provider has date of correction | October 24, 2024 |
| September 26, 2024 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | E | Yes | Deficient, Provider has date of correction | September 30, 2024 |
| September 26, 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. | E | Yes | Deficient, Provider has date of correction | September 30, 2024 |
| April 16, 2024 | 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 | Yes | Deficient, Provider has date of correction | April 19, 2024 |
| April 16, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | April 19, 2024 |
| August 2, 2023 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | August 10, 2023 |
| August 2, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | August 10, 2023 |
| August 2, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | August 10, 2023 |
| August 2, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | August 10, 2023 |
| August 2, 2023 | 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 | August 10, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 27, 2025 | Fine | $59,345 | 113547 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | GUADALUPE COUNTY HOSPITAL BOARD |
| Date First Approved to Provide Medicare and Medicaid Services | 2009-06-02 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Burnet |
| Telephone Number | 8306930022 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 124 |
| Average Number of Residents per Day | 96.8 |
| Overall Rating | 2 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 4 |
| 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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