Skilled nursing facility · CMS certification number 676240
CIBOLO CREEK
BOERNE, 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: 2 · Fines: 1 · Fines, total amount: $13,627.00 · Payment denials: 1. The most recent penalty on file: September 5, 2025, Payment Denial. 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, 2024 to August 31, 2025 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on February 12, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,828,905 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,214,443 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,614,462 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,531,203 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$916,741 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,033,792 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $117,051 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $117,051 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 40,200 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,926 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,627 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,345 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 27,898 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 84 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 57 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 217 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 358 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 291.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1447734, read from the public cost report file SNF10FY2025.zip.
Fiscal year 2024, ended September 30, 2024
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 March 13, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,454,223 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $752,864 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,701,359 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,340,008 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$638,649 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $485,405 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$153,244 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$153,244 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,038 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 348 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 289.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405238, 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 22, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,662,208 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $446,426 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,215,782 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,467,338 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$251,556 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $440,241 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $188,685 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $188,685 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,557 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 290 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 324.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375501, 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 17, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,851,082 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $419,200 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,431,882 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,622,622 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $809,260 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $554,144 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,363,404 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,363,404 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,256 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 426.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344577, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for May 1, 2021 to September 30, 2021 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 25, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,287,056 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $62,670 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,224,386 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,352,937 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$128,551 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,237 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$104,314 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$104,314 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,821 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 324.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 197.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1317041, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 15, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,188,625 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$284,301 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,472,926 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,355,678 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$882,752 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $757,093 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$125,659 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$125,659 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,720 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 182 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 567.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 218.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1289051, 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 September 9, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,976,626 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $340,010 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,636,616 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,093,930 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $542,686 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $64,156 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $606,842 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $606,842 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,799 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 340 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 420.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1266363, 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 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,635,383 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $865,064 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,770,319 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,292,147 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $478,172 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,633 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $510,805 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $510,805 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,354 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 354 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 369.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237334, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,271,094 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,299,799 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,971,295 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,738,699 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $232,596 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,715 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $253,311 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $253,311 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,856 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 358 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 643.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207076, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 9, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,258,133 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,480,468 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,777,665 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,250,472 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $527,193 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,862 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $532,055 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $532,055 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,871 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 408 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 340.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172532, 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 26, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,618,362 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,017,309 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,601,053 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,399,858 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $201,195 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$327 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $200,868 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $200,868 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,518 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 333 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 153.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138148, 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 March 17, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,811,445 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,127,267 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,684,178 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,196,606 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $487,572 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,096 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $505,668 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $505,668 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,146 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 301 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 606.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1120749, 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 October 15, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,181,667 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,603,704 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,577,963 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,999,103 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$421,140 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $365 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$420,775 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$420,780 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,192 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 428.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111043, 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 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,002,492 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $893,572 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,108,920 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,636,853 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$527,933 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $118,760 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$409,173 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$409,173 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,810 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 225 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 293.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1041566, 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 | $6,092,668 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $519,507 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,573,161 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,288,094 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$714,933 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60,030 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$654,903 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$654,903 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,097 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 176 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 293.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 188.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1015550, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for December 2, 2009 to December 31, 2010 — a reporting period of 394 days, on form CMS-2540-96, settled, processed by CMS on May 16, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,053,988 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,842,850 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,788,862 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,509 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,769,353 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,131 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 291.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 172.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434643, read from the public cost report file SNFFY2010.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 |
|---|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/01/2021 |
| BOERNE HC LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2021 |
| COLLIER, TAYLOR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/22/2023 |
| HANEY, RONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2021 |
| SORRELLS, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2021 |
| BELL, BILLIE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/03/2023 |
| DORROW, MARJORIE | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/17/2025 |
| HANEY, MAX | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/17/2025 |
| CASCADE-KENDALL HEALTH SERVICES, LTD | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2021 |
| HANEY, RONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2021 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MEDINA COUNTY HOSPITAL DISTRICT (enrollment ID O20210707003557).
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 |
|---|---|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| BOERNE HC LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN TRENTON SORRELLS | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RONALD M HANEY | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TAYLOR COLLIER | Individual | ADP OF THE SNF | Not stated in the filing | 8/22/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BILLIE BELL | Individual | CORPORATE OFFICER | Not stated in the filing | 6/3/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CASCADE-KENDALL HEALTH SERVICES, LTD | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 5/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD M HANEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- January 1, 2026: BILLIE BELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BILLIE BELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TIMOTHY S HARDT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: WILLIAM T BAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MAX HANEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KEVIN FROSCH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KEVIN FROSCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KEVIN FROSCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CASCADE HEALTH SERVICES, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DIANA TRUAX no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DIANA TRUAX no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TONY B JOHNSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CARLTON E YOUNG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ZACHARY ROBERT WINDROW no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LORI CARTER KRIEGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JUDY N WINKLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TAYLOR COLLIER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 22, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BOERNE HC LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RONALD M HANEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JOHN TRENTON SORRELLS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- August 1, 2023: JANICE SIMONS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BILLIE BELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since June 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BILLIE BELL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since June 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BILLIE BELL (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since June 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: KEVIN FROSCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since July 7, 2010. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: KEVIN FROSCH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since July 7, 2010. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: KEVIN FROSCH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since July 7, 2010. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
Recent changes on this record
- February 12, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
- January 1, 2026: BILLIE BELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BILLIE BELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TIMOTHY S HARDT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: WILLIAM T BAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MAX HANEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KEVIN FROSCH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KEVIN FROSCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KEVIN FROSCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CASCADE HEALTH SERVICES, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DIANA TRUAX no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DIANA TRUAX no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TONY B JOHNSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CARLTON E YOUNG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ZACHARY ROBERT WINDROW no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LORI CARTER KRIEGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JUDY N WINKLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TAYLOR COLLIER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 22, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BOERNE HC LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RONALD M HANEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JOHN TRENTON SORRELLS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- March 13, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 22, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 1, 2023: JANICE SIMONS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BILLIE BELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since June 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BILLIE BELL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since June 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BILLIE BELL (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since June 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: KEVIN FROSCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since July 7, 2010. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: KEVIN FROSCH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since July 7, 2010. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: KEVIN FROSCH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since July 7, 2010. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- March 17, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 25, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- October 25, 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 15, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 9, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 17, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 9, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 26, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- March 17, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 5, 2025 | September 5, 2025 | 6 | 6 |
| 2 | August 2, 2024 | August 2, 2024 | 11 | 0 |
| 3 | May 26, 2023 | May 26, 2023 | 9 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
26 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| September 5, 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | September 25, 2025 |
| September 5, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | September 25, 2025 |
| September 5, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | No | Deficient, Provider has date of correction | September 6, 2025 |
| September 5, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | September 25, 2025 |
| September 5, 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. | E | No | Deficient, Provider has date of correction | September 25, 2025 |
| September 5, 2025 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | E | No | Deficient, Provider has date of correction | September 25, 2025 |
| November 23, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Yes | Past Non-Compliance | November 19, 2024 |
| November 23, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | November 24, 2024 |
| November 23, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Past Non-Compliance | November 19, 2024 |
| November 23, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | November 24, 2024 |
| November 23, 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 | November 24, 2024 |
| November 23, 2024 | 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 | November 24, 2024 |
| August 2, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | August 3, 2024 |
| August 2, 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | August 3, 2024 |
| August 2, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | August 3, 2024 |
| August 2, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | August 3, 2024 |
| August 2, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | August 3, 2024 |
| December 29, 2023 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Past Non-Compliance | October 2, 2023 |
| December 29, 2023 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Past Non-Compliance | August 28, 2023 |
| December 29, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Past Non-Compliance | October 7, 2023 |
| May 26, 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 | May 27, 2023 |
| May 26, 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has date of correction | May 27, 2023 |
| May 26, 2023 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | No | Deficient, Provider has date of correction | May 27, 2023 |
| May 26, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | May 27, 2023 |
| May 26, 2023 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | No | Deficient, Provider has date of correction | May 27, 2023 |
| May 26, 2023 | Health | F 0848 | Administration Deficiencies | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | D | No | Deficient, Provider has date of correction | May 27, 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 |
|---|---|---|---|---|---|
| September 5, 2025 | Payment Denial | October 4, 2025 | 11 | ||
| November 23, 2024 | Fine | $13,627 | 113415 |
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 | Government - Hospital district |
| Legal Business Name | MEDINA COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2009-12-02 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Kendall |
| Telephone Number | 8308165095 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 88.5 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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On February 12, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for CIBOLO CREEK
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676240.