Skilled nursing facility · CMS certification number 676242
GANADO NURSING AND REHABILITATION CENTER
GANADO, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 91
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: $8,422.00 · Payment denials: 0. The most recent penalty on file: May 15, 2025, Fine, $8,422. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for April 1, 2024 to March 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 10, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,555,096 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$73,739 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,628,835 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,729,264 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$100,429 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $525,756 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $425,327 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $425,327 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 33,215 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,660 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 10,078 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,314 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,052 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 48 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 93 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 101 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 242 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 108.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440581, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended March 31, 2024
Cost report for April 1, 2023 to March 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 24, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,861,298 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $178,334 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,682,964 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,916,295 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$233,331 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $581,372 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $348,041 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $348,041 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,417 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 397.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 200.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397940, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended March 31, 2023
Cost report for September 1, 2022 to March 31, 2023 — a reporting period of 211 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 12, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,811,086 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $199,481 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,611,605 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,674,522 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$62,917 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $375,350 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $312,433 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $312,433 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,923 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 124 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 322 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 214.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366651, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended August 31, 2022
Cost report for July 1, 2022 to August 31, 2022 — a reporting period of 61 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 24, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $770,041 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$50,725 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $820,766 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $714,399 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $106,367 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $99,102 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $205,469 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $205,469 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,057 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 23 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 88.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 163.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344952, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,177,614 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $41,674 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,135,940 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,597,890 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$461,950 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,079,917 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $617,967 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $617,164 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,013 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 515.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 327.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309178, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 17, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,297,898 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,062,748 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,235,150 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,901,325 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $333,825 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $491,962 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $825,787 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $825,785 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,391 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 103.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 450.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 233.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280299, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 4, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,637,516 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,247,413 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,390,103 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,197,627 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $192,476 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $72,376 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $264,852 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $264,852 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,741 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 244.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250446, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 28, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,105,273 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,441,214 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,664,059 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,357,408 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $306,651 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $118,358 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $425,009 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $425,009 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,487 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 359.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218628, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 29, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,861,752 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,050,826 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,810,926 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,453,785 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $357,141 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,698 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $386,839 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $385,870 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,639 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 228.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182895, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 23, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,915,792 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,249,172 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,666,620 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,771,778 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$105,158 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $751,740 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $646,582 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $646,532 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,551 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 380.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 233.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153361, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 15, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,257,182 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,305,969 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,951,213 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,891,704 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $59,509 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,477 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $64,986 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $64,986 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,598 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 94.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 247.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 181.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148899, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for March 1, 2014 to June 30, 2014 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 2, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,220,716 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $368,836 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,851,880 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,791,633 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $60,247 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $606 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $60,853 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $60,853 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,801 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 294.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1123004, 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 July 24, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,534,807 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,052,794 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,482,013 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,449,123 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $32,890 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $850 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $33,740 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $33,739 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,694 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 335 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 190.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1073581, 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, reopened, processed by CMS on November 5, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,917,592 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $715,490 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,202,102 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,385,187 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$183,085 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,075 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$172,010 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$172,010 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,983 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 150.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1048867, 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 April 18, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,223,868 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $372,070 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,851,798 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,246,712 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$394,914 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $397 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$394,517 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$396,181 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,936 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 241 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 79.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058351, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for February 11, 2010 to December 31, 2010 — a reporting period of 323 days, on form CMS-2540-96, settled, processed by CMS on July 25, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,918,941 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,960,027 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$41,086 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,971 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $500 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$35,615 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,174 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 250.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 412841, 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 |
|---|---|---|---|---|
| BAIN, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/09/2025 |
| BLAKE, GARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| GANADO I ENTERPRISES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2022 |
| QUINN-FRANKEL, MOLLY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| HUGGINS, LINDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/01/2022 |
| WILLIG, ZACHARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| THOMPSON, JOHNNY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| WEST WHARTON COUNTY HOSPITAL DISTRICT | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2022 |
| BOWERS, SEAN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2024 |
| CISNEROS, ALFRED | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/18/2008 |
| COBB, TRAVIS | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/05/2022 |
| COOPER, STEPHEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/11/2022 |
| HARDIN, SHERRIE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/04/2024 |
| KERZEE, RICHARD | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/24/2007 |
| KORENEK, PATRICIA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/05/2018 |
| SOECHTING, PAUL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/22/2024 |
| STRACK, JOE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/11/2022 |
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| GANADO I ENTERPRISES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20221013003263).
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 |
|---|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| GANADO I ENTERPRISES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY R BLAKE | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES BAIN | Individual | ADP OF THE SNF | Not stated in the filing | 4/9/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MOLLY BREANNE QUINN-FRANKEL | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA F HUGGINS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ZACHARY WILLIG | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHNNY THOMPSON | Individual | CORPORATE OFFICER | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | DIRECT OWNERSHIP INTEREST | 100 | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALFRED CISNEROS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/18/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOE STRACK | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/11/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICIA A KORENEK | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/5/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL SOECHTING | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/22/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD KERZEE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/24/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SEAN BOWERS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHERRIE HARDIN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN COOPER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/11/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRAVIS COBB | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/5/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GANADO I ENTERPRISES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY R BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MALISA A BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- October 1, 2025: HONOR X ENTERPRISES, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GANADO I ENTERPRISES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ALFRED CISNEROS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 18, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ZACHARY WILLIG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JAMES BAIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SHERRIE HARDIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WEST WHARTON COUNTY HOSPITAL DISTRICT (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRAVIS COBB (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOE STRACK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SEAN BOWERS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: STEPHEN COOPER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PAUL SOECHTING (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GARY R BLAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PATRICIA A KORENEK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 5, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MOLLY BREANNE QUINN-FRANKEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHNNY THOMPSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RICHARD KERZEE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 24, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- March 15, 2023: CITIZENS MEDICAL CENTER COUNTY OF VICTORIA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JAMES F NEUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: TANYA SEILER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: PAUL B HOLM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: LUIS A GUERRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MICHAEL R OLSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MICHAEL R OLSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: BEN GALVIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: RUSSELL MARSHALL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: GANADO I ENTERPRISES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: HONOR X ENTERPRISES, LLC (OTHER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: LINDA F HUGGINS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: DAVID MAK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since May 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- October 10, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- October 1, 2025: HONOR X ENTERPRISES, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GANADO I ENTERPRISES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ALFRED CISNEROS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 18, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ZACHARY WILLIG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JAMES BAIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SHERRIE HARDIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WEST WHARTON COUNTY HOSPITAL DISTRICT (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRAVIS COBB (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOE STRACK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SEAN BOWERS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: STEPHEN COOPER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PAUL SOECHTING (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GARY R BLAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PATRICIA A KORENEK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 5, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MOLLY BREANNE QUINN-FRANKEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHNNY THOMPSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RICHARD KERZEE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 24, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 24, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- October 12, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- March 24, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- March 15, 2023: CITIZENS MEDICAL CENTER COUNTY OF VICTORIA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JAMES F NEUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: TANYA SEILER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: PAUL B HOLM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: LUIS A GUERRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MICHAEL R OLSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MICHAEL R OLSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: BEN GALVIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: RUSSELL MARSHALL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: GANADO I ENTERPRISES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: HONOR X ENTERPRISES, LLC (OTHER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: LINDA F HUGGINS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: DAVID MAK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since May 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- January 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- January 20, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 25, 2026 | February 25, 2026 | 8 | 5 |
| 2 | November 15, 2024 | November 15, 2024 | 8 | 1 |
| 3 | September 29, 2023 | September 29, 2023 | 3 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
20 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 25, 2026 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| February 25, 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. | D | No | Deficient, Provider has date of correction | February 26, 2026 |
| February 25, 2026 | 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 | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| February 25, 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| February 25, 2026 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| February 25, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| February 25, 2026 | 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 | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| February 25, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| May 15, 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 | Yes | Past Non-Compliance | April 28, 2025 |
| November 15, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Yes | Deficient, Provider has date of correction | November 16, 2024 |
| November 15, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | November 16, 2024 |
| November 15, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Yes | Deficient, Provider has date of correction | November 16, 2024 |
| November 15, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | November 16, 2024 |
| November 15, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Yes | Deficient, Provider has date of correction | November 16, 2024 |
| October 21, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | Yes | Deficient, Provider has date of correction | October 22, 2024 |
| October 21, 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. | D | Yes | Deficient, Provider has date of correction | October 22, 2024 |
| September 29, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | October 27, 2023 |
| September 29, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | Yes | Deficient, Provider has date of correction | October 27, 2023 |
| September 29, 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. | F | Yes | Deficient, Provider has date of correction | October 27, 2023 |
| August 31, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | September 28, 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 |
|---|---|---|---|---|---|
| May 15, 2025 | Fine | $8,422 | 113860 |
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 - Corporation |
| Legal Business Name | WEST WHARTON COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2010-02-11 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Jackson |
| Telephone Number | 3617713315 |
| Chain Name | CREATIVE SOLUTIONS IN HEALTHCARE |
| Chain ID | 169 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 91 |
| Average Number of Residents per Day | 51.3 |
| Overall Rating | 2 |
| Health Inspection Rating | 3 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 1 |
| 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
One email a day naming what moved on GANADO NURSING AND REHABILITATION CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On October 10, 2025: 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 GANADO NURSING AND REHABILITATION CENTER
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 676242.