Skilled nursing facility · CMS certification number 676263
Deerbrook Skilled Nursing and Rehab Center
Humble, Texas · Medicare and Medicaid · 124 certified beds in Care Compare
CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)
In Care Compare’s provider information: Penalties: 6 · Fines: 6 · Fines, total amount: $202,382.00 · Payment denials: 0. The most recent penalty on file: August 19, 2026, Fine, $26,160. Every penalty on file ↓
Deerbrook Skilled Nursing and Rehab Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering September 1, 2024 to August 31, 2025 (364 days), and CMS processed it on February 17, 2026.
- Net patient revenue fell from $10.2M in fiscal year 2024 to $8.8M in fiscal year 2025.
- Its result from service to patients: −$1.4M (2023), $220K (2024), −$123K (2025).
- Its cost reports on file run from fiscal year 2011 to fiscal year 2025.
- Its net patient revenue of $8.8M ranks 143rd of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 2 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.
Deerbrook Skilled Nursing and Rehab Center: Medicare cost reports
| Form CMS-2540-10 | 2025 · report 1447866 | 2024 · report 1440638 | 2023 · report 1401555 | 2022 · report 1373265 | 2021 · report 1312126 | 2020 · report 1281359 | 2019 · report 1307929 | 2018 · report 1276498 | 2017 · report 1235587 | 2016 · report 1188162 | 2015 · report 1156584 | 2014 · report 1148220 | 2013 · report 1110771 | 2012 · report 1074960 | 2011 · report 1015552 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | September 1, 2024 | September 1, 2023 | September 1, 2022 | September 1, 2021 | September 1, 2020 | January 1, 2020 | January 1, 2019 | April 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | December 2, 2010 |
| Period ended | August 31, 2025 | August 31, 2024 | August 31, 2023 | August 31, 2022 | August 31, 2021 | August 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | — | — | 243 | — | 274 | — | — | — | — | — | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | reopened | settled | settled | settled | settled | settled |
| Processed by CMS | February 17, 2026 | October 10, 2025 | December 24, 2024 | February 9, 2024 | March 15, 2022 | March 17, 2021 | December 23, 2021 | December 16, 2020 | July 10, 2019 | May 2, 2018 | May 1, 2017 | December 10, 2016 | September 24, 2015 | August 5, 2014 | October 26, 2012 |
| Total patient revenue | $11,787,983 | $11,763,352 | $10,367,816 | $9,398,880 | $9,669,859 | $5,953,699 | $10,620,695 | $8,395,716 | $11,648,899 | $11,597,185 | $11,309,351 | $12,302,448 | $11,688,300 | $11,255,206 | $8,517,182 |
| Contractual allowances and discounts | $2,941,693 | $1,584,064 | $2,635,067 | $2,272,978 | $1,579,806 | $1,063,590 | $2,835,622 | $2,550,806 | $3,642,832 | $3,816,377 | $3,718,636 | $4,075,041 | $2,740,901 | $2,564,697 | $1,917,077 |
| Net patient revenue | $8,846,290 | $10,179,288 | $7,732,749 | $7,125,902 | $8,090,053 | $4,890,109 | $7,785,073 | $5,844,910 | $8,006,067 | $7,780,808 | $7,590,715 | $8,227,407 | $8,947,399 | $8,690,509 | $6,600,105 |
| Total operating expenses | $8,969,632 | $9,959,146 | $9,125,941 | $8,050,325 | $8,478,630 | $5,486,027 | $9,748,985 | $6,154,437 | $8,178,456 | $8,026,755 | $7,867,773 | $7,934,919 | $8,754,681 | $8,387,670 | $7,190,605 |
| Net income from service to patients | −$123,342 | $220,142 | −$1,393,192 | −$924,423 | −$388,577 | −$595,918 | −$1,963,912 | −$309,527 | −$172,389 | −$245,947 | −$277,058 | $292,488 | $192,718 | $302,839 | −$590,500 |
| Total other income | $12,147 | $7,264 | $1,543,635 | $791,676 | $8,171 | $2,200 | $1,829,651 | $5,858 | $7,547 | $22,841 | $19,284 | $14,154 | $10,751 | $203,225 | $5,625 |
| Net income after other income | −$111,195 | $227,406 | $150,443 | −$132,747 | −$380,406 | −$593,718 | −$134,261 | −$303,669 | −$164,842 | −$223,106 | −$257,774 | $306,642 | $203,469 | $506,064 | −$584,875 |
| Net income | −$111,195 | $227,406 | $150,443 | −$132,747 | −$380,406 | −$593,718 | −$134,261 | −$303,669 | −$164,842 | −$223,106 | −$257,774 | $306,642 | $203,469 | $506,064 | −$584,875 |
| Total facility beds, all components | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 |
| Bed days available, all components | 45,260 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,024 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 23,486 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 9,502 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 34,012 | 28,648 | 30,073 | 29,876 | 28,503 | 21,937 | 34,294 | 25,755 | 35,129 | 32,851 | 33,744 | 36,019 | 35,547 | 33,184 | 20,876 |
| Medicare discharges | 50 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 91 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 358 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 499 | 533 | 481 | 572 | 339 | 174 | 450 | 474 | 612 | 589 | 497 | 525 | 477 | 354 | 475 |
| Average length of stay, Medicare, in days | 20.48 | 23.68 | 22.39 | 18.85 | 25.81 | 33.35 | 25.8 | 23.65 | 37.45 | 30.68 | 28.38 | 31.96 | 37.58 | 38.11 | 28.75 |
| Average length of stay, Medicaid, in days | 258.09 | 263.83 | 349.23 | 367.88 | 287.28 | 502.48 | 306.49 | 198.94 | 157.44 | 200.3 | 258.27 | 234.96 | 189.52 | 404.7 | 98.87 |
| Average length of stay, all patients, in days | 68.16 | 53.75 | 62.52 | 52.23 | 84.08 | 126.07 | 76.21 | 54.34 | 57.4 | 55.77 | 67.9 | 68.61 | 74.52 | 93.74 | 43.95 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Deerbrook Skilled Nursing and Rehab Center: nurse staffing hours by quarter →
Who owns Deerbrook Skilled Nursing and Rehab Center, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: HMG PARK MANOR OF DEERBROOK, LLC (organization), 100%%, since 04/01/2018
- ADP OF THE SNF: BALSAMO, KRYSTAL (individual), NOT APPLICABLE, since 04/01/2021; CULP, ROLAND (individual), NOT APPLICABLE, since 04/01/2021; DASPIT, LAURENCE (individual), NOT APPLICABLE, since 04/01/2021; DOHN, WILLIAM (individual), NOT APPLICABLE, since 04/01/2021; PICO, ANA (individual), NOT APPLICABLE, since 04/01/2021; PRINCE, DEREK (individual), NOT APPLICABLE, since 04/01/2021; REINARZ, CHRISTIAN (individual), NOT APPLICABLE, since 04/01/2021; STANBRIDGE, NORMA (individual), NOT APPLICABLE, since 04/01/2021; ZALESKY, CELESTE (individual), NOT APPLICABLE, since 12/16/2024
- CORPORATE DIRECTOR: STRAMECKI, ANTHONY (individual), NOT APPLICABLE, since 11/01/2016
- CORPORATE OFFICER: MURRELL, EDWARD (individual), NOT APPLICABLE, since 11/01/2012; ROLLO, JEFFERY (individual), NOT APPLICABLE, since 11/01/2012
- OPERATIONAL/MANAGERIAL CONTROL: BALSAMO, KRYSTAL (individual), NOT APPLICABLE, since 04/01/2021; CULP, ROLAND (individual), NOT APPLICABLE, since 04/01/2021; DASPIT, LAURENCE (individual), NOT APPLICABLE, since 04/01/2021; DOHN, WILLIAM (individual), NOT APPLICABLE, since 04/01/2021; HMG PARK MANOR OF DEERBROOK, LLC (organization), NOT APPLICABLE, since 04/01/2018; MURRELL, EDWARD (individual), NOT APPLICABLE, since 04/01/2018; PICO, ANA (individual), NOT APPLICABLE, since 04/01/2021; PRINCE, DEREK (individual), NOT APPLICABLE, since 04/01/2021; REINARZ, CHRISTIAN (individual), NOT APPLICABLE, since 04/01/2021; ROLLO, JEFFERY (individual), NOT APPLICABLE, since 04/01/2021; STRAMECKI, ANTHONY (individual), NOT APPLICABLE, since 04/01/2021; VRATIS, KACEY (individual), NOT APPLICABLE, since 04/01/2021; WAY, GEORGE (individual), NOT APPLICABLE, since 04/01/2021; ZALESKY, CELESTE (individual), NOT APPLICABLE, since 12/16/2024
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of WINNIE-STOWELL HOSPITAL DISTRICT (enrollment ID O20180606000506).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: HMG PARK MANOR OF DEERBROOK, LLC (organization), 100.00%, since 04/01/2018; WINNIE-STOWELL HOSPITAL DISTRICT (organization), since 08/01/2024
- ADP OF THE SNF: ANA I PICO (individual), since 04/01/2021; CELESTE ZALESKY (individual), since 12/16/2024; CHRISTIAN REINARZ (individual), since 04/01/2021; DEREK L PRINCE (individual), since 04/01/2021; KRYSTAL BALSAMO (individual), since 04/01/2021; LAURENCE C DASPIT (individual), since 04/01/2021; NORMA STANBRIDGE (individual), since 04/01/2021; ROLAND WAYNE CULP (individual), since 04/01/2021; WILLIAM W DOHN (individual), since 04/01/2021
- CORPORATE DIRECTOR: ANTHONY STRAMECKI (individual), 100.00%, since 11/01/2016
- CORPORATE OFFICER: EDWARD R MURRELL (individual), 100.00%, since 11/01/2012; JEFFERY ROLLO (individual), 100.00%, since 11/01/2012
- OPERATIONAL/MANAGERIAL CONTROL: ANA I PICO (individual), since 04/01/2021; ANTHONY STRAMECKI (individual), since 04/01/2021; CELESTE ZALESKY (individual), since 12/16/2024; CHRISTIAN REINARZ (individual), since 04/01/2021; DEREK L PRINCE (individual), since 04/01/2021; EDWARD R MURRELL (individual), since 04/01/2018; GEORGE WAY (individual), since 04/01/2021; HMG PARK MANOR OF DEERBROOK, LLC (organization), 100.00%, since 04/01/2018; JEFFERY ROLLO (individual), since 04/01/2021; KACEY VRATIS (individual), since 04/01/2021; KRYSTAL BALSAMO (individual), since 04/01/2021; LAURENCE C DASPIT (individual), since 04/01/2021; ROLAND WAYNE CULP (individual), since 04/01/2021; WILLIAM W DOHN (individual), since 04/01/2021
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: HMG PARK MANOR OF DEERBROOK, LLC; WINNIE-STOWELL HOSPITAL DISTRICT; HMG PARK MANOR OF DEERBROOK, LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: ANA I PICO; CELESTE ZALESKY; CHRISTIAN REINARZ; DEREK L PRINCE; KRYSTAL BALSAMO; LAURENCE C DASPIT; NORMA STANBRIDGE; ROLAND WAYNE CULP; WILLIAM W DOHN; ANTHONY STRAMECKI; EDWARD R MURRELL; JEFFERY ROLLO; ANA I PICO; ANTHONY STRAMECKI; CELESTE ZALESKY; CHRISTIAN REINARZ; DEREK L PRINCE; EDWARD R MURRELL; GEORGE WAY; JEFFERY ROLLO; KACEY VRATIS; KRYSTAL BALSAMO; LAURENCE C DASPIT; ROLAND WAYNE CULP; WILLIAM W DOHN.
Changes in ownership
- January 1, 2026, enrollment ownership file; no longer listed: DEREK L PRINCE (OTHER); HM GROUP LLC (OTHER); HMG HEALTHCARE LLC (OTHER); LAURENCE C DASPIT (OTHER); SHERRIE NORRIS (W-2 MANAGING EMPLOYEE); HEALTHMARK GROUP LTD (OTHER); ROLAND WAYNE CULP (OTHER); first listed: DEREK L PRINCE (ADP OF THE SNF), associated since April 1, 2021; CHRISTIAN REINARZ (ADP OF THE SNF), associated since April 1, 2021; CHRISTIAN REINARZ (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2021; KACEY VRATIS (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2021; CELESTE ZALESKY (ADP OF THE SNF), associated since December 16, 2024; CELESTE ZALESKY (OPERATIONAL/MANAGERIAL CONTROL), associated since December 16, 2024; WILLIAM W DOHN (ADP OF THE SNF), associated since April 1, 2021; WILLIAM W DOHN (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2021; LAURENCE C DASPIT (ADP OF THE SNF), associated since April 1, 2021; GEORGE WAY (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2021; NORMA STANBRIDGE (ADP OF THE SNF), associated since April 1, 2021; WINNIE-STOWELL HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since August 1, 2024; KRYSTAL BALSAMO (ADP OF THE SNF), associated since April 1, 2021; KRYSTAL BALSAMO (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2021; EDWARD R MURRELL (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2018; ROLAND WAYNE CULP (ADP OF THE SNF), associated since April 1, 2021; ANA I PICO (ADP OF THE SNF), associated since April 1, 2021; ANA I PICO (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- September 1, 2024, enrollment ownership file; no longer listed: RAUL ESPINOSA (OPERATIONAL/MANAGERIAL CONTROL); RAUL ESPINOSA (DIRECTOR); RAUL ESPINOSA (OFFICER); SHARON BURGESS (OPERATIONAL/MANAGERIAL CONTROL); SHARON BURGESS (DIRECTOR). Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- August 19, 2026: A penalty was recorded: Fine. NH_Penalties_Oct2026.csv
- August 19, 2026: A deficiency was cited under tag F 0609, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 19, 2026: A deficiency was cited under tag F 0689, scope and severity J. NH_HealthCitations_Oct2026.csv
Inspections of Deerbrook Skilled Nursing and Rehab Center
- Cycle 1: health May 16, 2026 (20 deficiencies), fire safety May 16, 2026 (2)
- Cycle 2: health February 28, 2025 (7 deficiencies), fire safety February 28, 2025 (1)
- Cycle 3: health November 16, 2023 (9 deficiencies), fire safety November 16, 2023 (2)
Deficiencies cited at Deerbrook Skilled Nursing and Rehab Center
36 deficiencies on file, by tag, newest citation first
every one from a health inspection; 31 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0609, freedom from abuse, neglect, and exploitation: August 19, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected August 20, 2026); October 27, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected October 28, 2025).
- F 0689, quality of life and care: August 19, 2026 (J, from a complaint, Past Non-Compliance); October 27, 2025 (J, from a complaint, Deficient, Provider has date of correction, corrected October 28, 2025); February 28, 2025 (J, from a complaint, Deficient, Provider has date of correction, corrected March 1, 2025).
- F 0600, freedom from abuse, neglect, and exploitation: May 16, 2026 (K, from a complaint, Deficient, Provider has date of correction, corrected May 17, 2026).
- F 0656, resident assessment and care planning: May 16, 2026 (E, Deficient, Provider has date of correction, corrected May 17, 2026); November 20, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 21, 2025); February 28, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected March 1, 2025); November 16, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected November 28, 2023).
- F 0677, quality of life and care: May 16, 2026 (D, Deficient, Provider has date of correction, corrected May 17, 2026); November 20, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 21, 2025); February 28, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected March 1, 2025); November 16, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected November 28, 2023).
- F 0686, quality of life and care: May 16, 2026 (K, from a complaint, Deficient, Provider has date of correction, corrected May 17, 2026).
- F 0690, quality of life and care: May 16, 2026 (D, Deficient, Provider has date of correction, corrected May 17, 2026); October 27, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected October 28, 2025).
- F 0755, pharmacy service: May 16, 2026 (D, Deficient, Provider has date of correction, corrected May 17, 2026); October 27, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected October 28, 2025).
- F 0627, resident rights: November 20, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 21, 2025).
- F 0810, nutrition and dietary: November 20, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 21, 2025).
- F 0880, infection control: November 20, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 21, 2025); October 27, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected November 21, 2025); February 28, 2025 (D, Deficient, Provider has date of correction, corrected March 1, 2025); November 16, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected November 28, 2023).
- F 0908, environmental: November 20, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 21, 2025).
- F 0919, environmental: November 20, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 21, 2025); November 16, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected November 28, 2023).
- F 0684, quality of life and care: July 31, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected August 1, 2025); February 14, 2025 (K, from a complaint, Deficient, Provider has date of correction, corrected February 15, 2025); November 16, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected November 28, 2023).
- F 0695, quality of life and care: February 20, 2025 (J, from a complaint, Past Non-Compliance, corrected June 13, 2024).
- F 0657, resident assessment and care planning: November 16, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 8, 2023).
- F 0658, resident assessment and care planning: November 16, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected November 28, 2023).
- F 0759, pharmacy service: November 16, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected November 28, 2023).
- F 0760, pharmacy service: November 16, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected November 28, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| August 19, 2026 | Fine | $26,160 | 144623 | ||
| May 16, 2026 | Fine | $103,390 | 141610 | ||
| October 27, 2025 | Fine | $10,361 | 135578 | ||
| February 28, 2025 | Fine | $17,345 | 113651 | ||
| February 20, 2025 | Fine | $13,822 | 113634 | ||
| February 14, 2025 | Fine | $31,304 | 113594 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Deerbrook Skilled Nursing and Rehab Center in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: WINNIE-STOWELL HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 2010-12-02
- Provider Resides in Hospital: Y
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Harris
- Telephone Number: 2814465160
- Chain Name: HMG HEALTHCARE
- Chain ID: 272
- Special Focus Status: SFF Candidate
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 93.6
- Overall Rating: 1
- Health Inspection Rating: 1
- QM Rating: 4
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in Humble and Texas
Report a figure on Deerbrook Skilled Nursing and Rehab Center’s record that differs from its CMS file, quoting 676263.