Skilled nursing facility · CMS certification number 676272
Legend Oaks Healthcare and Rehabilitation-Kyle
Kyle, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 126
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: $8,407.00 · Payment denials: 0. The most recent penalty on file: December 12, 2025, Fine, $8,407. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 13, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,934,104 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,153,038 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,781,066 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,422,237 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,358,829 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,707 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,361,536 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,361,536 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 46,116 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,871 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 21,476 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 14,720 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 40,067 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 136 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 492 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 645 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,263.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402190, 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 18, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,055,694 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,231,853 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,823,841 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,606,076 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,217,765 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,398 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,219,163 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,219,163 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,583 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 586 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,402.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375183, 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 23, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,383,806 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,043,844 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,339,962 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,446,804 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $893,158 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,860 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $900,018 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $900,018 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,674 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 438 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,602.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344899, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,963,626 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $771,472 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,192,154 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,395,820 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $796,334 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,725 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $823,059 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $822,573 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,506 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 335 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 994.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314807, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 19, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,424,202 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $553,027 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,871,175 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,978,266 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $892,909 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,638 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $895,547 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $897,549 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,881 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 328 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,122.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1284171, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 12, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,425,780 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $844,109 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,581,671 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,557,252 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,024,419 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,434 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,027,853 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,027,853 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,410 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 452 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,056.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252388, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 25, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,209,103 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $497,596 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,711,507 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,525,152 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $186,355 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,033 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $229,388 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $229,388 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,823 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 370 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 918.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221829, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for April 1, 2017 to September 30, 2017 — a reporting period of 182 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 22, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,577,625 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $394,985 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,182,640 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,220,543 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$37,903 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$3,823 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$41,726 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$41,726 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,431 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 181 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,162.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1190083, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for May 1, 2016 to December 31, 2016 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,913,087 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $560,890 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,352,197 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,657,084 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$304,887 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,167 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$303,720 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$303,720 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,154 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 178 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,252.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1216842, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,334,177 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,669,926 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,664,251 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,260,642 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $403,609 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,420 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $410,029 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $390,911 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,195 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 269 | 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 | 624.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1140641, 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, as submitted, processed by CMS on June 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,529,052 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,772,964 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,756,088 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,896,171 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $859,917 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,966 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $870,883 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $870,883 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,816 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 247 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 907.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1097376, 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 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,180,147 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,772,117 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,408,030 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,720,430 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $687,600 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,937 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $689,537 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $670,165 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,866 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 401 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 241.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104289, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 1, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,781,979 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,521,798 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,260,181 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,359,785 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $900,396 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,072 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $901,468 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $880,142 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,313 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 449 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 240.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081271, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for February 8, 2011 to December 31, 2011 — a reporting period of 326 days, on form CMS-2540-10, as submitted, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,514,410 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,899,082 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,615,328 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,914,000 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$298,672 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,829 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$296,843 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$317,014 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,462 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 244 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 219.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1013236, read from the public cost report file SNF10FY2011.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/01/2017 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2016 |
| FOWERS, MATTHEW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/12/2019 |
| KROL, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2016 |
| NATIONAL HEALTH INVESTORS, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| TEXAS NHI INVESTORS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| TREATY HEALTHCARE, INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/07/2025 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2017 |
| GANN, KODY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2021 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| FOWERS, MATTHEW | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 03/12/2019 |
| KROL, MICHAEL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2016 |
| FOWERS, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/12/2019 |
| KROL, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2016 |
| TREATY HEALTHCARE, INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GUADALUPE COUNTY HOSPITAL BOARD (enrollment ID O20170718000070).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| MATTHEW FOWERS | Individual | ADP OF THE SNF | Not stated in the filing | 3/12/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL LEFKOF KROL | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATIONAL HEALTH INVESTORS, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| TEXAS NHI INVESTORS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| TREATY HEALTHCARE, INC | Organization | ADP OF THE SNF | Not stated in the filing | 10/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAD KEETCH | Individual | CORPORATE OFFICER | Not stated in the filing | 3/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KODY GANN | Individual | CORPORATE OFFICER | 0 | 2/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | CORPORATE OFFICER | Not stated in the filing | 4/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW FOWERS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 3/12/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL LEFKOF KROL | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW FOWERS | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 3/12/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL LEFKOF KROL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TREATY HEALTHCARE, INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- November 1, 2025: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MATTHEW FOWERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MATTHEW FOWERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 12, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MATTHEW FOWERS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 12, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL LEFKOF KROL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL LEFKOF KROL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL LEFKOF KROL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TEXAS NHI INVESTORS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NATIONAL HEALTH INVESTORS, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TREATY HEALTHCARE, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- February 15, 2023: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- November 1, 2025: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MATTHEW FOWERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MATTHEW FOWERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 12, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MATTHEW FOWERS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 12, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL LEFKOF KROL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL LEFKOF KROL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL LEFKOF KROL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TEXAS NHI INVESTORS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NATIONAL HEALTH INVESTORS, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TREATY HEALTHCARE, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- January 13, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 18, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 23, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- February 15, 2023: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- April 26, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- May 19, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- March 12, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- March 25, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- December 21, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- May 22, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- December 4, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- December 13, 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 11, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 25, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- June 16, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- December 1, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 12, 2025 | December 12, 2025 | 8 | 1 |
| 2 | September 5, 2024 | September 5, 2024 | 9 | 2 |
| 3 | June 30, 2023 | June 30, 2023 | 9 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
29 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 26, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | Yes | Deficient, Provider has date of correction | June 30, 2026 |
| May 26, 2026 | 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 | Yes | Deficient, Provider has date of correction | June 30, 2026 |
| January 29, 2026 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | February 19, 2026 |
| January 29, 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | February 19, 2026 |
| December 12, 2025 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | December 18, 2025 |
| December 12, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | December 18, 2025 |
| December 12, 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. | F | No | Deficient, Provider has date of correction | December 15, 2025 |
| December 12, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 15, 2025 |
| November 20, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | November 21, 2024 |
| November 20, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | November 21, 2024 |
| September 5, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | September 6, 2024 |
| September 5, 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 | No | Deficient, Provider has date of correction | September 6, 2024 |
| September 5, 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | E | No | Deficient, Provider has date of correction | September 6, 2024 |
| September 5, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | September 6, 2024 |
| September 5, 2024 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | October 7, 2024 |
| September 5, 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 | September 6, 2024 |
| September 5, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | September 6, 2024 |
| November 21, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | January 26, 2024 |
| August 10, 2023 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Yes | Deficient, Provider has date of correction | August 22, 2023 |
| August 10, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | August 22, 2023 |
| August 10, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Yes | Deficient, Provider has date of correction | August 22, 2023 |
| June 30, 2023 | 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 | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 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. | E | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 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. | E | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | July 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 |
|---|---|---|---|---|---|
| December 12, 2025 | Fine | $8,407 | 136612 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | GUADALUPE COUNTY HOSPITAL BOARD |
| Date First Approved to Provide Medicare and Medicaid Services | 2011-02-08 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Hays |
| Telephone Number | 5122681003 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 126 |
| Average Number of Residents per Day | 115.9 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| 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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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 January 13, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Legend Oaks Healthcare and Rehabilitation-Kyle
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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- CACTUS, CITY OF, UNKNOWN Water discharge permit
- MIDLAND, CITY OF, UNKNOWN Water discharge permit
- LUBBOCK, CITY OF, UNKNOWN Water discharge permit
- SAN ANGELO MATHIS FIELD, UNKNOWN Water discharge permit
- SAN ANGELO MAIN PLANT, UNKNOWN Water discharge permit
- MOONTOWER RESOURCES OPERATING - LIVE OAK STATE 8-5 1H, ORLA Air emission source
- TRENCH BURNER NO 3, MONTGOMERY Air emission source
- TEXAS STAR READY MIX CBP SN 78043, DALLAS Air emission source
- NIEDERWALD BATCH PLANT 1, NIEDERWALD Air emission source
- CBP NO 1, GREENVILLE Air emission source
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 676272.