Skilled nursing facility · CMS certification number 676274
River Bend Healthcare
SEGUIN, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 115
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $18,225.00 · Payment denials: 0. The most recent penalty on file: October 24, 2025, Fine, $9,246. 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 March 1, 2024 to March 31, 2025 — a reporting period of 395 days, on form CMS-2540-10, settled, processed by CMS on October 15, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,431,049 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $679,356 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,751,693 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,316,549 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$564,856 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,632 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$561,224 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$561,224 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 45,540 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,932 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,448 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,625 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 27,005 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 34 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 12 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 79 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,204 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 216.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440964, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended February 29, 2024
Cost report for January 1, 2024 to February 29, 2024 — a reporting period of 59 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 27, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,076,229 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $165,771 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $910,458 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,069,722 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$159,264 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $161 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$159,103 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$159,103 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,179 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 17 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 90 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 362 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 245.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396207, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 31, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,370,885 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,193,543 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,177,342 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,760,859 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$583,517 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$39,131 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$622,648 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$622,648 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,265 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 101.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 367.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 225.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390756, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,156,674 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,297,561 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,859,113 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,492,260 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$633,147 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $371,163 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$261,984 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$261,984 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,789 | 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 | 41.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 365.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397854, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 3, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,698,049 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,823,323 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,874,726 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,452,713 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $422,013 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $422,013 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $422,013 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,808 | 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 | 100.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 368.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 190.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328817, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,523,490 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,949,295 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,574,195 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,474,564 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $99,631 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $805,149 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $904,780 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $904,780 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,876 | 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 | 92.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 363.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 180.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1325047, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 30, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,276,483 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $201,022 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,075,461 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,496,144 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,579,317 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $1,579,317 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,579,317 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,644 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 362.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305749, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 23, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,191,852 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,903,250 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,288,602 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,445,084 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$156,482 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$156,482 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$156,482 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,205 | 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 | 44.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 44.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1277416, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,902,650 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,001,568 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,901,082 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,183,706 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $717,376 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $717,376 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $717,376 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,977 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 99.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 363.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 208.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1199381, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,687,762 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,333,841 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,353,921 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,319,088 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $34,833 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $34,833 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $34,833 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,026 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 297 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 303.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174480, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,988,015 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,564,303 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,423,712 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,564,268 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$140,556 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$140,556 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$140,556 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,912 | 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 | 35.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 336.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1136202, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 3, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,047,399 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,324,901 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,722,498 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,899,880 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$177,382 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$177,382 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$177,382 (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 | 59 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,074 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 439 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 184.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106592, 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 November 9, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,029,222 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,013,974 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,015,248 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,116,022 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$100,774 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$100,774 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$100,774 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,082 | 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 | 41.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 852.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1112428, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 29, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,986,891 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,656,672 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,330,219 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,177,611 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $152,608 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $152,608 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $152,609 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,116 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 380.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044096, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for March 2, 2011 to December 31, 2011 — a reporting period of 304 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,098,887 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,756,628 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,342,259 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,528,855 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,186,596 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,000 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,183,596 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,183,596 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,767 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 154.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1014960, 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 October 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CLEAR FORK HEALTHCARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/05/2026 |
| EASTWOOD DRIVE HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2026 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/12/2026 |
| JONES, CHRISTOPHER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2026 |
| LOCKHART, CHRISTOPHER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2026 |
| STANDARD BEARER HEALTHCARE OP, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2026 |
| THE ENSIGN GROUP INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2026 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| MCGUIRE, WESLEY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2026 |
| JONES, CHRISTOPHER | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2026 |
| LOCKHART, CHRISTOPHER | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2026 |
| BURNAM, SOON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2026 |
| CLEAR FORK HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2026 |
| JONES, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2026 |
| LOCKHART, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2026 |
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 O20240417000770).
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 | 3/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHRISTOPHER R LOCKHART | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN JASS | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KILGORE FAMILY TRUST-2012 | Organization | ADP OF THE SNF | Not stated in the filing | 3/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| KRS SEGUIN, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| KTFW-TX LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| RIVER BEND OPCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/30/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/30/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHNNY THOMPSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTOPHER MARTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTOPHER R LOCKHART | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEREK D RANKIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RIVER BEND OPCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- October 1, 2026: RIVER BEND OPCO LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: MARTIN, CHRISTOPHER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: JASS, JOHN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: STEIN, PAUL no longer appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: STEIN, JAMES no longer appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: RYE, ROBERT no longer appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: RANKIN, DEREK no longer appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: KILGORE, JOSHUA no longer appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: SR PROPERTIES OF TX SNF LLC no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: KTFW-OK, LLC no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: KRS SEGUIN, LLC no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: JASS, JOHN no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: JONES, CHRISTOPHER appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: STANDARD BEARER HEALTHCARE OP, LP appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: EASTWOOD DRIVE HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: CLEAR FORK HEALTHCARE LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: LOCKHART, CHRISTOPHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: JONES, CHRISTOPHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: BURNAM, SOON appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: CLEAR FORK HEALTHCARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: KEETCH, CHAD appears as CORPORATE OFFICER in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: LOCKHART, CHRISTOPHER appears as MANAGING CONTROL - GOVERNING BODY in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: JONES, CHRISTOPHER appears as MANAGING CONTROL - GOVERNING BODY in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- September 1, 2026: A listing under Ownership Data Not Available no longer appears in the Care Compare ownership file, with no owner named. NH_Ownership_Sep2026_2.csv
- September 1, 2026: LOCKHART, CHRISTOPHER appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: JASS, JOHN appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: SR PROPERTIES OF TX SNF LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: KTFW-OK, LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: KRS SEGUIN, LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: STEIN, PAUL appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: STEIN, JAMES appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: RYE, ROBERT appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: RANKIN, DEREK appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: KILGORE, JOSHUA appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: MARTIN, CHRISTOPHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: JASS, JOHN appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: RIVER BEND OPCO LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: MCGUIRE, WESLEY appears as CORPORATE OFFICER in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- August 1, 2025: DEREK D RANKIN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOHN JASS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KILGORE FAMILY TRUST-2012 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KTFW-TX LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KRS SEGUIN, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- May 1, 2025: REMARKABLE HEALTHCARE OF SEGUIN LP no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JON E MCPIKE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RIVER BEND OPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RIVER BEND OPCO LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: DEREK D RANKIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: DEREK D RANKIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CHRISTOPHER R LOCKHART (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since June 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CHRISTOPHER R LOCKHART (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since June 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JOHN JASS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JOHN JASS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JOHNNY THOMPSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CHRISTOPHER MARTIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- July 1, 2024: REMARKABLE HEALTHCARE, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: ANNE OLSEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: REMARKABLE DUO, LLC no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: REMARKABLE DUO, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: NANCY KISNER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JON E MCPIKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JON E MCPIKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: ROBERT ENGLISH no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: LBJM, LLC no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: LAURIE MCPIKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: REMARKABLE PARTNERS, LP no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: REMARKABLE PARTNERS, LP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: PAUL STUMBO no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: REMARKABLE HEALTHCARE OF SEGUIN LP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JON E MCPIKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: DAVID MAK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
Recent changes on this record
- October 1, 2026: RIVER BEND OPCO LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: MARTIN, CHRISTOPHER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: JASS, JOHN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: STEIN, PAUL no longer appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: STEIN, JAMES no longer appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: RYE, ROBERT no longer appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: RANKIN, DEREK no longer appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: KILGORE, JOSHUA no longer appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: SR PROPERTIES OF TX SNF LLC no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: KTFW-OK, LLC no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: KRS SEGUIN, LLC no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: JASS, JOHN no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: JONES, CHRISTOPHER appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: STANDARD BEARER HEALTHCARE OP, LP appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: EASTWOOD DRIVE HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: CLEAR FORK HEALTHCARE LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: LOCKHART, CHRISTOPHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: JONES, CHRISTOPHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: BURNAM, SOON appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: CLEAR FORK HEALTHCARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: KEETCH, CHAD appears as CORPORATE OFFICER in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: LOCKHART, CHRISTOPHER appears as MANAGING CONTROL - GOVERNING BODY in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- October 1, 2026: JONES, CHRISTOPHER appears as MANAGING CONTROL - GOVERNING BODY in the Care Compare ownership file. NH_Ownership_Oct2026.csv
- September 1, 2026: A listing under Ownership Data Not Available no longer appears in the Care Compare ownership file, with no owner named. NH_Ownership_Sep2026_2.csv
- September 1, 2026: LOCKHART, CHRISTOPHER appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: JASS, JOHN appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: SR PROPERTIES OF TX SNF LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: KTFW-OK, LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: KRS SEGUIN, LLC appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: STEIN, PAUL appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: STEIN, JAMES appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: RYE, ROBERT appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: RANKIN, DEREK appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: KILGORE, JOSHUA appears as INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: MARTIN, CHRISTOPHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: JASS, JOHN appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: RIVER BEND OPCO LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: MCGUIRE, WESLEY appears as CORPORATE OFFICER in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 13, 2026 | February 13, 2026 | 12 | 7 |
| 2 | December 4, 2024 | December 4, 2024 | 15 | 8 |
| 3 | October 27, 2023 | October 27, 2023 | 22 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
49 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 13, 2026 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | March 15, 2026 |
| February 13, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | March 15, 2026 |
| February 13, 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | March 15, 2026 |
| February 13, 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 | No | Deficient, Provider has date of correction | March 15, 2026 |
| February 13, 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 | No | Deficient, Provider has date of correction | March 15, 2026 |
| February 13, 2026 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | March 15, 2026 |
| February 13, 2026 | Health | F 0839 | Administration Deficiencies | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | No | Deficient, Provider has date of correction | March 15, 2026 |
| February 13, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | March 15, 2026 |
| November 25, 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Yes | Deficient, Provider has date of correction | December 22, 2025 |
| November 25, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | December 22, 2025 |
| October 24, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | November 21, 2025 |
| October 24, 2025 | 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. | G | Yes | Past Non-Compliance | December 30, 2024 |
| December 4, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | December 30, 2024 |
| December 4, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| December 4, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | December 30, 2024 |
| December 4, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | December 30, 2024 |
| December 4, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| December 4, 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 | No | Deficient, Provider has date of correction | December 30, 2024 |
| December 4, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| December 4, 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. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| December 4, 2024 | 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. | E | No | Deficient, Provider has date of correction | December 30, 2024 |
| December 4, 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. | F | No | Deficient, Provider has date of correction | December 30, 2024 |
| December 4, 2024 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| December 4, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| December 4, 2024 | Health | F 0944 | Administration Deficiencies | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | No | Deficient, Provider has date of correction | December 30, 2024 |
| December 4, 2024 | Health | F 0946 | Administration Deficiencies | Provide training in compliance and ethics. | E | No | Deficient, Provider has date of correction | December 30, 2024 |
| November 13, 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. | D | Yes | Past Non-Compliance | October 3, 2024 |
| July 3, 2024 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | July 20, 2024 |
| July 3, 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 | July 20, 2024 |
| May 1, 2024 | 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 | May 5, 2024 |
| May 1, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Yes | Deficient, Provider has date of correction | May 5, 2024 |
| May 1, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | May 5, 2024 |
| February 15, 2024 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Yes | Deficient, Provider has date of correction | March 1, 2024 |
| February 15, 2024 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Yes | Deficient, Provider has date of correction | March 1, 2024 |
| January 6, 2024 | Health | F 0910 | Environmental Deficiencies | Ensure resident rooms meet each resident's needs. | E | Yes | Deficient, Provider has date of correction | February 1, 2024 |
| October 27, 2023 | 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 | November 15, 2023 |
| October 27, 2023 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | November 30, 2023 |
| October 27, 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 | November 30, 2023 |
| October 27, 2023 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | November 30, 2023 |
| October 27, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | November 15, 2023 |
| October 27, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | December 31, 2023 |
| October 27, 2023 | 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. | E | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 27, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | December 15, 2023 |
| October 27, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | November 30, 2023 |
| October 27, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | November 15, 2023 |
| October 27, 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 | No | Deficient, Provider has date of correction | November 30, 2023 |
| October 27, 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | December 31, 2023 |
| October 6, 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. | E | Yes | Deficient, Provider has date of correction | October 13, 2023 |
| October 6, 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 13, 2023 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| October 24, 2025 | Fine | $9,246 | 136566 | ||
| May 1, 2024 | Fine | $8,979 | 112781 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - Hospital district |
| Legal Business Name | WEST COKE COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2011-03-02 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Guadalupe |
| Telephone Number | 8303793900 |
| 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 | 115 |
| Average Number of Residents per Day | 69.6 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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On October 1, 2026: RIVER BEND OPCO LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. That is one line of the alert.
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The citable document for River Bend Healthcare
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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