Skilled nursing facility · CMS certification number 676280
Georgetown Nursing and Transitional Care
GEORGETOWN, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 142
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: $8,281.00 · Payment denials: 0. The most recent penalty on file: March 17, 2025, Fine, $8,281. 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 June 1, 2024 to May 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 14, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,796,145 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,014,192 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,781,953 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,254,110 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,472,157 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $188,569 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,283,588 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,283,588 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 51,830 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,231 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,582 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 12,135 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 27,948 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 134 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 11 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 182 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 327 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,143.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440905, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended May 31, 2024
Cost report for June 1, 2023 to May 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 1, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,626,156 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $997,590 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,628,566 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,769,623 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,141,057 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,301,589 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$839,468 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$839,468 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,674 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 382 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,107.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398573, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended May 31, 2023
Cost report for June 1, 2022 to May 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 16, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,628,157 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,521,806 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,106,351 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,536,187 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,429,836 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,200,524 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,229,312 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,229,312 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,911 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 330 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,276.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1368137, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended May 31, 2022
Cost report for June 1, 2021 to May 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 17, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,673,667 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,358,350 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,315,317 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,795,008 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,479,691 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $883,626 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,596,065 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,596,065 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,237 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 303 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,299.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335199, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended May 31, 2021
Cost report for June 1, 2020 to May 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,886,803 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $850,930 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,035,873 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,523,068 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,487,195 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,122,187 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,365,008 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,365,008 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,216 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 185 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 707.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 201.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1307459, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended May 31, 2020
Cost report for June 1, 2019 to May 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 15, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,313,734 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,191,805 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,121,929 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,633,051 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,511,122 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $815,936 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$695,186 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$695,186 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,550 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 313 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,100.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278535, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended May 31, 2019
Cost report for June 1, 2018 to May 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 25, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,823,301 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,740,919 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,082,382 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,593,151 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$510,769 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $137,646 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$373,123 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$373,123 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,591 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 395 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 433.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1246207, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended May 31, 2018
Cost report for June 1, 2017 to May 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 18, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,434,913 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,001,396 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,433,517 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,962,383 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$528,866 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $69,771 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$459,095 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$459,095 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,090 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 376 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 347.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 82.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1216311, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended March 31, 2017
Cost report for June 1, 2016 to March 31, 2017 — a reporting period of 303 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,220,780 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,260,814 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,959,966 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,730,997 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$771,031 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,876 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$764,155 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$764,155 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,601 | 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 | 29.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 705.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188457, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended May 31, 2016
Cost report for June 1, 2015 to May 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 28, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,376,711 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,983,163 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,393,548 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,628,097 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$234,549 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,634 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$229,915 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$229,915 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,088 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 426 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 296.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150254, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended May 31, 2015
Cost report for May 1, 2014 to May 31, 2015 — a reporting period of 395 days, on form CMS-2540-10, settled, processed by CMS on May 4, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,870,321 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,746,647 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,123,674 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,983,471 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $140,203 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,149 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $144,352 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $144,352 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,665 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 386 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 584.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156746, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended April 30, 2014
Cost report for January 1, 2014 to April 30, 2014 — a reporting period of 119 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 8, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,554,293 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,638,196 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,916,097 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,292,636 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$376,539 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $848 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$375,691 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$375,692 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,242 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 211 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 314 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1147927, 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 February 16, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,125,586 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,452,946 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,672,640 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,972,603 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,299,963 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,375 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,298,588 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,601,710 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,339 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 477 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 287.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183977, 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 | $9,914,047 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $224,582 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,689,465 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,992,384 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $697,081 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,115 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $706,196 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $706,196 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,175 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 496 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 271.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044242, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for April 26, 2011 to December 31, 2011 — a reporting period of 249 days, not a full year, on form CMS-2540-10, settled, processed by CMS on April 18, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,883,180 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$254,783 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,137,963 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,068,414 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$930,451 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$930,451 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$930,448 (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 | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,535 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 249 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 250.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058354, 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 |
|---|---|---|---|---|
| 4011 WILLIAMS DRIVE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/15/2025 |
| CLAPP, BARBARA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/15/2025 |
| CSV RHEA MANAGEMENT HOLDCO, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/15/2025 |
| DEKOWSKI, DONOVAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/15/2025 |
| DONOHUE, LORENA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/15/2025 |
| DWD TX HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/15/2025 |
| JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/15/2025 |
| MANDELBAUM, ELLIOT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/15/2025 |
| REG LEASED OPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/15/2025 |
| REG OPERATOR HOLDCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/15/2025 |
| REGENCY IHS CLINICAL CONSULTING, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/15/2025 |
| REGENCY IHS REHAB LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/15/2025 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/15/2025 |
| REGENCY TEXAS HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/15/2025 |
| SOUTH LIMESTONE HOSPITAL DISTRICT | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/30/2025 |
| STRONG, TYLER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/15/2025 |
| SUGUNAN, BINU | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/07/2025 |
| WELLSENTIAL OF GEORGETOWN LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/15/2025 |
| PRICE, LARRY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2017 |
| CHANEY, DENA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2025 |
| DONOHUE, LORENA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/15/2025 |
| SOUTH LIMESTONE HOSPITAL DISTRICT | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2017 |
| STRONG, TYLER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/15/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SOUTH LIMESTONE HOSPITAL DISTRICT (enrollment ID O20170527000002).
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 |
|---|---|---|---|---|---|
| 4011 WILLIAMS DRIVE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BARBARA B CLAPP | Individual | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BINU SUGUNAN | Individual | ADP OF THE SNF | Not stated in the filing | 3/7/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CSV RHEA MANAGEMENT HOLDCO, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DONOVAN R DEKOWSKI | Individual | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DWD TX HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELLIOT J MANDELBAUM | Individual | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC | Organization | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LORENA DONOHUE | Individual | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REG LEASED OPCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| REG OPERATOR HOLDCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| REGENCY IHS CLINICAL CONSULTING, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| REGENCY IHS REHAB LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| REGENCY INTEGRATED HEALTH SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| REGENCY TEXAS HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SOUTH LIMESTONE HOSPITAL DISTRICT | Organization | ADP OF THE SNF | Not stated in the filing | 9/30/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TYLER STRONG | Individual | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WELLSENTIAL OF GEORGETOWN LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LARRY N PRICE | Individual | CORPORATE DIRECTOR | 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 |
| DENA CHANEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LORENA DONOHUE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOUTH LIMESTONE HOSPITAL DISTRICT | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| TYLER STRONG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 1, 2025: JEFFREY A SMITH no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JEFFREY A SMITH no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NYEGONUM NWONYE 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: LAURA PLACKE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LAURA PLACKE 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: GENE LAWHON no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GENE LAWHON no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WESLEYAN HOMES INC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WESLEYAN HOMES INC 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: BETHANY C SISNEROZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BETHANY C SISNEROZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROGER CLAYTON no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROGER CLAYTON no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ELLIOT J MANDELBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WELLSENTIAL OF GEORGETOWN LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DONOVAN R DEKOWSKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SOUTH LIMESTONE HOSPITAL DISTRICT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REGENCY IHS CLINICAL CONSULTING, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: 4011 WILLIAMS DRIVE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TYLER STRONG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TYLER STRONG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REGENCY INTEGRATED HEALTH SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DWD TX HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BARBARA B CLAPP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REG OPERATOR HOLDCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LORENA DONOHUE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LORENA DONOHUE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REGENCY TEXAS HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REGENCY IHS REHAB LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REG LEASED OPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CSV RHEA MANAGEMENT HOLDCO, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- August 1, 2025: THI OF TEXAS LLC 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: NEHEMIAS VELASCO 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: NEHEMIAS VELASCO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LARRY N PRICE 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: DENA CHANEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JEFFREY A SMITH (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JEFFREY A SMITH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BINU SUGUNAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: NYEGONUM NWONYE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 5, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LAURA PLACKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LAURA PLACKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GENE LAWHON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GENE LAWHON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WESLEYAN HOMES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 5, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WESLEYAN HOMES INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 5, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BETHANY C SISNEROZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BETHANY C SISNEROZ (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROGER CLAYTON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROGER CLAYTON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- November 1, 2025: JEFFREY A SMITH no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JEFFREY A SMITH no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NYEGONUM NWONYE 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: LAURA PLACKE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LAURA PLACKE 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: GENE LAWHON no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GENE LAWHON no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WESLEYAN HOMES INC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WESLEYAN HOMES INC 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: BETHANY C SISNEROZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BETHANY C SISNEROZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROGER CLAYTON no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROGER CLAYTON no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ELLIOT J MANDELBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WELLSENTIAL OF GEORGETOWN LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DONOVAN R DEKOWSKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SOUTH LIMESTONE HOSPITAL DISTRICT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REGENCY IHS CLINICAL CONSULTING, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: 4011 WILLIAMS DRIVE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TYLER STRONG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TYLER STRONG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REGENCY INTEGRATED HEALTH SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DWD TX HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BARBARA B CLAPP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REG OPERATOR HOLDCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LORENA DONOHUE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LORENA DONOHUE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REGENCY TEXAS HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REGENCY IHS REHAB LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: REG LEASED OPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CSV RHEA MANAGEMENT HOLDCO, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- October 14, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2025: THI OF TEXAS LLC 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: NEHEMIAS VELASCO 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: NEHEMIAS VELASCO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LARRY N PRICE 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: DENA CHANEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JEFFREY A SMITH (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JEFFREY A SMITH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 24, 2026 | June 24, 2026 | 2 | 4 |
| 2 | April 30, 2025 | April 30, 2025 | 12 | 1 |
| 3 | February 29, 2024 | February 29, 2024 | 3 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
17 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 24, 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. | E | No | Deficient, Provider has date of correction | July 15, 2026 |
| June 24, 2026 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | July 15, 2026 |
| April 30, 2025 | 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 | May 30, 2025 |
| April 30, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | May 30, 2025 |
| April 30, 2025 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | June 16, 2025 |
| April 30, 2025 | 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. | E | No | Deficient, Provider has date of correction | May 27, 2025 |
| April 30, 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | May 30, 2025 |
| April 30, 2025 | 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 | May 23, 2025 |
| April 30, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | May 1, 2025 |
| April 30, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | May 30, 2025 |
| March 17, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | March 23, 2025 |
| March 17, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | April 12, 2025 |
| March 3, 2025 | 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 | Past Non-Compliance | February 7, 2025 |
| March 3, 2025 | Health | F 0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Yes | Past Non-Compliance | February 7, 2025 |
| February 29, 2024 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | March 1, 2024 |
| February 29, 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 | April 21, 2024 |
| February 29, 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 | March 1, 2024 |
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 |
|---|---|---|---|---|---|
| March 17, 2025 | Fine | $8,281 | 113689 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - Hospital district |
| Legal Business Name | SOUTH LIMESTONE HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2011-04-26 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Williamson |
| Telephone Number | 5128682700 |
| Chain Name | WELLSENTIAL HEALTH |
| Chain ID | 670 |
| 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 | 142 |
| Average Number of Residents per Day | 100.5 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 4 |
| 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 October 14, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for Georgetown Nursing and Transitional Care
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676280.