Skilled nursing facility · CMS certification number 676308
San Gabriel Rehabilitation and Care Center
Round Rock, 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: 2 · Fines: 2 · Fines, total amount: $19,393.00 · Payment denials: 0. The most recent penalty on file: September 12, 2025, Fine, $11,112. 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 June 24, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,918,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,073,060 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,845,092 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,339,767 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$494,675 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $611,808 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $117,133 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $117,133 (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 | 2,920 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 18,692 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 13,024 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 34,636 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 73 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 26 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 235 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 334 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 718.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450580, 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 27, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,678,123 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,800,242 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,877,881 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,852,246 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$974,365 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $781,733 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$192,632 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$192,632 (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 | 33,950 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 266 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 633.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1399635, 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 October 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,410,270 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,993,828 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,416,442 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,317,001 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,900,559 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,301,058 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$599,501 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$599,501 (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 | 32,567 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 265 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 327.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397855, 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 December 13, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,032,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,044,152 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,988,820 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,107,927 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,119,107 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,854,035 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $734,928 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $734,928 (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 | 31,245 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 286 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 304.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338146, 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 | $8,057,568 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $974,206 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,083,362 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,379,547 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,296,185 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,815,933 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$480,252 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$480,252 (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 | 27,237 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 324.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1307462, 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 September 29, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,360,233 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,013,258 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,346,975 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,791,810 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$444,835 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $365,528 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$79,307 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$79,307 (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 | 34,809 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 258 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 373.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301445, 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 14, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,142,034 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,588,183 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,553,851 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,935,896 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$382,045 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $194,924 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$187,121 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$187,121 (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 | 36,484 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 226 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 447.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1245699, 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 | $11,310,845 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,992,270 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,318,575 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,169,384 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$850,809 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $137,002 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$713,807 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$713,807 (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 | 36,839 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 259 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 427.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 142.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1216312, 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 March 11, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,487,158 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,522,288 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,964,870 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,397,976 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$433,106 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,793 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$426,313 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$426,313 (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 | 29,027 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 243 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 449.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220946, 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 January 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,454,461 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,505,609 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,948,852 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,398,634 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$449,782 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,113 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$440,669 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$440,669 (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 | 33,569 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 193 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 407.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 173.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150718, 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 October 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,101,162 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,449,205 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,651,957 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,391,622 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$739,665 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,878 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$736,787 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$736,787 (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 | 34,955 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 253 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 383.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145090, 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 October 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,360,335 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $962,886 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,397,449 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,061,809 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$664,360 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,344 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$651,016 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$651,017 (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 | 12,000 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 247.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145195, 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 December 22, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,493,044 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,877,224 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,615,820 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,023,226 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,407,406 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,298 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,406,108 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,451,087 (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 | 27,274 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 367 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1116056, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for February 8, 2012 to December 31, 2012 — a reporting period of 327 days, on form CMS-2540-10, settled, processed by CMS on July 29, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,234,378 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $456,682 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,777,696 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,352,196 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,574,500 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$700 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,575,200 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,575,196 (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 | 16,009 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 296 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 140.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044245, read from the public cost report file SNF10FY2012.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 |
|---|---|---|---|---|
| SOUTH LIMESTONE HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/01/2017 |
| GARCIA, MARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/04/2024 |
| KROL, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2025 |
| PRICE, LARRY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2017 |
| FORMAN, MURRAY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/30/2025 |
| CARE INN OF SEGUIN LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2017 |
| GARCIA, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/04/2024 |
| KROL, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2025 |
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 O20170707002326).
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 |
|---|---|---|---|---|---|
| SOUTH LIMESTONE HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANIL RATHI | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FUNDAMENTAL ADMINISTRATIVE SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARY ARREDONDO | Individual | ADP OF THE SNF | Not stated in the filing | 12/9/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| 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 |
| CARE INN OF SEGUIN LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARY ARREDONDO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/9/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2026: ARREDONDO, MARY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: FUNDAMENTAL ADMINISTRATIVE SERVICES LLC no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: RATHI, ANIL no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: ARREDONDO, MARY no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: KROL, MICHAEL appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: GARCIA, MARY appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: KROL, MICHAEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: GARCIA, MARY appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- January 1, 2026: SOUTH LIMESTONE HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LEAH GAGE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LEAH GAGE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LARRY N PRICE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SOUTH LIMESTONE HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FUNDAMENTAL ADMINISTRATIVE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARY ARREDONDO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARY ARREDONDO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ANIL RATHI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
Recent changes on this record
- September 1, 2026: ARREDONDO, MARY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: FUNDAMENTAL ADMINISTRATIVE SERVICES LLC no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: RATHI, ANIL no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: ARREDONDO, MARY no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: KROL, MICHAEL appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: GARCIA, MARY appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: KROL, MICHAEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: GARCIA, MARY appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- June 24, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- January 1, 2026: SOUTH LIMESTONE HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LEAH GAGE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LEAH GAGE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LARRY N PRICE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SOUTH LIMESTONE HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FUNDAMENTAL ADMINISTRATIVE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARY ARREDONDO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARY ARREDONDO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ANIL RATHI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- November 27, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- October 23, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- December 13, 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- December 16, 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- September 29, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- November 14, 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- March 11, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- December 18, 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- May 2, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- January 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- October 20, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- October 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- December 22, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 29, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 17, 2025 | July 17, 2025 | 13 | 0 |
| 2 | May 30, 2024 | May 30, 2024 | 11 | 1 |
| 3 | April 5, 2023 | April 5, 2023 | 7 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
32 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 30, 2026 | 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. | E | Yes | Deficient, Provider has date of correction | May 6, 2026 |
| April 30, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | Yes | Deficient, Provider has date of correction | May 6, 2026 |
| December 23, 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. | D | Yes | Deficient, Provider has date of correction | December 30, 2025 |
| September 12, 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. | J | Yes | Deficient, Provider has date of correction | September 13, 2025 |
| September 12, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | J | Yes | Deficient, Provider has date of correction | September 13, 2025 |
| July 17, 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. | D | No | Deficient, Provider has date of correction | August 7, 2025 |
| July 17, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | August 7, 2025 |
| July 17, 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. | E | No | Deficient, Provider has date of correction | August 7, 2025 |
| July 17, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | August 7, 2025 |
| July 17, 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. | D | No | Deficient, Provider has date of correction | August 7, 2025 |
| July 17, 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | August 7, 2025 |
| July 17, 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. | D | No | Deficient, Provider has date of correction | August 7, 2025 |
| July 17, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | August 7, 2025 |
| April 14, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | Yes | Deficient, Provider has date of correction | April 29, 2025 |
| March 18, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | March 19, 2025 |
| January 22, 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 | Yes | Deficient, Provider has date of correction | February 10, 2025 |
| September 25, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | August 21, 2024 |
| September 25, 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. | D | Yes | Past Non-Compliance | August 14, 2024 |
| June 20, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | June 30, 2024 |
| May 30, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | June 25, 2024 |
| May 30, 2024 | 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 25, 2024 |
| May 30, 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 | June 25, 2024 |
| May 30, 2024 | 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 | No | Deficient, Provider has date of correction | June 25, 2024 |
| May 30, 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. | D | No | Deficient, Provider has date of correction | June 25, 2024 |
| May 30, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | June 25, 2024 |
| March 21, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Yes | Deficient, Provider has date of correction | April 10, 2024 |
| August 21, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | August 25, 2023 |
| April 5, 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | April 15, 2023 |
| April 5, 2023 | 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 | April 15, 2023 |
| April 5, 2023 | 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 | April 15, 2023 |
| April 5, 2023 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | April 15, 2023 |
| April 5, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 15, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| September 12, 2025 | Fine | $11,112 | 135296 | ||
| March 18, 2025 | Fine | $8,281 | 113691 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | SOUTH LIMESTONE HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2012-02-08 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Williamson |
| Telephone Number | 5123348000 |
| Chain Name | FUNDAMENTAL HEALTHCARE |
| Chain ID | 231 |
| 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 | 87.2 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| 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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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 June 24, 2026: 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 San Gabriel Rehabilitation and Care Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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