Skilled nursing facility · CMS certification number 676373
Park Manor Bee Cave
Bee Cave, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 140
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: $19,608.00 · Payment denials: 0. The most recent penalty on file: April 29, 2025, Fine, $6,338. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 21, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,752,414 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,572,118 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,180,296 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,464,327 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$284,031 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,676 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$282,355 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$282,355 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 51,240 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,563 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 20,092 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,737 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 32,392 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 43 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 26 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 130 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 199 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 772.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402487, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 10, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,046,153 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,732,415 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,313,738 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,175,731 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $138,007 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,424 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $141,431 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $141,431 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,075 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 260 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 861.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376214, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 24, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,552,984 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $374,474 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,178,510 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,362,057 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,183,547 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,829,351 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$354,196 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$354,196 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,560 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 213 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 161.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1386121, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,412,409 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,571,953 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,840,456 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,817,431 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,976,975 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $47,626 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,929,349 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,929,349 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,159 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 209 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 551.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314072, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,804,007 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,722,298 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,081,709 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,179,236 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,097,527 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $457,212 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$640,315 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$640,315 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,761 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 208 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 739.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283639, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for May 1, 2019 to September 30, 2019 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 18, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,055,056 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,593,733 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,461,323 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,570,540 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$109,217 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $303 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$108,914 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$108,914 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,110 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 855.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252774, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 30, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,648,710 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,087,026 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,561,684 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,385,119 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$823,435 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,826 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$801,609 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$801,609 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,433 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 313.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238903, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,899,239 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,921,754 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,977,485 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,086,836 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$109,351 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,420 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$104,931 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$104,931 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,211 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 261 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 370.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217417, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,870,666 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,980,129 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,890,537 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,050,599 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$160,062 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,461 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$153,601 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$153,601 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,408 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 260 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 341.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1187789, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for December 3, 2014 to December 31, 2015 — a reporting period of 393 days, on form CMS-2540-10, settled, processed by CMS on August 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,491,028 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,075,841 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,415,187 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,622,910 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$207,723 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,212 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$204,511 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$204,511 (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 | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,686 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 164 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 337.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142936, read from the public cost report file SNF10FY2015.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 |
|---|---|---|---|---|
| CASTRO POU, GRACIELA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/27/2024 |
| CHUDLEIGH, GEOFF | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2022 |
| SAGE MEADOW HEALTHCARE, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/29/2025 |
| THE ENSIGN GROUP INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/18/2022 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2022 |
| HOOPER, GRADY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2015 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| CASTRO POU, GRACIELA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/27/2024 |
| CHUDLEIGH, GEOFF | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2022 |
| CASTRO POU, GRACIELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/27/2024 |
| CHUDLEIGH, GEOFF | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2022 |
| SAGE MEADOW HEALTHCARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HAMILTON COUNTY HOSPITAL DISTRICT (enrollment ID O20190725000897).
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 |
|---|---|---|---|---|---|
| HAMILTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| GEOFF CHUDLEIGH | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GRACIELA V CASTRO POU | Individual | ADP OF THE SNF | Not stated in the filing | 12/27/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAGE MEADOW HEALTHCARE, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 10/29/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE ENSIGN GROUP INC | Organization | ADP OF THE SNF | Not stated in the filing | 4/18/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAD KEETCH | Individual | CORPORATE OFFICER | Not stated in the filing | 3/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GRADY HOOPER | Individual | CORPORATE OFFICER | 100 | 12/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | CORPORATE OFFICER | Not stated in the filing | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GEOFF CHUDLEIGH | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GRACIELA V CASTRO POU | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 12/27/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GEOFF CHUDLEIGH | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GRACIELA V CASTRO POU | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/27/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAGE MEADOW HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 7/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- December 1, 2025: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ROBERT WITZSCHE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DENA MCGREGOR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NEIL MUXWORTHY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NEIL MUXWORTHY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: WILLIAM FORREST no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAMILTON COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GEOFF CHUDLEIGH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SAGE MEADOW HEALTHCARE, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GRACIELA V CASTRO POU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since December 27, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GRACIELA V CASTRO POU (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since December 27, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GRACIELA V CASTRO POU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since December 27, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: THE ENSIGN GROUP INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since April 18, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GEOFF CHUDLEIGH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GEOFF CHUDLEIGH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- September 1, 2024: WILLIAM CRAIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: WILLIAM CRAIG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- October 31, 2022: HMG BEE CAVE INVESTMENT LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: HMG PARTNERS I, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: HMG PARTNERS I, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DEREK L PRINCE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DEREK L PRINCE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: HMG HEALTHCARE LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LAURENCE C DASPIT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LAURENCE C DASPIT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LAURENCE C DASPIT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: HMG BEE CAVE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JOHN HOWERTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ROLAND WAYNE CULP no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ROLAND WAYNE CULP no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ANA I PICO no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: SAGE MEADOW HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GEOFF CHUDLEIGH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GEOFF CHUDLEIGH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- December 1, 2025: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ROBERT WITZSCHE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DENA MCGREGOR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NEIL MUXWORTHY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NEIL MUXWORTHY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: WILLIAM FORREST no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAMILTON COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GEOFF CHUDLEIGH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SAGE MEADOW HEALTHCARE, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GRACIELA V CASTRO POU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since December 27, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GRACIELA V CASTRO POU (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since December 27, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GRACIELA V CASTRO POU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since December 27, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: THE ENSIGN GROUP INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since April 18, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GEOFF CHUDLEIGH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GEOFF CHUDLEIGH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- January 21, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 1, 2024: WILLIAM CRAIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: WILLIAM CRAIG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- June 24, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 10, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 31, 2022: HMG BEE CAVE INVESTMENT LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: HMG PARTNERS I, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: HMG PARTNERS I, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DEREK L PRINCE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DEREK L PRINCE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: HMG HEALTHCARE LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LAURENCE C DASPIT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LAURENCE C DASPIT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LAURENCE C DASPIT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: HMG BEE CAVE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JOHN HOWERTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ROLAND WAYNE CULP no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ROLAND WAYNE CULP no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ANA I PICO no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: SAGE MEADOW HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GEOFF CHUDLEIGH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GEOFF CHUDLEIGH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 17, 2025 | September 17, 2025 | 8 | 0 |
| 2 | August 8, 2024 | August 8, 2024 | 20 | 1 |
| 3 | June 14, 2023 | June 14, 2023 | 9 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
37 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 1, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | July 2, 2026 |
| February 19, 2026 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | February 20, 2026 |
| September 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. | E | No | Deficient, Provider has date of correction | September 18, 2025 |
| September 17, 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 | September 18, 2025 |
| September 17, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | September 18, 2025 |
| September 10, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | September 11, 2025 |
| September 10, 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 | September 11, 2025 |
| September 10, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | September 11, 2025 |
| August 18, 2025 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Yes | Deficient, Provider has date of correction | September 5, 2025 |
| June 2, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | June 17, 2025 |
| May 28, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | H | Yes | Deficient, Provider has date of correction | June 12, 2025 |
| April 29, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | G | Yes | Deficient, Provider has date of correction | May 14, 2025 |
| January 10, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | January 11, 2025 |
| January 10, 2025 | 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 | Yes | Deficient, Provider has date of correction | January 11, 2025 |
| August 8, 2024 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 8, 2024 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 8, 2024 | 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. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 8, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 8, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 8, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 8, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 8, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 8, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 8, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 8, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 8, 2024 | 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 | August 9, 2024 |
| August 8, 2024 | Health | F 0809 | Nutrition and Dietary Deficiencies | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 8, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | August 9, 2024 |
| August 2, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | August 9, 2024 |
| July 21, 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | K | Yes | Deficient, Provider has date of correction | July 22, 2024 |
| July 21, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | K | Yes | Deficient, Provider has date of correction | July 22, 2024 |
| November 16, 2023 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | December 6, 2023 |
| November 16, 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. | H | Yes | Deficient, Provider has date of correction | December 6, 2023 |
| October 11, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | H | Yes | Deficient, Provider has date of correction | November 1, 2023 |
| June 14, 2023 | 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 | July 12, 2023 |
| June 14, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | July 12, 2023 |
| June 14, 2023 | Health | F 0680 | Quality of Life and Care Deficiencies | Ensure the activities program is directed by a qualified professional. | E | No | Deficient, Provider has date of correction | July 12, 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 |
|---|---|---|---|---|---|
| April 29, 2025 | Fine | $6,338 | 113801 | ||
| July 21, 2024 | Fine | $13,270 | 113046 |
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 | HAMILTON COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2014-12-03 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Travis |
| Telephone Number | 5128728170 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 140 |
| Average Number of Residents per Day | 120.4 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| 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
One email a day naming what moved on Park Manor Bee Cave: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On January 21, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Park Manor Bee Cave
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.
Other public records in Texas
- BUTTERY COMPANY LLP, LLANO Motor carrier
- RICHARD ANTHONY HARMON, LINDALE Motor carrier
- RAUL GALVAN, RIO GRANDE CITY Motor carrier
- SONORA-OZONA OIL COMPANY INC, FORT STOCKTON Motor carrier
- SOUTH TEXAS AGGREGATES INC, UVALDE Motor carrier
- WEST TEXAS DRUM COMPANY LTD II, BAYTOWN Motor carrier
- LORENA, CITY OF, LORENA Water discharge permit
- MCNAIR SW SEWER REPLACEMENT, FT. HOOD Water discharge permit
- NORTH WATER DISTRICT LABORATORY SERVICES, INC. NWDLS, THE WOODLANDS Water discharge permit
- TXDOT STATEWIDE MS4 PERMIT, AUSTIN Water discharge permit
- CITY OF WACO MS4, WACO Water discharge permit
- MOONTOWER RESOURCES OPERATING - LIVE OAK STATE 8-5 1H, ORLA Air emission source
- TRENCH BURNER NO 3, MONTGOMERY Air emission source
- TEXAS STAR READY MIX CBP SN 78043, DALLAS Air emission source
- NIEDERWALD BATCH PLANT 1, NIEDERWALD Air emission source
- CBP NO 1, GREENVILLE Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676373.