Velarion Records

Skilled nursing facility · CMS certification number 676376

Silver Spring

Abilene, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. 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 September 1, 2024 to August 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on January 30, 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$9,784,094CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$504,406CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,279,688CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,593,926CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$685,762CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,870CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$694,632CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $694,632 (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%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,800CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,130CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days21,512CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days5,650CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components29,292CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges61CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges91CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges167CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components319CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.92CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days236.4CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days91.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1447220, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended August 31, 2024

Cost report for January 1, 2024 to August 31, 2024 — a reporting period of 243 days, not a full year, on form CMS-2540-10, settled, processed by CMS on February 18, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$5,904,658CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,384,198CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,520,460CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,516,720CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$996,260CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,674CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$993,586CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$993,586 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,484CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components195CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days229CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days89.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403855, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 24, 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$9,316,482CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,373,536CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,942,946CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,357,706CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,414,760CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,407CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,396,353CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,396,353 (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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,766CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components349CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.38CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days256.27CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days79.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405736, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 7, 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$8,858,639CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,689,848CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,168,791CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,861,788CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,692,997CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$489,041CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,203,956CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,203,956 (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%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,655CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components232CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.87CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days287.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days106.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1377328, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for April 1, 2021 to December 31, 2021 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 26, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,361,924CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,713,522CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,648,402CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,859,453CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,211,051CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$20,887CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,190,164CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,190,164 (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%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,669CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components219CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days370.45CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days85.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328004, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 18, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$9,076,109CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,008,563CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,067,546CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,996,902CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$929,356CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$572,748CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$356,608CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$356,608 (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%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,444CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components176CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.79CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days461.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days161.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1294871, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 22, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$7,868,687CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$251,752CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,616,935CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,716,239CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$99,304CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,297CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$95,007CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$95,007 (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%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,208CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components294CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.03CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days214.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days112.95CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1258608, 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 June 19, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$9,224,872CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,108,647CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,116,225CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,167,479CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,051,254CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,015CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,038,239CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,038,239 (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%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,764CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components253CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days260.11CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.69CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1230395, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 31, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$11,798,752CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,667,522CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,131,230CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,121,622CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$990,392CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$43,903CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$946,489CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$946,489 (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%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,981CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components345CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.46CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days652.28CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days95.6CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1204057, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 3, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$12,496,934CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,540,325CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,956,609CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,015,907CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,059,298CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$110,784CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$948,514CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$948,514 (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%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,675CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components292CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.23CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days210.39CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days108.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171922, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended December 31, 2015

Cost report for February 3, 2015 to December 31, 2015 — a reporting period of 331 days, on form CMS-2540-10, settled, processed by CMS on August 15, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$8,182,658CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$975,333CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,207,325CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,438,194CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$230,869CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$13,129CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$243,998CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$243,998 (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%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,570CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components206CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.28CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days557.95CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days104.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141342, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
BALSAMO, KRYSTALADP OF THE SNFIndividualNOT APPLICABLEsince 09/29/2021
CIBC BANK USAADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2021
CULP, ROLANDADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2021
DASPIT, LAURENCEADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2021
DOHN, WILLIAMADP OF THE SNFIndividualNOT APPLICABLEsince 03/27/2019
FORVIS MAZARS LLPADP OF THE SNFOrganizationNOT APPLICABLEsince 10/22/2025
HMG PARTNERS GP LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/22/2025
HMG PARTNERS II LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/22/2025
HMG SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2021
MARTINEZ, DAVIDADP OF THE SNFIndividualNOT APPLICABLEsince 06/03/2024
PICO, ANAADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2021
PRINCE, DEREKADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2021
REINARZ, CHRISTIANADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2021
SIMPKINS, BOBBYADP OF THE SNFIndividualNOT APPLICABLEsince 08/26/2024
STANBRIDGE, NORMAADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2021
TURNKEY TELEMED PLLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2021
ZIONS BANCORPORATIONADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2021
BALSAMO, KRYSTALOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/29/2021
CIBC BANK USAOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/01/2021
CULP, ROLANDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2021
DASPIT, LAURENCEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2021
DOHN, WILLIAMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/27/2019
MARTINEZ, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/03/2024
MURRELL, EDWARDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2018
PICO, ANAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2021
PRINCE, DEREKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2021
REINARZ, CHRISTIANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2021
ROLLO, JEFFERYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2021
SIMPKINS, BOBBYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/26/2024
STRAMECKI, ANTHONYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2018
VRATIS, KACEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2018
WAY, GEORGEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2018

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of WINNIE-STOWELL HOSPITAL DISTRICT (enrollment ID O20210628002504).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
WINNIE-STOWELL HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1004/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
ANA I PICOIndividualADP OF THE SNFNot stated in the filing4/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BOBBY SIMPKINSIndividualADP OF THE SNFNot stated in the filing8/26/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CHRISTIAN REINARZIndividualADP OF THE SNFNot stated in the filing4/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CIBC BANK USAOrganizationADP OF THE SNFNot stated in the filing4/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
DAVID MARTINEZIndividualADP OF THE SNFNot stated in the filing6/3/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DEREK L PRINCEIndividualADP OF THE SNFNot stated in the filing4/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
FORVIS MAZARS LLPOrganizationADP OF THE SNFNot stated in the filing10/22/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
HMG PARTNERS GP LLCOrganizationADP OF THE SNFNot stated in the filing10/22/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
HMG PARTNERS II LLCOrganizationADP OF THE SNFNot stated in the filing10/22/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
HMG SERVICES LLCOrganizationADP OF THE SNFNot stated in the filing4/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
KRYSTAL BALSAMOIndividualADP OF THE SNFNot stated in the filing9/29/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAURENCE C DASPITIndividualADP OF THE SNFNot stated in the filing4/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NORMA STANBRIDGEIndividualADP OF THE SNFNot stated in the filing4/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROLAND WAYNE CULPIndividualADP OF THE SNFNot stated in the filing4/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TURNKEY TELEMED PLLCOrganizationADP OF THE SNFNot stated in the filing4/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
WILLIAM W DOHNIndividualADP OF THE SNFNot stated in the filing3/27/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ZIONS BANCORPORATIONOrganizationADP OF THE SNFNot stated in the filing4/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing8/26/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing4/1/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing5/15/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANA I PICOIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANTHONY STRAMECKIIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BOBBY SIMPKINSIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/26/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CHRISTIAN REINARZIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CIBC BANK USAOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
DAVID MARTINEZIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/3/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DEREK L PRINCEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EDWARD R MURRELLIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GEORGE WAYIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEFFERY ROLLOIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KACEY VRATISIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KRYSTAL BALSAMOIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing9/29/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAURENCE C DASPITIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROLAND WAYNE CULPIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WILLIAM W DOHNIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing3/27/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1January 30, 2026January 30, 202626
2November 7, 2024November 7, 202471
3October 5, 2023October 5, 2023144

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

30 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
January 30, 2026HealthF 0803Nutrition and Dietary DeficienciesEnsure 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.DYesDeficient, Provider has date of correctionJanuary 31, 2026
January 30, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correctionJanuary 31, 2026
June 25, 2025HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.JYesDeficient, Provider has date of correctionJune 26, 2025
June 25, 2025HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.JYesDeficient, Provider has date of correctionJune 26, 2025
November 7, 2024HealthF 0584Resident Rights DeficienciesHonor 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.DYesDeficient, Provider has date of correctionNovember 8, 2024
November 7, 2024HealthF 0638Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.EYesDeficient, Provider has date of correctionNovember 8, 2024
November 7, 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correctionNovember 8, 2024
November 7, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correctionNovember 8, 2024
November 7, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionNovember 8, 2024
August 22, 2024HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DYesDeficient, Provider has date of correctionSeptember 11, 2024
August 22, 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDYesDeficient, Provider has date of correctionSeptember 11, 2024
January 27, 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.EYesDeficient, Provider has date of correctionFebruary 18, 2024
October 5, 2023HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DYesDeficient, Provider has date of correctionOctober 20, 2023
October 5, 2023HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DYesDeficient, Provider has date of correctionOctober 9, 2023
October 5, 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correctionOctober 9, 2023
October 5, 2023HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DYesDeficient, Provider has date of correctionOctober 9, 2023
October 5, 2023HealthF 0661Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DYesDeficient, Provider has date of correctionOctober 9, 2023
October 5, 2023HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.EYesDeficient, Provider has date of correctionOctober 9, 2023
October 5, 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correctionOctober 9, 2023
October 5, 2023HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.EYesDeficient, Provider has date of correctionOctober 9, 2023
October 5, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correctionOctober 9, 2023
October 5, 2023HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.DYesDeficient, Provider has date of correctionOctober 9, 2023
October 5, 2023HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EYesDeficient, Provider has date of correctionOctober 9, 2023
August 7, 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.KYesDeficient, Provider has date of correctionAugust 8, 2023
August 7, 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KYesDeficient, Provider has date of correctionAugust 8, 2023
August 7, 2023HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.KYesDeficient, Provider has date of correctionAugust 8, 2023
August 7, 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.JYesDeficient, Provider has date of correctionAugust 8, 2023
August 7, 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.KYesDeficient, Provider has date of correctionAugust 8, 2023
August 7, 2023HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EYesDeficient, Provider has date of correctionAugust 8, 2023
August 7, 2023HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EYesDeficient, Provider has date of correctionAugust 8, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameWINNIE-STOWELL HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2015-02-03
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishTaylor
Telephone Number3257019975
Chain NameHMG HEALTHCARE
Chain ID272
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day85.5
Overall Rating3
Health Inspection Rating3
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating4
Processing Date2026-09-01

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 Silver Spring: 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 30, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.

Follow this record for $99/month

See a sample

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 Silver Spring

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.

The citable document with full history — $295

Other public records in Texas

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 676376.

The Pay Desk is the free weekly executive pay briefing — one company at a time, every number traceable to a public filing.
You’ll confirm on The Pay Desk’s sign-up page.