Skilled nursing facility · CMS certification number 676385
CROSSROADS NURSING & REHABILITATION
HEARNE, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 80
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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,532,172 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $616,035 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,916,137 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,347,232 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$431,095 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $253,809 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$177,286 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$177,286 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 29,280 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,322 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 22,504 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,157 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 31,983 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 54 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 102 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 112 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 268 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 220.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436089, 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 August 8, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,101,263 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $675,573 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,425,690 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,430,575 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,004,885 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $951,103 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$53,782 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$53,782 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,749 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 503.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391657, 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 July 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,754,567 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $844,538 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,910,029 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,259,489 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,349,460 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $719,899 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$629,561 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$629,561 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,694 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 298.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 178.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359155, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 9, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,754,848 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $711,207 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,043,641 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,963,129 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$919,488 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $484,734 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$434,754 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$434,754 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,594 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 127 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 409.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 170.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329354, 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 September 27, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,585,672 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,092,497 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,493,175 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,908,705 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$415,530 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $634,051 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $218,521 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $218,521 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,882 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 400.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 203.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301169, 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 August 10, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,798,643 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,293,680 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,504,963 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,981,514 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$476,551 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,476 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$475,075 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$475,075 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,089 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 139 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 299.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 173.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1263058, 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 August 27, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,818,803 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,271,600 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,547,203 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,805,766 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$258,563 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,631 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$254,932 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$254,932 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,081 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 174 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242590, 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 August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,285,100 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $702,394 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,582,706 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,023,118 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$440,412 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,602 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$437,810 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$437,810 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,578 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 253.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207079, 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 July 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,389,426 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $523,478 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,865,948 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,381,650 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$515,702 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,173 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$512,529 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$512,529 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,275 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 192.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169011, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for May 12, 2015 to December 31, 2015 — a reporting period of 233 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,494,064 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $222,046 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,272,018 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,223,865 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$951,847 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,862 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$949,985 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$949,985 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,982 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 43 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 282.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1137770, 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 |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 10/01/2024 |
| BLAKE, GARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| BLAKE, MALISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| GRILLO, KELLY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| HEARNE I ENTERPRISES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| HONOR X ENTERPRISES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/16/2025 |
| HUGGINS, LINDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| PENNINGTON, HAROLD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| WILLIG, ZACHARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| HUGGINS, LINDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| HOLT, ERIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2024 |
| KEETON, WENDY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2024 |
| KISSLING, MONICA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/04/2024 |
| MCBEAN, PATRICIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2024 |
| SANDERSON, CLARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2024 |
| TROMPLER, KELLY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2024 |
| HOLT, ERIN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2024 |
| KEETON, WENDY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2024 |
| KISSLING, MONICA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2024 |
| MCBEAN, PATRICIA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2024 |
| SANDERSON, CLARK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2024 |
| TROMPLER, KELLY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2024 |
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2024 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2024 |
| HEARNE I ENTERPRISES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2024 |
| HUGGINS, LINDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2024 |
| PENNINGTON, HAROLD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2024 |
| WILLIG, ZACHARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FANNIN COUNTY HOSPITAL AUTHORITY (enrollment ID O20250716002854).
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 |
|---|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY R BLAKE | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HAROLD PENNINGTON | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEARNE I ENTERPRISES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| HONOR X ENTERPRISES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/16/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| KELLY H GRILLO | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA F HUGGINS | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MALISA A BLAKE | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ZACHARY WILLIG | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA F HUGGINS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLARK R SANDERSON | Individual | CORPORATE OFFICER | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIN HOLT | Individual | CORPORATE OFFICER | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KELLY TROMPLER | Individual | CORPORATE OFFICER | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MONICA KISSLING | Individual | CORPORATE OFFICER | Not stated in the filing | 10/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICIA MCBEAN | Individual | CORPORATE OFFICER | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WENDY KEETON | Individual | CORPORATE OFFICER | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLARK R SANDERSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIN HOLT | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KELLY TROMPLER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MONICA KISSLING | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICIA MCBEAN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WENDY KEETON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARY R BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HAROLD PENNINGTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEARNE I ENTERPRISES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| LINDA F HUGGINS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MALISA A BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ZACHARY WILLIG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- December 1, 2025: CREATIVE SOLUTIONS IN HEALTHCARE INC 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: HONOR X ENTERPRISES, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LINDA F HUGGINS 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: GARY R BLAKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MALISA A BLAKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: KELLY H GRILLO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ZACHARY WILLIG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ZACHARY WILLIG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAROLD PENNINGTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAROLD PENNINGTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PATRICIA MCBEAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PATRICIA MCBEAN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ERIN HOLT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ERIN HOLT (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: WENDY KEETON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: WENDY KEETON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HONOR X ENTERPRISES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since July 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: FANNIN COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CLARK R SANDERSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CLARK R SANDERSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: KELLY TROMPLER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: KELLY TROMPLER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LINDA F HUGGINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LINDA F HUGGINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LINDA F HUGGINS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MONICA KISSLING (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MONICA KISSLING (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GARY R BLAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MALISA A BLAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MALISA A BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HEARNE I ENTERPRISES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HEARNE I ENTERPRISES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
Recent changes on this record
- December 1, 2025: CREATIVE SOLUTIONS IN HEALTHCARE INC 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: HONOR X ENTERPRISES, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LINDA F HUGGINS 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: GARY R BLAKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MALISA A BLAKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: KELLY H GRILLO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ZACHARY WILLIG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ZACHARY WILLIG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAROLD PENNINGTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAROLD PENNINGTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PATRICIA MCBEAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PATRICIA MCBEAN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ERIN HOLT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ERIN HOLT (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: WENDY KEETON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: WENDY KEETON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HONOR X ENTERPRISES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since July 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: FANNIN COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CLARK R SANDERSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CLARK R SANDERSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: KELLY TROMPLER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: KELLY TROMPLER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LINDA F HUGGINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LINDA F HUGGINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LINDA F HUGGINS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MONICA KISSLING (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MONICA KISSLING (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GARY R BLAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MALISA A BLAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MALISA A BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HEARNE I ENTERPRISES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HEARNE I ENTERPRISES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: enrollment_id: O20150303000249 → O20250716002854. Skilled_Nursing_Facility_Enrollments_:_2025-12-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 8, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 9, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 27, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- August 10, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 4, 2025 | December 4, 2025 | 12 | 1 |
| 2 | September 10, 2024 | September 10, 2024 | 5 | 0 |
| 3 | July 26, 2023 | July 26, 2023 | 13 | 6 |
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 date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 1, 2026 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | Yes | Deficient, Provider has date of correction | May 4, 2026 |
| December 4, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | December 5, 2025 |
| December 4, 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 | No | Deficient, Provider has date of correction | December 5, 2025 |
| December 4, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | December 5, 2025 |
| December 4, 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | December 5, 2025 |
| December 4, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | December 5, 2025 |
| December 4, 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 | December 5, 2025 |
| December 4, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | December 5, 2025 |
| December 4, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | December 5, 2025 |
| September 3, 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 | September 4, 2025 |
| September 3, 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 | September 4, 2025 |
| September 3, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | September 4, 2025 |
| November 20, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | December 13, 2024 |
| September 10, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 10, 2024 | 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 | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 10, 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 | October 18, 2024 |
| September 10, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 18, 2024 |
| June 20, 2024 | 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 | June 21, 2024 |
| May 24, 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | May 25, 2024 |
| May 24, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Yes | Deficient, Provider has date of correction | May 25, 2024 |
| March 12, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | March 14, 2024 |
| March 12, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | March 14, 2024 |
| July 26, 2023 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | No | Deficient, Provider has date of correction | September 9, 2023 |
| July 26, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | September 9, 2023 |
| July 26, 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 | September 9, 2023 |
| July 26, 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. | E | No | Deficient, Provider has date of correction | September 9, 2023 |
| July 26, 2023 | 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 | September 9, 2023 |
| July 26, 2023 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | September 9, 2023 |
| July 26, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | September 9, 2023 |
| July 26, 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | September 9, 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
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | FANNIN COUNTY HOSPITAL AUTHORITY |
| Date First Approved to Provide Medicare and Medicaid Services | 2015-05-12 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Robertson |
| Telephone Number | 9792800440 |
| Chain Name | CREATIVE SOLUTIONS IN HEALTHCARE |
| Chain ID | 169 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 80 |
| Average Number of Residents per Day | 50.9 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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On December 1, 2025: enrollment_id: O20150303000249 → O20250716002854. That is one line of the alert.
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The citable document for CROSSROADS NURSING & REHABILITATION
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676385.