Skilled nursing facility · CMS certification number 676392
LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR
NEW BRAUNFELS, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 126
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 October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,250,322 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,178,470 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,071,852 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,923,392 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,148,460 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,876 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,151,336 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,151,336 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 46,116 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,601 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 22,817 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,980 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 39,398 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 114 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 451 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 590 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 912.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438427, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 10, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,849,133 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,822,071 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,027,062 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,512,183 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,514,879 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,405 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,521,284 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,517,528 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,372 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 543 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,214.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376215, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 13, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,934,864 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,355,961 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,578,903 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,917,307 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,661,596 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,143 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,663,739 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,658,786 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,277 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 558 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,505.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374918, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 10, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,160,578 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,600,937 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,559,641 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,514,525 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,045,116 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,546 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,046,662 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,046,662 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,278 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 444 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,689.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315762, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 14, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,578,928 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,068,600 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,510,328 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,568,516 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,941,812 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,761 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,968,573 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,968,573 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,919 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 455 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 518.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1312031, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for April 1, 2019 to September 30, 2019 — a reporting period of 182 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 5, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,339,562 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $811,013 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,528,549 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,966,174 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $562,375 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,806 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $566,181 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $566,181 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,395 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 250 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 611.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251953, 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 November 12, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,988,067 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,164,908 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,823,159 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,851,888 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $971,271 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,950 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $975,221 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $975,221 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,277 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 422 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 521.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1245550, 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 | $8,539,154 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $961,548 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,577,606 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,532,774 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $44,832 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,431 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $46,263 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $46,263 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,750 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 304 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 346.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208973, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for May 1, 2016 to December 31, 2016 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 24, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,098,761 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $647,952 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,450,809 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,733,086 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$282,277 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,800 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$271,477 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$271,477 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,491 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 240 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 314.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174801, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for October 16, 2015 to December 31, 2015 — a reporting period of 76 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $808,285 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $274,069 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $534,216 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $944,760 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$410,544 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,604 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$408,940 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$413,804 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 1,524 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 78.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 40.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143085, read from the public cost report file SNF10FY2016.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 |
|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/01/2019 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2016 |
| NATIONAL HEALTH INVESTORS, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2019 |
| NEWSOME, GARRETT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/12/2020 |
| RIVERWALK HEALTHCARE INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/07/2025 |
| TEXAS NHI INVESTORS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2019 |
| YU, HAORAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2017 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2019 |
| GANN, KODY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2021 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| NEWSOME, GARRETT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/12/2020 |
| YU, HAORAN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/01/2017 |
| NEWSOME, GARRETT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/12/2020 |
| RIVERWALK HEALTHCARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2019 |
| YU, HAORAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GUADALUPE COUNTY HOSPITAL BOARD (enrollment ID O20190425000685).
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 |
|---|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARRETT NEWSOME | Individual | ADP OF THE SNF | Not stated in the filing | 11/12/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HAORAN YU | Individual | ADP OF THE SNF | Not stated in the filing | 11/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATIONAL HEALTH INVESTORS, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| RIVERWALK HEALTHCARE INC | Organization | ADP OF THE SNF | Not stated in the filing | 10/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TEXAS NHI INVESTORS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAD KEETCH | Individual | CORPORATE OFFICER | Not stated in the filing | 3/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KODY GANN | Individual | CORPORATE OFFICER | 0 | 2/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | CORPORATE OFFICER | Not stated in the filing | 4/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARRETT NEWSOME | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/12/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HAORAN YU | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARRETT NEWSOME | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 11/12/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HAORAN YU | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RIVERWALK HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- December 1, 2025: GARRETT NEWSOME no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: RIVERWALK HEALTHCARE INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: TEXAS NHI INVESTORS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GARRETT NEWSOME (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 12, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GARRETT NEWSOME (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 12, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAORAN YU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAORAN YU (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAORAN YU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NATIONAL HEALTH INVESTORS, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
Recent changes on this record
- December 1, 2025: GARRETT NEWSOME no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: RIVERWALK HEALTHCARE INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: TEXAS NHI INVESTORS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GARRETT NEWSOME (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 12, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: GARRETT NEWSOME (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 12, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAORAN YU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAORAN YU (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAORAN YU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NATIONAL HEALTH INVESTORS, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- April 10, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 13, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 10, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- March 14, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- March 5, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- November 12, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- October 16, 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 24, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- March 9, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- September 30, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 20, 2026 | May 20, 2026 | 10 | 1 |
| 2 | March 28, 2025 | March 28, 2025 | 19 | 2 |
| 3 | January 27, 2024 | January 27, 2024 | 9 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
38 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 20, 2026 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | June 11, 2026 |
| May 20, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | May 27, 2026 |
| May 20, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | June 11, 2026 |
| May 20, 2026 | 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 | June 11, 2026 |
| May 20, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | June 11, 2026 |
| May 20, 2026 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | No | Deficient, Provider has date of correction | June 11, 2026 |
| May 20, 2026 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | June 11, 2026 |
| April 29, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | May 6, 2026 |
| September 10, 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | September 15, 2025 |
| September 10, 2025 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Yes | Deficient, Provider has date of correction | September 15, 2025 |
| March 28, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | March 31, 2025 |
| March 28, 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 | March 31, 2025 |
| March 28, 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | April 3, 2025 |
| March 28, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | April 2, 2025 |
| March 28, 2025 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | March 31, 2025 |
| March 28, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has date of correction | April 2, 2025 |
| March 28, 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 | March 31, 2025 |
| March 28, 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 | March 29, 2025 |
| March 28, 2025 | Health | F 0940 | Administration Deficiencies | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | No | Deficient, Provider has date of correction | April 3, 2025 |
| March 28, 2025 | Health | F 0941 | Administration Deficiencies | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | No | Deficient, Provider has date of correction | April 3, 2025 |
| March 28, 2025 | Health | F 0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | No | Deficient, Provider has date of correction | April 3, 2025 |
| March 28, 2025 | Health | F 0944 | Administration Deficiencies | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | No | Deficient, Provider has date of correction | April 3, 2025 |
| March 28, 2025 | Health | F 0945 | Infection Control Deficiencies | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | No | Deficient, Provider has date of correction | April 3, 2025 |
| March 28, 2025 | Health | F 0946 | Administration Deficiencies | Provide training in compliance and ethics. | D | No | Deficient, Provider has date of correction | April 3, 2025 |
| March 28, 2025 | Health | F 0949 | Administration Deficiencies | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | No | Deficient, Provider has date of correction | April 3, 2025 |
| February 6, 2025 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | February 7, 2025 |
| February 6, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | February 7, 2025 |
| February 6, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| February 6, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | February 7, 2025 |
| August 3, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | August 4, 2024 |
| August 3, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | August 4, 2024 |
| February 29, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Past Non-Compliance | February 27, 2024 |
| January 27, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | February 16, 2024 |
| January 27, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | February 16, 2024 |
| January 27, 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | February 29, 2024 |
| January 27, 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | February 29, 2024 |
| January 27, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | January 29, 2024 |
| January 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 | March 20, 2024 |
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 | Government - Hospital district |
| Legal Business Name | GUADALUPE COUNTY HOSPITAL BOARD |
| Date First Approved to Provide Medicare and Medicaid Services | 2015-10-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Comal |
| Telephone Number | 8304206500 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| 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 | 126 |
| Average Number of Residents per Day | 115.1 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR
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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