Skilled nursing facility · CMS certification number 676455
Five Points Nursing and Rehabilitation
Amarillo, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,420.00 · Payment denials: 0. The most recent penalty on file: January 8, 2026, Fine, $8,420. 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 November 27, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,465,357 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $552,136 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,913,221 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,709,310 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $203,911 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $343,184 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $547,095 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $547,095 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,267 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 23,976 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,168 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 41,411 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 275 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 90 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 263 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 628 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 266.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1443209, 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 February 3, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,254,316 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $667,187 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,587,129 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,498,840 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $88,289 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,172,382 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,260,671 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,260,671 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,717 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 504 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 312.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403116, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for May 1, 2022 to September 30, 2022 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,469,692 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $80,963 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,388,729 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,190,090 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $198,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $366,306 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $564,945 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $564,945 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,769 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 378.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344348, 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 November 15, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,717,226 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $526,455 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,190,771 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,684,486 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$493,715 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $817,757 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $324,042 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $324,042 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,299 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 440 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 350.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1368050, 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 | $7,544,850 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $592,489 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,952,361 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,101,242 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$148,881 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $823,284 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $674,403 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $674,403 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,968 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 337 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 357.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301170, 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 February 10, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,503,652 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,167,815 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,335,837 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,972,584 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$636,747 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,936 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$634,811 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$634,811 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,608 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 362 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 225.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310277, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for October 4, 2018 to December 31, 2018 — a reporting period of 88 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $828,838 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $192,172 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $636,666 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,440,994 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$804,328 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $125 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$804,203 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$804,203 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 2,184 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 168 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238156, read from the public cost report file SNF10FY2019.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 |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO 1 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/01/2022 |
| AMARILLO VII ENTERPRISES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2022 |
| AMARO, JUSTIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/11/2025 |
| BLAKE, GARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2022 |
| PORTER, TAMMIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/11/2025 |
| HUGGINS, LINDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2025 |
| WILLIG, ZACHARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| STRATTON, CHARLES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2005 |
| FREGIA, MILTON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/07/2022 |
| GARDNER, SHANNON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/22/2022 |
| GARDZINA, MARGARET | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/26/2024 |
| HENRY, PAUL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/09/2009 |
| STRATTON, CHARLES | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2005 |
| AMARILLO VII ENTERPRISES, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2022 |
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2022 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (enrollment ID O20220810000160).
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 |
|---|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO 1 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMARILLO VII ENTERPRISES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2022 | 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 | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUSTIN AMARO | Individual | ADP OF THE SNF | Not stated in the filing | 4/11/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TAMMIE PORTER | Individual | ADP OF THE SNF | Not stated in the filing | 4/11/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA F HUGGINS | Individual | CORPORATE DIRECTOR | 0 | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ZACHARY WILLIG | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES BRUCE STRATTON | Individual | CORPORATE OFFICER | Not stated in the filing | 5/1/2005 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES BRUCE STRATTON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/1/2005 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGARET GARDZINA | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/26/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MILTON FREGIA | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/7/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL HENRY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/9/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHANNON GARDNER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 8/22/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMARILLO VII ENTERPRISES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 5/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY R BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 5/1/2022 | 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 | 50 | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2025: HONOR X ENTERPRISES, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LINDA F HUGGINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GARY R BLAKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JUSTIN AMARO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ZACHARY WILLIG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET GARDZINA (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MILTON FREGIA (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PAUL HENRY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 9, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LINDA F HUGGINS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CHARLES BRUCE STRATTON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHANNON GARDNER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TAMMIE PORTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GARY R BLAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: AMARILLO VII ENTERPRISES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- October 31, 2022: CREATIVE SOLUTIONS IN HEALTHCARE INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: 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_:_2022-10-31.csv
- October 31, 2022: LINDA F HUGGINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GARY R BLAKE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GARY R BLAKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: MALISA A BLAKE-DEANE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: MALISA A BLAKE-DEANE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: HONOR X ENTERPRISES, LLC (OTHER) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LINDA F HUGGINS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: CHARLES BRUCE STRATTON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GARY R BLAKE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: AMARILLO VII ENTERPRISES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- November 27, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 1, 2025: HONOR X ENTERPRISES, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LINDA F HUGGINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GARY R BLAKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JUSTIN AMARO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ZACHARY WILLIG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET GARDZINA (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MILTON FREGIA (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PAUL HENRY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 9, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LINDA F HUGGINS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CHARLES BRUCE STRATTON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHANNON GARDNER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TAMMIE PORTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GARY R BLAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: AMARILLO VII ENTERPRISES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- February 3, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- November 15, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- March 14, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- December 30, 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- October 31, 2022: CREATIVE SOLUTIONS IN HEALTHCARE INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: 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_:_2022-10-31.csv
- October 31, 2022: LINDA F HUGGINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GARY R BLAKE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GARY R BLAKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: MALISA A BLAKE-DEANE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: MALISA A BLAKE-DEANE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: HONOR X ENTERPRISES, LLC (OTHER) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LINDA F HUGGINS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: CHARLES BRUCE STRATTON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GARY R BLAKE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: AMARILLO VII ENTERPRISES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- February 10, 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- September 27, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- July 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 21, 2026 | May 21, 2026 | 5 | 2 |
| 2 | March 26, 2025 | March 26, 2025 | 10 | 0 |
| 3 | February 13, 2024 | February 13, 2024 | 3 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 21, 2026 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | No | Deficient, Provider has date of correction | June 5, 2026 |
| May 21, 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 | May 22, 2026 |
| May 21, 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. | E | No | Deficient, Provider has date of correction | May 22, 2026 |
| March 9, 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 | Yes | Deficient, Provider has date of correction | March 10, 2026 |
| January 8, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | |
| June 4, 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 | June 17, 2025 |
| March 26, 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Yes | Deficient, Provider has date of correction | March 27, 2025 |
| March 26, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | March 27, 2025 |
| March 26, 2025 | 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 | March 27, 2025 |
| March 26, 2025 | 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 | March 27, 2025 |
| March 26, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | March 27, 2025 |
| March 26, 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. | E | No | Deficient, Provider has date of correction | March 27, 2025 |
| March 26, 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 27, 2025 |
| March 26, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 27, 2025 |
| February 20, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | January 26, 2025 |
| February 13, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | March 1, 2024 |
| February 13, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | March 1, 2024 |
| February 13, 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. | F | No | Deficient, Provider has date of correction | March 1, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 8, 2026 | Fine | $8,420 | 136646 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | LIBERTY COUNTY HOSPITAL DISTRICT NO 1 |
| Date First Approved to Provide Medicare and Medicaid Services | 2018-10-04 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Potter |
| Telephone Number | 8173488969 |
| 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 | 120 |
| Average Number of Residents per Day | 84.3 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| 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.
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 November 27, 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 Five Points Nursing and 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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