Skilled nursing facility · CMS certification number 676472
Sundance Inn Health Center
New Braunfels, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 128
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: $6,364.00 · Payment denials: 0. The most recent penalty on file: August 3, 2025, Fine, $6,364. 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 March 4, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,046,109 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,307,710 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,738,399 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,500,504 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $237,895 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,127 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $240,022 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $240,022 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 46,848 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 7,625 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 10,852 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 16,618 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 35,095 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 203 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 23 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 354 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 580 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 471.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 60.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448288, 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 March 22, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,564,305 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,843,080 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,721,225 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,604,185 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,117,040 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $897,412 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,014,452 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,014,452 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,965 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 576 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 294.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375504, 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 30, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,941,349 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,198,840 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,742,509 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,509,509 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$767,000 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,239,118 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $472,118 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $464,408 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,165 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 538 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,810.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345264, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,913,520 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,872,690 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,040,830 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,671,815 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$630,985 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,093,365 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $462,380 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $462,380 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,524 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 446 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 161.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314189, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for May 1, 2020 to September 30, 2020 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 19, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,518,192 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,324,399 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,193,793 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,235,491 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$41,698 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $83,349 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $41,651 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $41,649 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,427 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,717.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281481, read from the public cost report file SNF10FY2020.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 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| COMAL HEALTH CARE CENTER LTD. CO. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/04/2025 |
| POMEROY, WILLIAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2020 |
| HOOPER, GRADY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2015 |
| COMAL HEALTH CARE CENTER LTD. CO. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2020 |
| POMEROY, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2020 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of HAMILTON COUNTY HOSPITAL DISTRICT (enrollment ID O20200505001191).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HAMILTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| COMAL HEALTH CARE CENTER LTD. CO. | Organization | ADP OF THE SNF | Not stated in the filing | 4/4/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILLIAM POMEROY | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 10/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 10/21/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 10/21/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 10/21/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| GRADY HOOPER | Individual | CORPORATE OFFICER | 0 | 12/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COMAL HEALTH CARE CENTER LTD. CO. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILLIAM POMEROY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- December 1, 2025: TRACY SIMMS 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: ROBIN F UNDERHILL 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: WILLIAM POMEROY 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: WILLIAM POMEROY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: WILLIAM POMEROY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: COMAL HEALTH CARE CENTER LTD. CO. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since April 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: COMAL HEALTH CARE CENTER LTD. CO. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAMILTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
Recent changes on this record
- July 16, 2026: A deficiency was cited under tag F 0842, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- March 4, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- December 1, 2025: TRACY SIMMS 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: ROBIN F UNDERHILL 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: WILLIAM POMEROY 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: WILLIAM POMEROY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: WILLIAM POMEROY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: COMAL HEALTH CARE CENTER LTD. CO. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since April 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: COMAL HEALTH CARE CENTER LTD. CO. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HAMILTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- March 22, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 30, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 21, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- March 19, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- January 14, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 28, 2025 | August 28, 2025 | 9 | 8 |
| 2 | June 27, 2024 | June 27, 2024 | 13 | 2 |
| 3 | April 20, 2023 | April 20, 2023 | 6 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
28 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 16, 2026 | 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 | July 17, 2026 |
| April 30, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Yes | Deficient, Provider has date of correction | May 4, 2026 |
| April 17, 2026 | 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 | April 20, 2026 |
| August 28, 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 | No | Deficient, Provider has date of correction | August 29, 2025 |
| August 28, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | August 29, 2025 |
| August 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 | August 29, 2025 |
| August 28, 2025 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | D | No | Deficient, Provider has date of correction | October 1, 2025 |
| August 28, 2025 | 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. | D | No | Deficient, Provider has date of correction | August 29, 2025 |
| August 28, 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 | No | Deficient, Provider has date of correction | August 29, 2025 |
| August 3, 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. | J | Yes | Deficient, Provider has date of correction | August 4, 2025 |
| August 3, 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Yes | Deficient, Provider has date of correction | August 4, 2025 |
| August 3, 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 | Yes | Deficient, Provider has date of correction | August 4, 2025 |
| August 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 | August 4, 2025 |
| June 9, 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 | Yes | Deficient, Provider has date of correction | June 10, 2025 |
| April 11, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | April 12, 2025 |
| April 11, 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 | Past Non-Compliance | November 11, 2024 |
| April 11, 2025 | 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 | April 12, 2025 |
| April 11, 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 | April 12, 2025 |
| June 27, 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 | August 2, 2024 |
| June 27, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | August 2, 2024 |
| June 27, 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 | August 2, 2024 |
| June 27, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | August 2, 2024 |
| May 31, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | June 28, 2024 |
| April 20, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | April 21, 2023 |
| April 20, 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 | April 21, 2023 |
| April 20, 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 | April 21, 2023 |
| April 20, 2023 | 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 | April 21, 2023 |
| April 20, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 21, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| August 3, 2025 | Fine | $6,364 | 134429 |
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 - Corporation |
| Legal Business Name | HAMILTON COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2019-12-14 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Comal |
| Telephone Number | 8302211400 |
| Chain Name | CANTEX CONTINUING CARE |
| Chain ID | 100 |
| 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 | 128 |
| Average Number of Residents per Day | 87.7 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| 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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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 July 16, 2026: A deficiency was cited under tag F 0842, scope and severity D. That is one line of the alert.
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The citable document for Sundance Inn Health Center
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 676472.