Skilled nursing facility · CMS certification number 676477
Cypress Springs Wellness & Rehabilitation
MOUNT VERNON, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 95
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: $29,438.00 · Payment denials: 0. The most recent penalty on file: April 14, 2025, Fine, $29,438. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 5, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,495,425 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $488,828 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,006,597 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,376,283 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$369,686 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $245,269 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$124,417 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$124,417 (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 | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 34,770 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,661 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,638 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,155 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 11,454 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 23 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 23 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 237.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 154.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1426778, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,857,356 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $316,261 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,541,095 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,411,597 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$870,502 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $262,165 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$608,337 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$608,337 (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 | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,438 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 161.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389450, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,730,499 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $344,836 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,385,663 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,285,224 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$899,561 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $135,852 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$763,709 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$763,709 (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 | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,008 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 22 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 5,917 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 454.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358782, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for August 1, 2021 to December 31, 2021 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,132,295 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$193,894 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,326,189 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,387,127 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$60,938 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$60,938 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$60,938 (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 | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,131 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 37 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 256.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327095, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for December 13, 2019 to December 31, 2020 — a reporting period of 384 days, on form CMS-2540-10, settled, processed by CMS on November 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,632,778 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $501,527 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,131,251 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,077,506 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,946,255 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $251,621 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,694,634 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,694,634 (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 | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,505 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 208.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303595, 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 in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| STRATFORD HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 08/01/2021 |
| 501 YATES STREET TX LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2025 |
| AMYX, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/12/2024 |
| CYPRESS SPRINGS WELLNESS & REHABILITATION LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/02/2026 |
| ZARCONE, GREGORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2025 |
| CHUMLEY, RICHARD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/01/2021 |
| CYPRESS SPRINGS WELLNESS & REHABILITATION LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/01/2025 |
| GARETZ, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of STRATFORD HOSPITAL DISTRICT (enrollment ID O20211028001778).
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 |
|---|---|---|---|---|---|
| STRATFORD HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| 501 YATES STREET TX LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CYPRESS SPRINGS WELLNESS & REHABILITATION LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/2/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| GREGORY S ZARCONE | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN AMYX | Individual | ADP OF THE SNF | Not stated in the filing | 6/12/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD L CHUMLEY | Individual | CORPORATE OFFICER | 0 | 8/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CYPRESS SPRINGS WELLNESS & REHABILITATION LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID GARETZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: CARADAY MOUNT VERNON LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GREGORY W MOORE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: 501 YATES STREET TX LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DAVID GARETZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CYPRESS SPRINGS WELLNESS & REHABILITATION LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 2, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CYPRESS SPRINGS WELLNESS & REHABILITATION LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- June 1, 2025: JAMES HARDEE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JOHN AMYX (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: GREGORY S ZARCONE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
Recent changes on this record
- July 7, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 7, 2026: A deficiency was cited under tag F 0695, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 7, 2026: A deficiency was cited under tag F 0689, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 1, 2026: CARADAY MOUNT VERNON LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GREGORY W MOORE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: 501 YATES STREET TX LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DAVID GARETZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CYPRESS SPRINGS WELLNESS & REHABILITATION LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 2, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CYPRESS SPRINGS WELLNESS & REHABILITATION LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- June 5, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 1, 2025: JAMES HARDEE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JOHN AMYX (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: GREGORY S ZARCONE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- July 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 14, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- July 22, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- February 25, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 10, 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 | June 11, 2025 | June 11, 2025 | 16 | 1 |
| 2 | May 22, 2024 | May 22, 2024 | 6 | 0 |
| 3 | April 5, 2023 | April 5, 2023 | 4 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
26 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 7, 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. | D | Yes | Deficient, Provider has date of correction | July 8, 2026 |
| July 7, 2026 | 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 | July 8, 2026 |
| July 7, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | July 8, 2026 |
| June 2, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | June 3, 2026 |
| May 19, 2026 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Yes | Deficient, Provider has date of correction | May 20, 2026 |
| April 15, 2026 | 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 | April 16, 2026 |
| April 15, 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 | Yes | Deficient, Provider has date of correction | April 16, 2026 |
| April 15, 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. | E | Yes | Deficient, Provider has date of correction | April 16, 2026 |
| June 11, 2025 | 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 | June 20, 2025 |
| June 11, 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 | June 20, 2025 |
| June 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 | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 11, 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 | June 20, 2025 |
| June 11, 2025 | Health | F 0770 | Administration Deficiencies | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 11, 2025 | Health | F 0773 | Administration Deficiencies | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | E | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 11, 2025 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 11, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 20, 2025 |
| April 14, 2025 | 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 | Yes | Deficient, Provider has date of correction | April 15, 2025 |
| April 14, 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Yes | Deficient, Provider has date of correction | April 15, 2025 |
| May 22, 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 | No | Deficient, Provider has date of correction | June 12, 2024 |
| May 22, 2024 | 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 12, 2024 |
| May 22, 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. | E | No | Deficient, Provider has date of correction | June 14, 2024 |
| May 22, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | June 21, 2024 |
| April 5, 2023 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | May 12, 2023 |
| April 5, 2023 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | May 12, 2023 |
| April 5, 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 | May 12, 2023 |
| April 5, 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | May 12, 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 |
|---|---|---|---|---|---|
| April 14, 2025 | Fine | $29,438 | 113762 |
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 | STRATFORD HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2019-12-13 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Franklin |
| Telephone Number | 9035374424 |
| Chain Name | OPCO SKILLED MANAGEMENT |
| Chain ID | 773 |
| 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 | 95 |
| Average Number of Residents per Day | 28.5 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| 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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