Skilled nursing facility · CMS certification number 745039
MIDTOWNE MEADOWS HEALTH & REHAB
MIDLOTHIAN, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 121
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: 5 · Fines: 5 · Fines, total amount: $20,131.00 · Payment denials: 0. The most recent penalty on file: February 12, 2024, Fine, $3,798. 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, 2025 to June 30, 2025 — a reporting period of 180 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 7, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,762,637 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $948,039 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,814,598 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,763,932 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,050,666 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,017 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,053,683 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,053,683 (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 | 121 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,901 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,196 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 4,367 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,719 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 18,282 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 93 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 7 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 120 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 220 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 623.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449411, read from the public cost report file SNF10FY2025.zip.
Fiscal year 2024, ended December 31, 2024
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 16, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,453,668 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,150,205 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,303,463 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,566,074 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$262,611 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$262,579 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$262,579 (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 | 121 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,948 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 7,179 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1429301, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for June 20, 2023 to December 31, 2023 — a reporting period of 194 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,684,182 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $506,775 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,177,407 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,533,546 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,356,139 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $425 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,355,714 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,355,714 (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 | 121 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,502 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,652 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389366, read from the public cost report file SNF10FY2023.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 |
|---|---|---|---|---|
| NOCONA HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 07/01/2025 |
| ELLIS MID HEALTHCARE LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 12/24/2022 |
| ARZE, STEVEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2023 |
| ELLIS MID HEALTHCARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/24/2022 |
| HACO HEALTH MIDTOWNE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/02/2025 |
| HAWLEY, GRACEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2023 |
| NOCONA HOSPITAL DISTRICT | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/26/2025 |
| MEEKINS, GREG | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/01/2006 |
| HAWLEY, RUSSELL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/02/2025 |
| HACO HEALTH MIDTOWNE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/01/2025 |
| HAWLEY, GRACEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of NOCONA HOSPITAL DISTRICT (enrollment ID O20251210003221).
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 |
|---|---|---|---|---|---|
| NOCONA HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELLIS MID HEALTHCARE LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 12/24/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELLIS MID HEALTHCARE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/24/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| GRACEN HAWLEY | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HACO HEALTH MIDTOWNE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/2/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| NOCONA HOSPITAL DISTRICT | Organization | ADP OF THE SNF | Not stated in the filing | 11/26/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEVEN E ARZE | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2023 | 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 | 10/9/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREG LANCE MEEKINS | Individual | CORPORATE OFFICER | 0 | 9/1/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GRACEN HAWLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HACO HEALTH MIDTOWNE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- April 1, 2026: RUSSELL HAWLEY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RUSSELL HAWLEY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GRACEN HAWLEY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BROADMORE HEALTH REALTY LTD no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BROADMORE HEALTH REALTY LTD no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CL HEALTHCARE LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CL HEALTHCARE LLC no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STEVEN E ARZE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BCP INVESTMENTS LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BCP INVESTMENTS LLC no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GRACEN HAWLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GRACEN HAWLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NOCONA HOSPITAL DISTRICT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NOCONA HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STEVEN E ARZE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELLIS MID HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELLIS MID HEALTHCARE LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GREG LANCE MEEKINS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 1, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: HACO HEALTH MIDTOWNE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: HACO HEALTH MIDTOWNE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- June 1, 2025: GRACEN HAWLEY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BROADMORE HEALTH REALTY LTD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BROADMORE HEALTH REALTY LTD (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CL HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CL HEALTHCARE LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ELLIS MID HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ELLIS MID HEALTHCARE LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BCP INVESTMENTS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BCP INVESTMENTS LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- April 1, 2025: GRACEN HAWLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RUSSELL HAWLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GRACEN HAWLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GRACEN HAWLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GRACEN HAWLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: STEVEN E ARZE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: STEVEN E ARZE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- January 5, 2024: RUSSELL HAWLEY (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: GRACEN HAWLEY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: GRACEN HAWLEY (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
Recent changes on this record
- May 7, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
- April 1, 2026: RUSSELL HAWLEY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RUSSELL HAWLEY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GRACEN HAWLEY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BROADMORE HEALTH REALTY LTD no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BROADMORE HEALTH REALTY LTD no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CL HEALTHCARE LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CL HEALTHCARE LLC no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STEVEN E ARZE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BCP INVESTMENTS LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BCP INVESTMENTS LLC no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GRACEN HAWLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GRACEN HAWLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NOCONA HOSPITAL DISTRICT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NOCONA HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STEVEN E ARZE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELLIS MID HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELLIS MID HEALTHCARE LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GREG LANCE MEEKINS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 1, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: HACO HEALTH MIDTOWNE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: HACO HEALTH MIDTOWNE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: enrollment_id: O20230411001467 → O20251210003221. Skilled_Nursing_Facility_Enrollments_:_2026-04-01.csv
- June 16, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 1, 2025: GRACEN HAWLEY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BROADMORE HEALTH REALTY LTD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BROADMORE HEALTH REALTY LTD (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CL HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CL HEALTHCARE LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ELLIS MID HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ELLIS MID HEALTHCARE LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BCP INVESTMENTS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BCP INVESTMENTS LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since December 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- April 1, 2025: GRACEN HAWLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RUSSELL HAWLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GRACEN HAWLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GRACEN HAWLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GRACEN HAWLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: STEVEN E ARZE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: STEVEN E ARZE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 4, 2025 | September 4, 2025 | 0 | 1 |
| 2 | August 15, 2024 | August 15, 2024 | 2 | 5 |
| 3 | June 20, 2023 | June 20, 2023 | 0 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
2 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| August 15, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | September 29, 2024 |
| August 15, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | September 29, 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 |
|---|---|---|---|---|---|
| February 12, 2024 | Fine | $3,798 | 112254 | ||
| January 22, 2024 | Fine | $9,116 | 112098 | ||
| January 8, 2024 | Fine | $2,279 | 112012 | ||
| January 2, 2024 | Fine | $1,764 | 111978 | ||
| December 11, 2023 | Fine | $3,174 | 111828 |
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 | NOCONA HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2023-06-20 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Ellis |
| Telephone Number | 9727755538 |
| 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 | 121 |
| Average Number of Residents per Day | 104.7 |
| Overall Rating | 4 |
| Health Inspection Rating | 5 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on MIDTOWNE MEADOWS HEALTH & REHAB: the field, the value before, the value after, and the date of the file that first showed it.
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 May 7, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for MIDTOWNE MEADOWS HEALTH & REHAB
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 745039.