Skilled nursing facility · CMS certification number 675447

THE HIGHLANDS GUEST CARE CENTER

DALLAS, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 116

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 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 May 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$8,932,456	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$994,008	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,938,448	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,111,564	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$173,116	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$384,889	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$211,773	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $211,773 (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%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	116	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	42,456	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,604	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	23,000	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	5,106	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	29,710	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	29	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	108	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	64	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	201	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	212.96	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	147.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1424840, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 April 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$9,885,833	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,633,140	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,252,693	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,795,385	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$542,692	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$574,308	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$31,616	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $31,616 (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%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,615	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	201	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	65.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	202.99	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	147.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376289, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 June 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$6,916,164	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$353,450	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,562,714	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,025,588	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$462,874	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$519,528	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$56,654	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $56,654 (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%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,228	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	265	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	234.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	91.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1351819, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 June 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,848,565	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$829,979	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,018,586	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,568,480	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$549,894	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,389,297	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$839,403	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $839,403 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,190	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	124	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	377.69	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	178.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1320776, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 December 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,625,910	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$881,464	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,744,446	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,588,486	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$844,040	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$725,002	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$119,038	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$119,038 (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%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,230	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	177	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	72.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	262.21	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	153.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1337929, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 October 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$8,436,333	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,761,486	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,674,847	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,654,151	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$20,696	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$36	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$20,732	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $20,732 (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%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,979	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	175	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	69.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	378.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	188.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1303082, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 April 2018 to 31 December 2018 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 May 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$5,577,637	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$754,378	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,823,259	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,863,100	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$39,841	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$97,580	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$57,739	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$132,060 (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%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,631	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	60	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	867.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	410.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1225707, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 March 2020.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total operating expenses	$5,301,190	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$5,301,190	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$5,301,190	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$5,301,190 (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%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,372	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	83	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,068.2	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	377.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252227, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 October 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total operating expenses	$5,612,437	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$5,612,437	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$5,612,437	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$5,612,437 (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%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,538	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	97	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	73.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,006.19	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	335.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1212925, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 January 2018.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total operating expenses	$4,752,899	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$4,752,899	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$4,752,899	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$4,752,899 (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%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,718	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	107	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	63.51	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	315.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1181934, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 April 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total operating expenses	$5,130,751	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$5,130,751	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$5,130,751	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$5,130,751 (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%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,442	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	60	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	135.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	557.37	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1122756, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 September 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total operating expenses	$4,298,135	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$4,298,135	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$4,298,135	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$4,298,135 (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%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,682	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	41	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	156.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	772.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1078048, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 16 October 2012 to 31 December 2012 — a reporting period of 76 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 1 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total operating expenses	$922,235	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$922,235	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$922,235	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$922,235 (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%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	5,751	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	10	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	98.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	575.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1045144, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2011, ended 31 May 2011

Cost report for 1 June 2010 to 31 May 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 December 2011.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$5,315,251	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,675,259	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$360,008	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,139	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$357,869 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,974	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	84	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	134.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	491.12	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	344.93	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 422172, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended 31 May 2010

Cost report for 1 June 2009 to 31 May 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 December 2010.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$5,638,392	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,990,311	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$351,919	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$134	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$351,785 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,046	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	46	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	246.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,000.86	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	718.39	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 391741, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended 31 May 2009

Cost report for 1 June 2008 to 31 May 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 December 2009.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$5,487,631	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,094,655	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$607,024	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$385	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$606,639 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	117	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,840	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	127	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	82.07	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	457.45	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	282.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 361375, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended 31 May 2008

Cost report for 1 June 2007 to 31 May 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 20 January 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$5,438,412	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,637,213	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,198,801	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$802	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,197,999 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,455	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	175	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	68.85	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	284.72	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	208.31	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 331384, read from the public cost report file SNFFY2007.zip.

Fiscal year 2007, ended 31 May 2007

Cost report for 1 June 2006 to 31 May 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 May 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$6,381,050	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,062,239	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$681,189	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$59	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$681,130 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	37,453	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	168	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	108.95	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	502.69	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	222.93	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 309563, read from the public cost report file SNFFY2006.zip.

Fiscal year 2006, ended 31 May 2006

Cost report for 1 June 2005 to 31 May 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 February 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$6,090,755	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,338,909	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$248,154	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$248,149 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,300	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	196	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	99.35	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	419.63	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	205.61	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 272125, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended 31 May 2005

Cost report for 1 June 2004 to 31 May 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 February 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$6,036,278	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,930,733	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$105,545	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $105,545 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,676	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	255	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	79.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	221.59	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	155.59	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 243624, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended 31 May 2004

Cost report for 30 August 2003 to 31 May 2004 — a reporting period of 275 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 31 January 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,913,929	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,983,721	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$69,792	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$69,786 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,929	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	266	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	181.84	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	116.27	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 205758, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended 29 August 2003

Cost report for 1 June 2003 to 29 August 2003 — a reporting period of 89 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 19 January 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$1,312,232	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,318,102	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$5,870	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$126	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$5,744 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,414	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	60	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.96	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	264.06	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	173.57	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 204320, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 May 2002

Cost report for 1 June 2001 to 31 May 2002 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 13 February 2003.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$4,786,178	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,936,693	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$150,515	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$150,515 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	42,211	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	239	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.79	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	247.73	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	176.62	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 129830, read from the public cost report file SNFFY2001.zip.

Fiscal year 2001, ended 31 May 2001

Cost report for 1 June 2000 to 31 May 2001 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 8 February 2002.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$4,469,956	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,515,084	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$45,128	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,653	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$40,475 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,690	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	199	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.65	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	231.81	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	204.47	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28426, read from the public cost report file SNFFY2000.zip.

Fiscal year 2000, ended 31 May 2000

Cost report for 1 June 1999 to 31 May 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 4 January 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$4,087,906	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,689,023	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$601,117	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,618	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$599,499 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,063	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	184	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.18	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	317.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	223.17	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28424, read from the public cost report file SNFFY1999.zip.

Fiscal year 1999, ended 31 May 1999

Cost report for 1 June 1998 to 31 May 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 October 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$5,091,469	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,305,395	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$213,926	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$926	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$213,000 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,353	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	169	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	86.29	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	385.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	244.69	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28423, read from the public cost report file SNFFY1998.zip.

Fiscal year 1998, ended 31 May 1998

Cost report for 1 January 1998 to 31 May 1998 — a reporting period of 150 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 22 August 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$2,226,865	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,289,827	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$62,962	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$249	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$62,713 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,773	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	64	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	120.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	314.23	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	262.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28421, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 October 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$4,228,028	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,840,180	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$612,152	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$29,529	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$582,623 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,789	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	126	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.42	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	467.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	323.72	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 65971, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 December 1996

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 7 October 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$3,770,137	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,258,638	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$488,501	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$23,367	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$465,134 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	42,235	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	187	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.13	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	354.89	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	225.86	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 65970, read from the public cost report file SNFFY1996.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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
NOCONA HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 04/01/2018
GAMVEST TEXAS LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 07/01/2018
GAMBLE, DENNY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2018
GAMVEST TEXAS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/01/2018
GORDY, OTIS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/11/2022
RIAZ, AHSAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2018
THE HIGHLANDS GUEST CARE CENTER LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/30/2025
MEEKINS, GREG	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2018
GAMBLE, DENNY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2018
GORDY, OTIS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/11/2022
THE HIGHLANDS GUEST CARE CENTER LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 07/01/2018

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NOCONA HOSPITAL DISTRICT (enrollment ID O20180410000985).

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	4/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
GAMVEST TEXAS LLC	Organization	5% OR GREATER MORTGAGE INTEREST	100	7/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
AHSAN RIAZ	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DENNY GAMBLE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GAMVEST TEXAS LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
OTIS GORDY	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/11/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THE HIGHLANDS GUEST CARE CENTER LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/30/2025	Private equity company: No Real estate investment trust: No Holding company: No
GREG LANCE MEEKINS	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DENNY GAMBLE	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
OTIS GORDY	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/11/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THE HIGHLANDS GUEST CARE CENTER LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2018	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: DENNY GAMBLE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DENNY GAMBLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DENNY GAMBLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DENNY GAMBLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 June 2025: KATUSABE ALBERT DICKSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: THE HIGHLANDS GUEST CARE CENTER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: OTIS GORDY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: OTIS GORDY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GAMVEST TEXAS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GAMVEST TEXAS LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: AHSAN RIAZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DENNY GAMBLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DENNY GAMBLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv

Recent changes on this record

1 July 2026: DENNY GAMBLE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DENNY GAMBLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DENNY GAMBLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DENNY GAMBLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 June 2025: KATUSABE ALBERT DICKSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: THE HIGHLANDS GUEST CARE CENTER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: OTIS GORDY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: OTIS GORDY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GAMVEST TEXAS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GAMVEST TEXAS LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: AHSAN RIAZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DENNY GAMBLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DENNY GAMBLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
28 May 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
11 April 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
15 June 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
9 December 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
17 June 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
22 October 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
10 March 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
28 May 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
15 October 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
25 September 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
18 January 2018: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
27 April 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
12 September 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
1 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2013.zip
24 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
27 December 2012: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
20 December 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
27 December 2010: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
18 December 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
20 January 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
21 May 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
9 February 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
24 February 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
31 January 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
19 January 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
8 November 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
13 February 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	30 December 2025	30 December 2025	3	17
2	10 October 2024	10 October 2024	11	5
3	24 August 2023	24 August 2023	11	2

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

25 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
10 June 2026	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	Yes	Deficient, Provider has date of correction	20 June 2026
30 December 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	No	Deficient, Provider has date of correction	10 January 2026
30 December 2025	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	10 January 2026
14 April 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.	K	Yes	Deficient, Provider has date of correction	16 April 2025
14 April 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.	K	Yes	Deficient, Provider has date of correction	16 April 2025
14 April 2025	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	K	Yes	Deficient, Provider has date of correction	16 April 2025
14 April 2025	Health	F 0777	Administration Deficiencies	Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.	K	Yes	Deficient, Provider has date of correction	16 April 2025
14 April 2025	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	E	Yes	Deficient, Provider has date of correction	16 April 2025
19 February 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.	E	Yes	Deficient, Provider has date of correction	28 March 2025
19 February 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	E	Yes	Deficient, Provider has date of correction	28 March 2025
10 October 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E	Yes	Deficient, Provider has date of correction	8 November 2024
10 October 2024	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	Yes	Deficient, Provider has date of correction	8 November 2024
10 October 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	Yes	Deficient, Provider has date of correction	8 November 2024
10 October 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	8 November 2024
24 August 2023	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	2 October 2023
24 August 2023	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	2 October 2023
24 August 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	2 October 2023
24 August 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.	E	No	Deficient, Provider has date of correction	2 October 2023
24 August 2023	Health	F 0825	Quality of Life and Care Deficiencies	Provide or get specialized rehabilitative services as required for a resident.	D	No	Deficient, Provider has date of correction	2 October 2023
24 August 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	2 October 2023
24 August 2023	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	No	Deficient, Provider has date of correction	2 October 2023
11 August 2023	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.	E	Yes	Deficient, Provider has date of correction	15 September 2023
11 August 2023	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	Yes	Deficient, Provider has date of correction	15 September 2023
11 August 2023	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.	E	Yes	Deficient, Provider has date of correction	15 September 2023
11 August 2023	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E	Yes	Deficient, Provider has date of correction	15 September 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
14 April 2025	Fine	$47,726			113782

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 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	1995-01-26
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Dallas
Telephone Number	9727831771
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	116
Average Number of Residents per Day	72.0
Overall Rating	1
Health Inspection Rating	2
QM Rating	2
Long-Stay QM Rating	4
Short-Stay QM Rating	1
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on THE HIGHLANDS GUEST CARE CENTER: 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 1 July 2026: DENNY GAMBLE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for THE HIGHLANDS GUEST CARE 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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