Skilled nursing facility · CMS certification number 675814

Arbor Grace Guest Care Center

Kilgore, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 127

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 30 June 2026.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$9,111,211	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$535,095	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,576,116	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,296,565	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$279,551	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$100,384	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$379,935	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $379,935 (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	127	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	46,482	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	3,690	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	15,835	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,965	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	27,490	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	87	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	76	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	99	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	262	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.41	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	208.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	104.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1450686, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 June 2023 to 31 December 2023 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 6 May 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$5,121,993	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$597,528	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,524,465	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,751,264	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$226,799	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$114,489	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$112,310	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$112,310 (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	127	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,644	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	142	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	274.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	117.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1377260, 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, reopened, processed by CMS on 21 December 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$8,152,878	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$113,456	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,039,422	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,519,322	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$479,900	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,221	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$476,679	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$476,679 (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	127	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,252	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	184	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	544.53	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	115.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1371098, 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 22 July 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,811,059	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$721,684	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,089,375	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,635,320	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$545,945	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$321,907	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$224,038	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$224,038 (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 2021
Figure	As filed	Where it comes from
Total facility beds, all components	127	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,133	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	108	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	68.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	680.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	195.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1327327, 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 1 September 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,758,425	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,270,457	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,028,882	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,462,769	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$433,887	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$481,370	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$47,483	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $47,483 (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	127	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,880	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	134	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	96.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	263.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	148.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1298194, 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 28 February 2022.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$4,331,914	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$84,244	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,416,158	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,797,960	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$381,802	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,191	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$375,611	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$375,611 (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	97	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,935	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	191	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	309.32	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	109.61	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1311092, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$5,023,776	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$444,156	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,467,932	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,387,040	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$80,892	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$903	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$81,795	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $81,795 (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	97	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,548	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	166	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	79.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	182.81	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	147.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241165, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 15 November 2017 to 31 December 2017 — a reporting period of 46 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 20 September 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$750,452	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$85,779	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$836,231	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$885,011	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$48,780	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$300	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$48,480	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$48,480 (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	97	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	2,450	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	22	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	187.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	111.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1212149, read from the public cost report file SNF10FY2018.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 21 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,287,463	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$87,145	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,374,608	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,404,852	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$30,244	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,561	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$26,683	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$26,683 (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%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,678	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	140	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	218.38	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	126.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170256, 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 28 June 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$4,583,830	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$759,521	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,824,309	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,551,485	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$272,824	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,328	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$280,152	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $280,152 (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	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,962	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	148	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	568.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	121.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1133044, 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 30 November 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$3,722,687	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$534,663	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,188,024	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,375,438	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$187,414	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,000	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$180,414	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$180,414 (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	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,684	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	150	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	151.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	111.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1147250, 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 19 November 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,229,270	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$659,918	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,569,352	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,548,297	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$21,055	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$953	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$22,008	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $22,008 (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	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,635	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	146	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	201.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	127.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1113040, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$5,000,692	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,058,767	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,941,925	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,885,944	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$55,981	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,198	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$57,179	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $57,179 (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	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,825	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	78	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	96.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	593.41	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	254.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1041564, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$3,591,514	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$26,527	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,564,987	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,439,216	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$125,771	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,993	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$130,764	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $130,764 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,103	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	113	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	63.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	442.2	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	160.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1014783, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 June 2010 to 31 December 2010 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 8 September 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$1,969,907	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,921,231	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$48,676	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$903	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $49,579 (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	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,162	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	65	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	440.73	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	156.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 417208, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 9 September 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,479,858	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,508,460	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$28,602	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$28,602 (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	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	4,675	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	112	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.18	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	69.48	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	41.74	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 387199, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,485,242	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,560,781	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$75,539	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$75,539 (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	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,602	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	148	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	236.54	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	132.45	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 352539, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$2,461,369	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,406,673	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$54,696	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $54,696 (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	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,731	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	131	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	44.02	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	249.39	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	158.25	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 324312, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 July 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,407,883	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,343,043	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$64,840	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $64,840 (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	150	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,346	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	110	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.62	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	396.81	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	184.96	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 289094, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 November 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,373,378	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,140,839	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$232,539	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $232,539 (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	75	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	1,472	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	32	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 266122, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 24 June 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Total operating expenses	$2,286,238	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$2,286,238	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$2,286,238 (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	75	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	1,381	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	39	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.41	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	35.41	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 225411, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 November 2003 to 31 December 2003 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 17 October 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Total operating expenses	$411,458	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$411,458	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$411,458 (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	75	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	327	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	11	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.73	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	29.73	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 234602, read from the public cost report file SNFFY2004.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 June 2002 to 31 December 2002 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 18 April 2005.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$1,344,694	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,236,358	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$108,336	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $108,336 (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	81	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	13,107	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	61	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	124.89	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	319.46	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	214.87	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 214208, read from the public cost report file SNFFY2002.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, settled, processed by CMS on 1 July 2004.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$1,863,267	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,679,853	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$183,414	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,244	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $194,658 (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	81	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,244	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	45	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	73.94	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	693	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	405.42	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 186494, read from the public cost report file SNFFY2000.zip.

Fiscal year 2000, ended 31 May 2000

Cost report for 1 October 1999 to 31 May 2000 — a reporting period of 243 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 7 January 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$801,194	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$882,436	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$81,242	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$698	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$81,940 (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	81	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	9,499	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	5	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicaid, in days	1,670	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,899.8	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 101733, read from the public cost report file SNFFY2000.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
MPD ACQUISITION OF KILGORE, LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 06/01/2023
GAMVEST TEXAS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/01/2023
K-J-K VENTURE, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/01/2023
KEGARISE, BRANDON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/27/2023
MACHEN HEALTH MANAGEMENT LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/01/2023
MPD ACQUISITION OF KILGORE, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/01/2023
MPD TEXAS RESOURCES OF KILGORE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/29/2025
SHEN, HONG-I	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2023
HOOPER, GRADY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 06/01/2023
GAMBLE, DENNY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2023
KEGARISE, BRANDON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/27/2023
MACHEN, MATT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2023
MPD TEXAS RESOURCES OF KILGORE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 06/01/2023
SHEN, HONG-I	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HAMILTON COUNTY HOSPITAL DISTRICT (enrollment ID O20230717002174).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
HAMILTON COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	6/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
MPD ACQUISITION OF KILGORE, LLC	Organization	5% OR GREATER MORTGAGE INTEREST	100	6/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
BRANDON KEGARISE	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.	2/27/2023	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.	6/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
HONG-I SHEN	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.	6/1/2023	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.
K-J-K VENTURE, 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.	6/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
MACHEN HEALTH MANAGEMENT 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.	6/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
MPD ACQUISITION OF KILGORE, 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.	6/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
MPD TEXAS RESOURCES OF KILGORE 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.	4/29/2025	Private equity company: No Real estate investment trust: No Holding company: No
GRADY HOOPER	Individual	CORPORATE OFFICER	0	6/1/2023	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.
BRANDON KEGARISE	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.	2/27/2023	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	0	6/1/2023	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.
HONG-I SHEN	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.	6/1/2023	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.
MATT MACHEN	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.	6/1/2023	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.
MPD TEXAS RESOURCES OF KILGORE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	0	6/1/2023	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

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 OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 June 2025: JONATHAN DAVID GAMBLE 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: K-J-K VENTURE, 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: MPD TEXAS RESOURCES OF KILGORE 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: BRANDON KEGARISE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: BRANDON KEGARISE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MACHEN HEALTH MANAGEMENT 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 ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: HONG-I SHEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: HONG-I SHEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MPD ACQUISITION OF KILGORE, 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: MPD ACQUISITION OF KILGORE, 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: HAMILTON COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MATT MACHEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
5 January 2024: K-J-K VENTURE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: MICHELLE MACHEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: KRISTI OWENS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: MACHEN HEALTH MANAGEMENT LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: GAMVEST TEXAS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: KELLY ZIMMERER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: JOSEPH NEWTON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CATHY HAYDEN MYRICK no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: MATT MACHEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: KIMBERLY MILLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: DENNY GAMBLE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: DENNY GAMBLE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: MPD TEXAS RESOURCES OF KILGORE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: GRADY HOOPER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: JONATHAN DAVID GAMBLE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: DENNY GAMBLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv

Recent changes on this record

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 OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
30 June 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 June 2025: JONATHAN DAVID GAMBLE 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: K-J-K VENTURE, 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: MPD TEXAS RESOURCES OF KILGORE 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: BRANDON KEGARISE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: BRANDON KEGARISE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MACHEN HEALTH MANAGEMENT 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 ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: HONG-I SHEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: HONG-I SHEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MPD ACQUISITION OF KILGORE, 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: MPD ACQUISITION OF KILGORE, 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: HAMILTON COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MATT MACHEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
6 May 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
20 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
5 January 2024: K-J-K VENTURE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: MICHELLE MACHEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: KRISTI OWENS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: MACHEN HEALTH MANAGEMENT LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: GAMVEST TEXAS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: KELLY ZIMMERER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: JOSEPH NEWTON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: CATHY HAYDEN MYRICK no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: MATT MACHEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: KIMBERLY MILLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: DENNY GAMBLE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: DENNY GAMBLE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: MPD TEXAS RESOURCES OF KILGORE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: GRADY HOOPER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: JONATHAN DAVID GAMBLE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: DENNY GAMBLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
21 December 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
22 July 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
28 February 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
1 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
16 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
20 September 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2018.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	17 June 2026	17 June 2026	9	4
2	2 April 2025	2 April 2025	4	4
3	20 March 2024	20 March 2024	10	3

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

Deficiencies cited

23 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
17 June 2026	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Deficient, Provider has date of correction	18 June 2026
17 June 2026	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	E	No	Deficient, Provider has date of correction	9 July 2026
17 June 2026	Health	F 0636	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D	No	Deficient, Provider has date of correction	7 July 2026
17 June 2026	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	9 July 2026
17 June 2026	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	9 July 2026
17 June 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	18 June 2026
17 June 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	9 July 2026
17 June 2026	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	No	Deficient, Provider has date of correction	9 July 2026
29 April 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	J	Yes	Deficient, Provider has date of correction	1 May 2026
2 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.	D	No	Deficient, Provider has date of correction	23 April 2025
2 April 2025	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	23 April 2025
2 April 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	Yes	Deficient, Provider has date of correction	23 April 2025
2 April 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	23 April 2025
20 March 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	21 March 2024
20 March 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	21 March 2024
20 March 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	21 March 2024
20 March 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	21 March 2024
20 March 2024	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	F	No	Deficient, Provider has date of correction	21 March 2024
29 February 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	1 March 2024
23 February 2024	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D	Yes	Deficient, Provider has date of correction	24 February 2024
20 November 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.	D	Yes	Deficient, Provider has date of correction	21 November 2023
20 November 2023	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	Yes	Deficient, Provider has date of correction	21 November 2023
20 November 2023	Health	F 0809	Nutrition and Dietary Deficiencies	Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.	D	Yes	Deficient, Provider has date of correction	21 November 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
29 April 2026	Fine	$187,096			138889

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 - Corporation
Legal Business Name	HAMILTON COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	1999-12-14
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Rusk
Telephone Number	9039843511
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	127
Average Number of Residents per Day	84.2
Overall Rating	1
Health Inspection Rating	2
QM Rating	3
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 Arbor Grace Guest Care Center: the field, the value before, the value after, and the date of the file that first showed it.

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On 1 July 2026: DENNY GAMBLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Arbor Grace Guest Care Center

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