Skilled nursing facility · CMS certification number 675867
Kerens Care Center
Kerens, Texas · Medicare and Medicaid · 70 certified beds in Care Compare
Download Kerens Care Center’s record (CSV, each figure with its worksheet, line and column)
Kerens Care Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 28, 2025.
- Net patient revenue rose from $1.8M in fiscal year 2023 to $3.1M in fiscal year 2024.
- Its result from service to patients: −$1.3M (2022), −$1.2M (2023), −$625K (2024).
- Its cost reports on file run from fiscal year 2001 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on August 28, 2025, 4 changes are listed on this record: 3 deficiencies and an inspection.
- Its net patient revenue of $3.1M ranks 598th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
Kerens Care Center: Medicare cost reports
| Form CMS-2540-10 | 2024 · report 1436026 | 2023 · report 1391805 | 2022 · report 1361832 | 2021 · report 1327479 | 2020 · report 1301555 | 2019 · report 1272326 | 2018 · report 1235115 | 2017 · report 1211029 | 2016 · report 1174529 | 2015 · report 1188731 | 2014 · report 1148376 | 2013 · report 1110809 | 2012 · report 1060001 | 2011 · report 1058375 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | August 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | — | — | — | — | — | — | 152 | — | — | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | reopened | settled | settled | settled | settled |
| Processed by CMS | August 28, 2025 | August 9, 2024 | August 10, 2023 | July 22, 2022 | September 30, 2021 | October 23, 2020 | July 10, 2019 | August 29, 2018 | August 22, 2017 | May 2, 2018 | December 12, 2016 | September 25, 2015 | May 16, 2014 | April 18, 2014 |
| Total patient revenue | $3,239,897 | $2,078,808 | $2,062,366 | $1,564,019 | $3,589,550 | $3,410,151 | $3,322,907 | $2,614,136 | $2,603,810 | $1,044,267 | $3,439,588 | $3,156,313 | $3,716,691 | $3,399,293 |
| Contractual allowances and discounts | $182,333 | $240,955 | $342,870 | $183,464 | $409,533 | $279,526 | $131,502 | −$510,639 | −$783,581 | −$353,747 | $103,729 | $57,474 | $510,190 | $351,703 |
| Net patient revenue | $3,057,564 | $1,837,853 | $1,719,496 | $1,380,555 | $3,180,017 | $3,130,625 | $3,191,405 | $3,124,775 | $3,387,391 | $1,398,014 | $3,335,859 | $3,098,839 | $3,206,501 | $3,047,590 |
| Total operating expenses | $3,682,813 | $2,999,524 | $3,054,652 | $2,846,300 | $3,775,511 | $3,690,307 | $3,422,078 | $3,431,847 | $3,317,168 | $1,411,755 | $3,657,738 | $2,917,042 | $3,272,961 | $2,864,265 |
| Net income from service to patients | −$625,249 | −$1,161,671 | −$1,335,156 | −$1,465,745 | −$595,494 | −$559,682 | −$230,673 | −$307,072 | $70,223 | −$13,741 | −$321,879 | $181,797 | −$66,460 | $183,325 |
| Total other income | $217,010 | $802,359 | $731,383 | $583,026 | $754,411 | $4,436 | $324,021 | $115,237 | $10,957 | $1,483 | $2,416 | $8 | $2,609 | $5,951 |
| Net income after other income | −$408,239 | −$359,312 | −$603,773 | −$882,719 | $158,917 | −$555,246 | $93,348 | −$191,835 | $81,180 | −$12,258 | −$319,463 | $181,805 | −$63,851 | $189,276 |
| Net income | −$408,239 | −$359,312 | −$603,773 | −$882,719 | $158,917 | −$555,246 | $93,348 | −$191,835 | $81,180 | −$12,258 | −$319,463 | $181,805 | −$63,851 | $189,276 |
| Total facility beds, all components | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 |
| Bed days available, all components | 25,620 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,180 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 18,536 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 6,261 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 25,977 | 9,501 | 9,725 | 7,697 | 17,886 | 18,424 | 19,023 | 18,232 | 19,836 | 7,976 | 19,750 | 19,707 | 20,418 | 20,214 |
| Medicare discharges | 20 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 91 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 85 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 196 | 40 | 41 | 82 | 54 | 66 | 80 | 72 | 88 | 39 | 56 | 78 | 94 | 88 |
| Average length of stay, Medicare, in days | 59 | 32.38 | 114 | 39.86 | 148 | 53.83 | 113.6 | 42.8 | 79.5 | 60.67 | 102.16 | 110.13 | 73 | 54.59 |
| Average length of stay, Medicaid, in days | 203.69 | 411.63 | 387.67 | 108.39 | 471.43 | 396.25 | 535.16 | 91.63 | 42.49 | 76.71 | 510.3 | 297.61 | 293.98 | 292.42 |
| Average length of stay, all patients, in days | 132.54 | 237.53 | 237.2 | 93.87 | 331.22 | 279.15 | 237.79 | 253.22 | 225.41 | 204.51 | 352.68 | 252.65 | 217.21 | 229.7 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 410527 | 2009 · report 381285 | 2008 · report 348348 | 2007 · report 323644 | 2006 · report 297667 | 2005 · report 270355 | 2004 · report 237707 | 2003 · report 199569 | 2002 · report 214060 | 2001 · report 169313 |
|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | January 1, 2003 | January 1, 2002 | March 14, 2001 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | December 31, 2001 |
| Days, where not a full year | — | — | — | — | — | — | — | — | — | 292 |
| Processed by CMS | July 19, 2011 | July 14, 2010 | July 14, 2009 | August 12, 2008 | December 5, 2007 | January 11, 2007 | November 30, 2005 | November 12, 2004 | April 18, 2005 | February 19, 2004 |
| Net patient revenue | $3,064,743 | $2,869,272 | $2,640,451 | $1,771,311 | $1,763,359 | $1,580,395 | $1,612,297 | $1,334,742 | $1,442,373 | $769,159 |
| Total operating expenses | $3,036,521 | $2,862,103 | $2,506,359 | $1,783,237 | $1,761,494 | $1,583,628 | $1,479,764 | $1,416,179 | $1,420,311 | $867,007 |
| Net income from service to patients | $28,222 | $7,169 | $134,092 | −$11,926 | $1,865 | −$3,233 | $132,533 | −$81,437 | $22,062 | −$97,848 |
| Total other income | $2,861 | $1,502 | $1,111 | $952 | $987 | $605 | $27 | $1,428 | $2,473 | $1,288 |
| Net income | $31,083 | $8,671 | $135,203 | −$10,974 | $2,852 | −$2,628 | $132,560 | −$80,009 | $24,535 | −$96,560 |
| Total facility beds, all components | 70 | 70 | 70 | 69 | 69 | 70 | 66 | 70 | 70 | 70 |
| Total patient days, all components | 20,159 | 19,495 | 19,227 | 15,668 | 16,382 | 15,485 | 14,709 | 12,999 | 13,320 | 8,034 |
| Total discharges, all components | 86 | 91 | 82 | 67 | 62 | 73 | 80 | 59 | 73 | 35 |
| Average length of stay, Medicare, in days | 69.23 | 61.7 | 73.73 | 63.13 | 82.14 | 45.57 | 40.97 | 36.29 | 27.67 | 39.08 |
| Average length of stay, Medicaid, in days | 293.47 | 295.83 | 296.54 | 289.9 | 289.35 | 295.33 | 293.22 | 348.86 | 363.25 | 339.83 |
| Average length of stay, all patients, in days | 234.41 | 214.23 | 234.48 | 233.85 | 264.23 | 212.12 | 183.86 | 220.32 | 182.47 | 229.54 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001. Checked against the form’s own arithmetic: what that check shows.
Kerens Care Center: nurse staffing hours by quarter →
Who owns Kerens Care Center, as filed with CMS
Care Compare
- OPERATIONAL/MANAGERIAL CONTROL: BLAKE, GARY (individual), since 01/01/2019; BLAKE, MALISA (individual), since 01/01/2019; CREATIVE SOLUTIONS IN HEALTHCARE INC (organization), since 01/01/2019
- W-2 MANAGING EMPLOYEE: HUGGINS, LINDA (individual), since 01/01/2019
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of KERENS I ENTERPRISES LLC (enrollment ID O20190506001532).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: HONOR X ENTERPRISES, LLC (organization), 100.00%, since 01/01/2019
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: GARY R BLAKE (individual), 50.00%, since 01/01/2019; MALISA A BLAKE (individual), 50.00%, since 01/01/2019
- OPERATIONAL/MANAGERIAL CONTROL: CREATIVE SOLUTIONS IN HEALTHCARE INC (organization), 100.00%, since 01/01/2019; GARY R BLAKE (individual), 50.00%, since 01/01/2019; MALISA A BLAKE (individual), 50.00%, since 01/01/2019
- W-2 MANAGING EMPLOYEE: LINDA F HUGGINS (individual), 0.00%, since 01/01/2019
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: HONOR X ENTERPRISES, LLC; CREATIVE SOLUTIONS IN HEALTHCARE INC.
Private equity company, real estate investment trust and holding company: Paused by CMS: GARY R BLAKE; MALISA A BLAKE; GARY R BLAKE; MALISA A BLAKE; LINDA F HUGGINS.
Recent changes on this record
- June 11, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Oct2026.csv
- June 11, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Oct2026.csv
- June 11, 2026: A deficiency was cited under tag F 0755, scope and severity E. NH_HealthCitations_Oct2026.csv
- June 11, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Oct2026.csv
Inspections of Kerens Care Center
- Cycle 1: health June 11, 2026 (4 deficiencies), fire safety June 11, 2026 (5)
- Cycle 2: health April 10, 2025 (9 deficiencies), fire safety April 10, 2025 (5)
- Cycle 3: health February 28, 2024 (5 deficiencies), fire safety February 28, 2024 (1)
- Cycle 3: health December 22, 2022 (4 deficiencies), fire safety December 22, 2022 (4)
Deficiencies cited at Kerens Care Center
18 deficiencies on file, by tag, newest citation first
every one from a health inspection; 7 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0656, resident assessment and care planning: June 11, 2026 (D, Deficient, Provider has date of correction, corrected July 2, 2026); April 30, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected May 1, 2025); July 30, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected August 22, 2024).
- F 0755, pharmacy service: June 11, 2026 (E, Deficient, Provider has date of correction, corrected July 2, 2026); February 26, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected March 17, 2025).
- F 0880, infection control: June 11, 2026 (D, Deficient, Provider has date of correction, corrected July 2, 2026); April 10, 2025 (E, Deficient, Provider has date of correction, corrected April 11, 2025); February 28, 2024 (D, Deficient, Provider has date of correction, corrected February 29, 2024).
- F 0678, quality of life and care: November 21, 2025 (J, from a complaint, Past Non-Compliance, corrected November 18, 2025).
- F 0550, resident rights: April 10, 2025 (D, Deficient, Provider has date of correction, corrected April 11, 2025).
- F 0558, resident rights: April 10, 2025 (E, Deficient, Provider has date of correction, corrected April 11, 2025).
- F 0565, resident rights: April 10, 2025 (E, Deficient, Provider has date of correction, corrected April 11, 2025).
- F 0584, resident rights: April 10, 2025 (E, Deficient, Provider has date of correction, corrected April 11, 2025).
- F 0677, quality of life and care: April 10, 2025 (D, Deficient, Provider has date of correction, corrected April 11, 2025).
- F 0679, quality of life and care: April 10, 2025 (E, Deficient, Provider has date of correction, corrected April 11, 2025).
- F 0626, resident rights: July 30, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected August 22, 2024).
- F 0842, resident assessment and care planning: July 30, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected August 22, 2024).
- F 0689, quality of life and care: May 24, 2024 (G, from a complaint, Deficient, Provider has date of correction, corrected May 25, 2024).
Kerens Care Center in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: KERENS I ENTERPRISES LLC
- Date First Approved to Provide Medicare and Medicaid Services: 2001-03-14
- Provider Resides in Hospital: Y
- Continuing Care Retirement Community: N
- Urban: N
- County/Parish: Navarro
- Telephone Number: 9033963211
- Chain Name: CREATIVE SOLUTIONS IN HEALTHCARE
- Chain ID: 169
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 39.4
- Overall Rating: 4
- Health Inspection Rating: 4
- QM Rating: 4
- Long-Stay QM Rating: 4
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for Kerens Care Center: no penalty in Care Compare; no change in ownership since September 20, 2022.
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Report a figure on Kerens Care Center’s record that differs from its CMS file, quoting 675867.