Skilled nursing facility · CMS certification number 675958

Avir at Citizens Trail

TEXARKANA, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 114

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 June 2024 to 31 December 2024 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$2,191,350	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$468,187	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,659,537	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,612,324	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$47,213	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$149,084	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$196,297	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $196,297 (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	114	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	24,396	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	710	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	8,357	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,767	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	11,834	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	11	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	5	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	43	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	59	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,671.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	200.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436035, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 May 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$4,287,455	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$618,365	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,905,820	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,662,120	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$243,700	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$481,891	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$725,591	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $725,591 (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	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,988	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	77	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	74.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	742.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	285.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1377663, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,198,215	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$162,504	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,360,719	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,039,405	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$321,314	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$261,232	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$582,546	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $582,546 (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	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,345	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	93	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	88.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	866.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	186.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1356601, 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 14 June 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$2,932,894	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$627,367	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,560,261	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,487,606	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$72,655	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$295,743	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$368,398	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $368,398 (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	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,240	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	71	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	79.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	690.69	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	200.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1319673, 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 28 October 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,418,790	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$642,470	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,061,260	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,694,488	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$366,772	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$394,577	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$761,349	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $761,349 (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	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,545	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	99	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	86.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	776.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	167.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1303392, 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 3 March 2022.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$7,856,938	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,937,927	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,919,011	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,441,591	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$522,580	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$6,971	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$529,551	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$529,551 (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	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,209	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	153	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	256.02	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	145.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1311302, 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 27 January 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$10,738,630	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,374,834	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,363,796	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,556,115	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$192,319	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,152	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$189,167	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$189,167 (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	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,790	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	237	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	230.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	125.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249938, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 December 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$11,678,223	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,870,042	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,808,181	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,849,349	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$41,168	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$3,158	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$44,326	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$44,326 (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	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,342	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	332	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.51	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	170.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	97.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1216106, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 June 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$12,003,558	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,307,071	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,696,487	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,602,920	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$93,567	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$2,912	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$90,655	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $90,655 (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	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,931	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	290	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	178.26	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1194203, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$12,405,157	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,789,611	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,615,546	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,610,282	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$5,264	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$190,649	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$195,913	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $195,913 (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	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,352	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	366	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.03	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	45.85	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	88.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1155976, 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 26 October 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$12,085,745	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,824,481	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,261,264	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,064,177	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$197,087	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,693	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$211,780	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $211,780 (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	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,915	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	281	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.81	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	280.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1145493, 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 23 April 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$9,980,196	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,262,390	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,717,806	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,621,148	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$96,658	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,674	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$110,332	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $110,332 (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	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,123	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	238	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	268.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	122.37	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1089067, 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	$8,522,463	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,961,217	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,561,246	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,419,611	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$141,635	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,206	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$155,841	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $155,841 (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	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,317	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	232	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	190.84	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	117.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1041237, 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	$5,275,147	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,451,739	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,823,408	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,913,646	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$90,238	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$24,689	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$65,549	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$65,549 (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	123	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,858	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	136	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.32	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	371.2	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	197.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013470, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

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

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,833,610	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,603,564	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,230,046	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$25,183	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,255,229 (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	123	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,346	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	111	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.15	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,378.75	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	255.37	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414034, 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, settled, processed by CMS on 16 July 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,011,972	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,857,256	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$154,716	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$33,751	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $188,467 (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	123	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,000	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	63	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	107.09	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	945.54	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	460.32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 381913, 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 17 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,463,553	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,507,860	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$44,307	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,587	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$35,720 (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	123	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,825	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	129	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	589.86	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	207.95	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 351382, 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 24 June 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,420,269	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,425,281	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$5,012	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,444	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$3,568 (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	123	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,638	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	99	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.58	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	910.09	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	269.07	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 317039, 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 1 August 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,370,520	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,421,069	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$50,549	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$71,783	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $21,234 (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	123	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,812	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	100	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	70.22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	776.58	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	268.12	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 290835, 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 15 September 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,919,216	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,223,108	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$303,892	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$49,568	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$254,324 (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	174	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,749	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	135	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.15	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	341.93	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	190.73	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 263128, 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, settled, processed by CMS on 23 December 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,053,226	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,999,606	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$53,620	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$18,724	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $72,344 (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	174	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,359	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	162	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.72	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	248.84	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	119.5	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 240034, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 3 April 2003 to 31 December 2003 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 6 May 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,224,292	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,501,596	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$277,304	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$140	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$277,164 (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	174	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,736	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	190	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.04	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	189.98	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	145.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 216243, read from the public cost report file SNFFY2003.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
FANNIN COUNTY HOSPITAL AUTHORITY	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 06/01/2024
1008 CITIZENS TRAIL PROPERTY OWNER LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/01/2025
BRADFORD, JEFFREY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2024
FERGUSON, CLAY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2024
JOHNSON, JUSTIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2024
SLIMMER, CHRISTOPHER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2024
WELLTOWER NNN GROUP, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/01/2025
WELLTOWER OP, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/01/2025
HOLT, ERIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/25/2020
KEETON, WENDY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/29/2012
KISSLING, MONICA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 06/27/2017
MCBEAN, PATRICIA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/30/2021
OWENS, ANGELA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 06/22/2016
TROMPLER, KELLY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/22/2022
SANDERSON, CLARK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/29/2012
1008 CITIZENS TRAIL OPCO, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/01/2025
BRADFORD, JEFFREY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2024
FANNIN COUNTY HOSPITAL AUTHORITY	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 06/01/2024
FERGUSON, CLAY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2024
JOHNSON, JUSTIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2024
SLIMMER, CHRISTOPHER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FANNIN COUNTY HOSPITAL AUTHORITY (enrollment ID O20240813001578).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
FANNIN COUNTY HOSPITAL AUTHORITY	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	6/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
1008 CITIZENS TRAIL PROPERTY OWNER 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.	8/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
CHRISTOPHER M SLIMMER	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.	6/1/2024	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.
CLAY WALT FERGUSON	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.	6/1/2024	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.
JEFFREY BRADFORD	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.	6/1/2024	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.
JUSTIN B JOHNSON	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.	6/1/2024	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.
WELLTOWER NNN GROUP, 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.	8/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
WELLTOWER OP, 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.	8/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
ANGELA OWENS	Individual	CORPORATE DIRECTOR	0	6/22/2016	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.
ERIN HOLT	Individual	CORPORATE DIRECTOR	0	2/25/2020	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.
KELLY TROMPLER	Individual	CORPORATE DIRECTOR	0	2/22/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MONICA KISSLING	Individual	CORPORATE DIRECTOR	0	6/27/2017	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.
PATRICIA MCBEAN	Individual	CORPORATE DIRECTOR	0	8/30/2021	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.
WENDY KEETON	Individual	CORPORATE DIRECTOR	0	10/29/2012	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.
CLARK R SANDERSON	Individual	CORPORATE OFFICER	0	10/29/2012	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.
1008 CITIZENS TRAIL OPCO, LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
CHRISTOPHER M SLIMMER	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.	6/1/2024	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.
CLAY WALT FERGUSON	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.	6/1/2024	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.
FANNIN COUNTY HOSPITAL AUTHORITY	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
JEFFREY BRADFORD	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.	6/1/2024	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.
JUSTIN B JOHNSON	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.	6/1/2024	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.

Changes in ownership

1 July 2026: SUMMIT LTC TEXARKANA LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SUMMIT LTC TEXARKANA LLC 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: SUMMIY LTC TEXARKANA PROPERTY LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SUMMIT LTC HOLDCO LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WELLTOWER OP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WELLTOWER NNN GROUP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: 1008 CITIZENS TRAIL PROPERTY OWNER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: 1008 CITIZENS TRAIL OPCO, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 March 2025: JEFFREY BRADFORD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: CHRISTOPHER M SLIMMER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: CHRISTOPHER M SLIMMER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: JEFFREY BRADFORD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: JEFFREY BRADFORD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: FANNIN COUNTY HOSPITAL AUTHORITY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: SUMMIT LTC TEXARKANA LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: SUMMIY LTC TEXARKANA PROPERTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: CLAY WALT FERGUSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: CLAY WALT FERGUSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: JUSTIN B JOHNSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: JUSTIN B JOHNSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: SUMMIT LTC HOLDCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 November 2024: TRACE HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SMBA MANAGEMENT LP no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: HEALTHLINK HOLDINGS, GROUP, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: JAKE H HALLSTED no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: JAKE H HALLSTED no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: BRITTANY CLEVELAND no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: ANDREW HALL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: ANDREW HALL no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: PATRICIA MCBEAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: ERIN HOLT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: WENDY KEETON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: JEFFREY BRADFORD appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: FANNIN COUNTY HOSPITAL AUTHORITY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SUMMIT LTC TEXARKANA LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: CLARK R SANDERSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: KELLY TROMPLER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: MONICA KISSLING appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: ANGELA OWENS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv

Recent changes on this record

1 July 2026: SUMMIT LTC TEXARKANA LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SUMMIT LTC TEXARKANA LLC 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: SUMMIY LTC TEXARKANA PROPERTY LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SUMMIT LTC HOLDCO LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WELLTOWER OP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WELLTOWER NNN GROUP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: 1008 CITIZENS TRAIL PROPERTY OWNER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: 1008 CITIZENS TRAIL OPCO, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 March 2025: JEFFREY BRADFORD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: CHRISTOPHER M SLIMMER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: CHRISTOPHER M SLIMMER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: JEFFREY BRADFORD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: JEFFREY BRADFORD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: FANNIN COUNTY HOSPITAL AUTHORITY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: SUMMIT LTC TEXARKANA LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: SUMMIY LTC TEXARKANA PROPERTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: CLAY WALT FERGUSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: CLAY WALT FERGUSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: JUSTIN B JOHNSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: JUSTIN B JOHNSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: SUMMIT LTC HOLDCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
8 November 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 November 2024: TRACE HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SMBA MANAGEMENT LP no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: HEALTHLINK HOLDINGS, GROUP, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: JAKE H HALLSTED no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: JAKE H HALLSTED no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: BRITTANY CLEVELAND no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: ANDREW HALL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: ANDREW HALL no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: PATRICIA MCBEAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: ERIN HOLT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: WENDY KEETON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: JEFFREY BRADFORD appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: FANNIN COUNTY HOSPITAL AUTHORITY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SUMMIT LTC TEXARKANA LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: CLARK R SANDERSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: KELLY TROMPLER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: MONICA KISSLING appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	20 November 2025	20 November 2025	26	2
2	21 August 2024	21 August 2024	5	4
3	12 July 2023	12 July 2023	21	3

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

Deficiencies cited

52 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
20 November 2025	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	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 November 2025
20 November 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 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.	E	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	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 November 2025
20 November 2025	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	E	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 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.	E	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0806	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	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 November 2025
20 November 2025	Health	F 0813	Nutrition and Dietary Deficiencies	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	F	No	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0926	Environmental Deficiencies	Have policies on smoking.	D	No	Deficient, Provider has date of correction	21 November 2025
21 August 2024	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D	No	Deficient, Provider has date of correction	22 August 2024
21 August 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	22 August 2024
21 August 2024	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	22 August 2024
21 August 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	22 August 2024
21 August 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	22 August 2024
17 July 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J	Yes	Past Non-Compliance	8 October 2023
17 July 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	J	Yes	Past Non-Compliance	8 October 2023
24 February 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	K	Yes	Deficient, Provider has date of correction	13 March 2024
24 February 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	K	Yes	Deficient, Provider has date of correction	13 March 2024
24 February 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.	K	Yes	Deficient, Provider has date of correction	13 March 2024
24 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	13 March 2024
24 February 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G	Yes	Deficient, Provider has date of correction	13 March 2024
12 July 2023	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E	No	Deficient, Provider has date of correction	9 August 2023
12 July 2023	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	9 August 2023
12 July 2023	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 August 2023
12 July 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	9 August 2023
12 July 2023	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.	E	No	Deficient, Provider has date of correction	9 August 2023
12 July 2023	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D	No	Deficient, Provider has date of correction	9 August 2023
12 July 2023	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	9 August 2023
12 July 2023	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.	J	No	Deficient, Provider has date of correction	9 August 2023
12 July 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	9 August 2023
12 July 2023	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	9 August 2023
12 July 2023	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	No	Deficient, Provider has date of correction	9 August 2023
12 July 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	9 August 2023
12 July 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	9 August 2023
12 July 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	9 August 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
17 July 2024	Fine	$16,055			113040
24 February 2024	Fine	$104,696			112386

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	FANNIN COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid Services	2003-04-03
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Bowie
Telephone Number	9038389526
Chain Name	AVIR HEALTH GROUP
Chain ID	719
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	114
Average Number of Residents per Day	52.1
Overall Rating	1
Health Inspection Rating	1
QM Rating	2
Long-Stay QM Rating	3
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.

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On 1 July 2026: SUMMIT LTC TEXARKANA LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Avir at Citizens Trail

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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