Skilled nursing facility · CMS certification number 675963
North Pointe Nursing and Rehabilitation
Watauga, Texas · Medicare and Medicaid · 126 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 3 · Fines: 3 · Fines, total amount: $36,475.00 · Payment denials: 0. The most recent penalty on file: September 11, 2025, Fine, $9,293. Every penalty on file ↓
North Pointe Nursing and Rehabilitation: 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 fell from $4.9M in fiscal year 2023 to $4.8M in fiscal year 2024.
- Its result from service to patients: −$1.2M (2022), −$1.0M (2023), −$772K (2024).
- Its cost reports on file run from fiscal year 2003 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on August 28, 2025, 1 change is listed on this record: a deficiency.
- Its net patient revenue of $4.8M ranks 477th 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.
North Pointe Nursing and Rehabilitation: Medicare cost reports
| Form CMS-2540-10 | 2024 · report 1436038 | 2023 · report 1390748 | 2022 · report 1361834 | 2021 · report 1328814 | 2020 · report 1302256 | 2019 · report 1257447 | 2018 · report 1223055 | 2017 · report 1201462 | 2016 · report 1169231 | 2015 · report 1125092 | 2014 · report 1104761 | 2013 · report 1069102 | 2012 · report 1038913 | 2011 · report 1014728 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | January 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 | November 30, 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 |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled | settled | settled |
| Processed by CMS | August 28, 2025 | July 31, 2024 | August 10, 2023 | August 3, 2022 | October 20, 2021 | June 10, 2020 | April 18, 2019 | July 19, 2018 | July 17, 2017 | May 31, 2016 | July 25, 2015 | June 26, 2014 | June 25, 2013 | October 26, 2012 |
| Total patient revenue | $5,483,795 | $5,767,190 | $5,825,031 | $5,187,382 | $4,400,878 | $5,928,301 | $5,956,967 | $7,220,136 | $7,673,317 | $7,219,470 | $6,753,703 | $6,504,034 | $7,080,309 | $7,366,951 |
| Contractual allowances and discounts | $682,406 | $853,659 | $687,676 | $515,316 | $495,560 | $778,120 | $506,702 | $173,054 | $134,603 | $208,113 | $205,076 | $650,132 | $661,740 | $464,792 |
| Net patient revenue | $4,801,389 | $4,913,531 | $5,137,355 | $4,672,066 | $3,905,318 | $5,150,181 | $5,450,265 | $7,047,082 | $7,538,714 | $7,011,357 | $6,548,627 | $5,853,902 | $6,418,569 | $6,902,159 |
| Total operating expenses | $5,573,107 | $5,938,530 | $6,306,933 | $5,279,624 | $5,838,025 | $5,771,182 | $5,567,134 | $6,572,473 | $6,356,959 | $6,214,572 | $6,101,981 | $5,781,363 | $6,090,815 | $6,044,243 |
| Net income from service to patients | −$771,718 | −$1,024,999 | −$1,169,578 | −$607,558 | −$1,932,707 | −$621,001 | −$116,869 | $474,609 | $1,181,755 | $796,785 | $446,646 | $72,539 | $327,754 | $857,916 |
| Total other income | $624,444 | $891,736 | $947,639 | $883,123 | −$760,064 | $12,316 | $7,252 | $8,507 | $13,320 | $5,551 | $1,636 | $1,383 | $1,967 | $1,308 |
| Net income after other income | −$147,274 | −$133,263 | −$221,939 | $275,565 | −$2,692,771 | −$608,685 | −$109,617 | $483,116 | $1,195,075 | $802,336 | $448,282 | $73,922 | $329,721 | $859,224 |
| Net income | −$147,274 | −$133,263 | −$221,939 | $275,565 | −$558,109 | −$608,685 | −$109,617 | $483,116 | $1,195,075 | $802,336 | $448,282 | $73,922 | $329,721 | $859,224 |
| Total facility beds, all components | 126 | 126 | 126 | 126 | 130 | 130 | 130 | 130 | 130 | 130 | 130 | 130 | 130 | 130 |
| Bed days available, all components | 46,116 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,379 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 25,581 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 5,867 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 32,827 | 22,731 | 26,065 | 21,530 | 28,584 | 27,241 | 27,546 | 33,629 | 37,348 | 35,726 | 34,196 | 34,280 | 36,098 | 37,191 |
| Medicare discharges | 31 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 142 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 119 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 292 | 169 | 207 | 151 | 51 | 124 | 103 | 266 | 141 | 173 | 99 | 135 | 222 | 216 |
| Average length of stay, Medicare, in days | 44.48 | 38.78 | 40 | 34.63 | 49.33 | 102.33 | 60.47 | 74.48 | 99.97 | 78.47 | 101.04 | 86.03 | 68.89 | 58.14 |
| Average length of stay, Medicaid, in days | 180.15 | 249.39 | 224.3 | 288.66 | 933.21 | 277.52 | 419.61 | 197.04 | 963.27 | 622.72 | 1,330.95 | 584.78 | 414.14 | 537.25 |
| Average length of stay, all patients, in days | 112.42 | 134.5 | 125.92 | 142.58 | 560.47 | 219.69 | 267.44 | 126.42 | 264.88 | 206.51 | 345.41 | 253.93 | 162.6 | 172.18 |
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 414051 | 2009 · report 372426 | 2008 · report 350269 | 2007 · report 320718 | 2006 · report 291812 | 2005 · report 259920 | 2004 · report 228957 | 2003 · report 199571 |
|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | August 1, 2003 |
| 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 |
| Days, where not a full year | — | — | — | — | — | — | — | 152 |
| Processed by CMS | August 1, 2011 | June 4, 2010 | July 14, 2009 | July 23, 2008 | August 13, 2007 | July 27, 2006 | July 26, 2005 | November 12, 2004 |
| Net patient revenue | $5,930,280 | $5,671,576 | $6,026,130 | $6,094,845 | $6,139,784 | $5,553,006 | $4,890,104 | $1,733,925 |
| Total operating expenses | $5,576,384 | $5,418,534 | $5,266,491 | $5,546,059 | $5,765,262 | $5,378,487 | $5,035,933 | $1,840,517 |
| Net income from service to patients | $353,896 | $253,042 | $759,639 | $548,786 | $374,522 | $174,519 | −$145,829 | −$106,592 |
| Total other income | $2,176 | $4,892 | $11,073 | $6,971 | $2,736 | $6,869 | $8,009 | $2,568 |
| Net income | $356,072 | $257,934 | $770,712 | $555,757 | $377,258 | $181,388 | −$137,820 | −$104,024 |
| Total facility beds, all components | 130 | 130 | 130 | 130 | 130 | 130 | 130 | 130 |
| Total patient days, all components | 35,945 | 35,461 | 38,424 | 44,664 | 45,380 | 42,179 | 37,522 | 13,501 |
| Total discharges, all components | 242 | 224 | 301 | 221 | 329 | 241 | 303 | 119 |
| Average length of stay, Medicare, in days | 60.81 | 75.09 | 45.51 | 75.58 | 69.08 | 79.92 | 48.05 | 28.94 |
| Average length of stay, Medicaid, in days | 571.41 | 588.31 | 427.82 | 655.38 | 214.36 | 412.24 | 209.3 | 221.56 |
| Average length of stay, all patients, in days | 148.53 | 158.31 | 127.65 | 202.1 | 137.93 | 175.02 | 123.83 | 113.45 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003. Checked against the form’s own arithmetic: what that check shows.
North Pointe Nursing and Rehabilitation: nurse staffing hours by quarter →
Who owns North Pointe Nursing and Rehabilitation, as filed with CMS
Care Compare
- OPERATIONAL/MANAGERIAL CONTROL: BLAKE, GARY (individual), since 12/01/2020; BLAKE, MALISA (individual), since 12/01/2020; CREATIVE SOLUTIONS IN HEALTHCARE INC (organization), since 12/01/2020
- W-2 MANAGING EMPLOYEE: HUGGINS, LINDA (individual), since 12/01/2020
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 WATAUGA I ENTERPRISES, LLC (enrollment ID O20201201001353).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: HONOR X ENTERPRISES, LLC (organization), 100.00%, since 12/01/2020
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: GARY R BLAKE (individual), 50.00%, since 12/01/2020; MALISA A BLAKE (individual), 50.00%, since 12/01/2020
- OPERATIONAL/MANAGERIAL CONTROL: CREATIVE SOLUTIONS IN HEALTHCARE INC (organization), 100.00%, since 12/01/2020; GARY R BLAKE (individual), 50.00%, since 12/01/2020; MALISA A BLAKE (individual), 50.00%, since 12/01/2020
- W-2 MANAGING EMPLOYEE: LINDA F HUGGINS (individual), 0.00%, since 12/01/2020
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
- August 12, 2026: A deficiency was cited under tag F 0842, scope and severity D. NH_HealthCitations_Oct2026.csv
Inspections of North Pointe Nursing and Rehabilitation
- Cycle 1: health June 25, 2026 (3 deficiencies), fire safety June 25, 2026 (5)
- Cycle 2: health April 17, 2025 (12 deficiencies), fire safety April 17, 2025 (3)
- Cycle 3: health March 8, 2024 (11 deficiencies), fire safety March 8, 2024 (4)
Deficiencies cited at North Pointe Nursing and Rehabilitation
26 deficiencies on file, by tag, newest citation first
every one from a health inspection; 13 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0842, resident assessment and care planning: August 12, 2026 (D, from a complaint, Deficient, Provider has no plan of correction); April 17, 2025 (D, Deficient, Provider has date of correction, corrected April 18, 2025).
- F 0695, quality of life and care: June 25, 2026 (D, Deficient, Provider has date of correction, corrected June 26, 2026).
- F 0760, pharmacy service: June 25, 2026 (D, Deficient, Provider has date of correction, corrected June 26, 2026).
- F 0689, quality of life and care: September 11, 2025 (K, from a complaint, Deficient, Provider has date of correction, corrected September 12, 2025); March 8, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected April 23, 2024).
- F 0600, freedom from abuse, neglect, and exploitation: June 27, 2025 (J, from a complaint, Past Non-Compliance, corrected May 5, 2025); February 25, 2025 (D, from a complaint, Past Non-Compliance, corrected July 10, 2024); August 17, 2024 (J, from a complaint, Deficient, Provider has date of correction, corrected August 18, 2024).
- F 0550, resident rights: April 17, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected April 18, 2025).
- F 0656, resident assessment and care planning: April 17, 2025 (D, Deficient, Provider has date of correction, corrected April 18, 2025).
- F 0677, quality of life and care: April 17, 2025 (E, Deficient, Provider has date of correction, corrected April 18, 2025).
- F 0684, quality of life and care: April 17, 2025 (E, Deficient, Provider has date of correction, corrected April 18, 2025); March 8, 2024 (E, Deficient, Provider has date of correction, corrected March 11, 2024).
- F 0687, quality of life and care: April 17, 2025 (D, Deficient, Provider has date of correction, corrected April 18, 2025).
- F 0694, quality of life and care: April 17, 2025 (D, Deficient, Provider has date of correction, corrected April 18, 2025).
- F 0759, pharmacy service: April 17, 2025 (E, Deficient, Provider has date of correction, corrected April 18, 2025).
- F 0761, pharmacy service: April 17, 2025 (D, Deficient, Provider has date of correction, corrected April 18, 2025).
- F 0686, quality of life and care: September 23, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected September 24, 2024).
- F 0690, quality of life and care: September 23, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected September 24, 2024).
- F 0880, infection control: September 23, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected September 24, 2024).
- F 0607, freedom from abuse, neglect, and exploitation: August 17, 2024 (J, from a complaint, Deficient, Provider has date of correction, corrected August 18, 2024).
- F 0655, resident assessment and care planning: August 17, 2024 (J, from a complaint, Deficient, Provider has date of correction, corrected August 18, 2024).
- F 0688, quality of life and care: March 8, 2024 (D, Deficient, Provider has date of correction, corrected March 11, 2024).
- F 0755, pharmacy service: March 8, 2024 (D, Deficient, Provider has date of correction, corrected March 11, 2024).
- F 0919, environmental: March 8, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected March 11, 2024).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| September 11, 2025 | Fine | $9,293 | 135540 | ||
| June 27, 2025 | Fine | $17,649 | 134503 | ||
| August 17, 2024 | Fine | $9,533 | 113224 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
North Pointe Nursing and Rehabilitation in Care Compare
- Ownership Type: For profit - Individual
- Legal Business Name: WATAUGA I ENTERPRISES, LLC
- Date First Approved to Provide Medicare and Medicaid Services: 2003-04-10
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Tarrant
- Telephone Number: 8174987220
- 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: 48.6
- Overall Rating: 1
- Health Inspection Rating: 2
- QM Rating: 2
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 1
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for North Pointe Nursing and Rehabilitation: no change in ownership since September 20, 2022.
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Report a figure on North Pointe Nursing and Rehabilitation’s record that differs from its CMS file, quoting 675963.