Skilled nursing facility · CMS certification number 675985

Focused Care at Midland

Midland, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 106

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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 March 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$8,363,069	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,839,228	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,523,841	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,913,994	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$390,153	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$623,727	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$233,574	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $233,574 (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	112	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	40,992	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,219	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	27,491	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,011	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	30,721	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	10	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	75	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	3	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	88	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	121.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	366.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	349.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1404715, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 September 2023

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 April 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$8,270,859	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,185,009	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,085,850	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,624,297	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$538,447	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$410,278	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$128,169	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$128,169 (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	112	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,250	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	60	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	121.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	555.72	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	520.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375914, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$7,084,636	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,915,931	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,168,705	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,342,249	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,173,544	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$727,709	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$445,835	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$445,835 (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	112	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,390	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	60	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	492.34	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	456.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1345872, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 September 2021

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$7,749,731	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,377,954	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,371,777	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,760,587	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,388,810	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,068,889	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$319,921	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$319,921 (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	112	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,725	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	65.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	447.72	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	347.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313917, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 30 September 2020

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 March 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$9,142,162	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,876,190	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,265,972	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,058,990	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$793,018	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$918,595	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$125,577	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $125,577 (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	112	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,104	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	178	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	184.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	150.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	129.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281609, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 September 2019

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$8,757,780	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,463,542	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,294,238	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,340,740	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,046,502	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$206,846	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$839,656	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$839,656 (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	112	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,301	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	161	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	138.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	202.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	188.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254295, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 30 September 2018

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$5,238,769	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$761,550	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,477,219	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,479,027	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,808	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$167,602	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$165,794	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $165,794 (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	112	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,896	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	24	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	84.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,151.69	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,245.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241864, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 30 September 2017

Cost report for 1 April 2017 to 30 September 2017 — a reporting period of 182 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 10 December 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,333,494	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$381,407	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,952,087	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,507,852	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$444,235	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,775	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$446,010	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $446,010 (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	112	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,040	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	53	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	154	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	375.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	302.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1215331, 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 22 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$6,508,156	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$694,445	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,813,711	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,664,296	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,149,415	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$582	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,149,997	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,149,997 (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	112	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,415	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	115	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	177.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,554.37	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	299.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174470, 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 23 June 2016.

None of these figures is carried on this report.

CMS report record 1131655, read from the public cost report file SNF10FY2015.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 18 September 2014.

None of these figures is carried on this report.

CMS report record 1078192, 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.

None of these figures is carried on this report.

CMS report record 1042476, 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-2540-96, settled, processed by CMS on 25 September 2012.

None of these figures is carried on this report.

CMS report record 432521, read from the public cost report file SNFFY2011.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 8 September 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,623,739	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,800,974	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$177,235	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$380	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$176,855 (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	112	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,412	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	25	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	7,431	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,376.48	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 417008, 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 21 June 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,532,022	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,640,029	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$108,007	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,353	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$106,654 (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	112	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,860	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	1,348	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	15.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	25.26	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	25.12	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 376485, 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 5 June 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,695,357	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,946,054	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$250,697	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$250,697 (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	112	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	37,473	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	1,419	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	43.25	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	26.24	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	26.41	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 342277, 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 23 July 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,981,591	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,603,844	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$377,747	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,101	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $378,848 (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	112	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	37,950	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	1,432	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.06	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	26.24	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	26.5	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 318809, 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 30 October 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,309,274	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,229,384	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$79,890	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $79,890 (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	112	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,682	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	1,395	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	83	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	26.28	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	26.3	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 295380, 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 3 November 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,254,693	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,424,084	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$169,391	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$169,391 (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	112	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,887	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	1,401	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	26.29	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	26.33	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 265700, 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 1 March 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,488,027	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,341,783	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$146,244	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $146,244 (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	112	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	37,263	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	1,384	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	93.69	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	26.31	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	26.92	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 243992, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 18 August 2003 to 31 December 2003 — a reporting period of 135 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 30 December 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$1,463,557	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,542,534	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$78,977	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$78,977 (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	112	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,222	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	580	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.29	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	26.3	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	26.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 203820, 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
CONLEY, SHAWN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2017
FOCUSED POST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/24/2025
FOCUSED POST ACUTE CARE PARTNERS II LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/22/2025
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/24/2025
FPACP MIDLAND	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/24/2025
HUGHETT, KIMBERLEE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/26/2019
MCKENZIE, MARK	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2017
MILSTEAD, SAMANTHA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/27/2022
STRUBBE, LORETTA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2017
BOWERMAN, STEPHEN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2023
CHAPLIN, CARI	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/01/2017
FLORES, THOMAS	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 05/01/2023
GOLDAPP, SHANNON	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/01/2024
GREENE, TRACIE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/01/2017
GRIMES, DAVID	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/01/2017
MCKENZIE, MARK	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/01/2017
BOWERMAN, STEPHEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2023
CONLEY, SHAWN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2017
FOCUSED POST	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 11/01/2017
FOCUSED POST ACUTE CARE PARTNERS II LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 11/01/2017
FOCUSED POST ACUTE CARE PARTNERS LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 11/01/2017
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 11/01/2017
FPACP MIDLAND	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 11/01/2017
HUGHETT, KIMBERLEE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/26/2019
MCKENZIE, MARK	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2017
MIDLAND COUNTY HOSPITAL DISTRICT	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/01/2017
MILSTEAD, SAMANTHA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/27/2022
STRUBBE, LORETTA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2017

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MIDLAND COUNTY HOSPITAL DISTRICT (enrollment ID O20170831002501).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
MIDLAND COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
FOCUSED POST	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/24/2025	Private equity company: No Real estate investment trust: No Holding company: No
FOCUSED POST ACUTE CARE PARTNERS II LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/22/2025	Private equity company: No Real estate investment trust: No Holding company: No
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/24/2025	Private equity company: No Real estate investment trust: No Holding company: No
FPACP MIDLAND	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/24/2025	Private equity company: No Real estate investment trust: No Holding company: No
KIMBERLEE J HUGHETT	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.	8/26/2019	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.
LORETTA STRUBBE	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.	11/1/2017	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.
MARK S MCKENZIE	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.	11/1/2017	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.
SAMANTHA MILSTEAD	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.	6/27/2022	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.
SHAWN L CONLEY	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.	11/1/2017	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.
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.	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.	11/1/2017	Private equity company: No Real estate investment trust: Yes Holding company: No
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.	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.	11/1/2017	Private equity company: No Real estate investment trust: Yes Holding company: No
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.	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.	11/1/2017	Private equity company: No Real estate investment trust: Yes Holding company: No
CARI CHAPLIN	Individual	MANAGING CONTROL - GOVERNING BODY	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.	11/1/2017	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.
DAVID GRIMES	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2017	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.
MARK S MCKENZIE	Individual	MANAGING CONTROL - GOVERNING BODY	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.	11/1/2017	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.
SHANNON M GOLDAPP	Individual	MANAGING CONTROL - GOVERNING BODY	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.	11/1/2024	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.
STEPHEN BOWERMAN	Individual	MANAGING CONTROL - GOVERNING BODY	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.	1/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THOMAS S FLORES	Individual	MANAGING CONTROL - GOVERNING BODY	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.	5/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRACIE GREENE	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2017	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.
FOCUSED POST	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.	11/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
FOCUSED POST ACUTE CARE PARTNERS II 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.	11/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
FOCUSED POST ACUTE CARE PARTNERS 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.	11/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, 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.	11/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
FPACP MIDLAND	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	11/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
KIMBERLEE J HUGHETT	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.	8/26/2019	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.
LORETTA STRUBBE	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	11/1/2017	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.
MARK S MCKENZIE	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.	11/1/2017	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.
MIDLAND COUNTY HOSPITAL DISTRICT	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
SAMANTHA MILSTEAD	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.	6/27/2022	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.
SHAWN L CONLEY	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.	11/1/2017	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.
STEPHEN BOWERMAN	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.	1/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 October 2025: TRACIE GREENE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: LORETTA STRUBBE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: JEFFREY BEARD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DWAINE TOMLIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SHAWN L CONLEY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: PAUL R MEYERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DAVID GRIMES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARK S MCKENZIE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARK S MCKENZIE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARK S MCKENZIE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST ACUTE CARE PARTNERS II LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ANTONIO MIRAMONTES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: CARI CHAPLIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST ACUTE CARE PARTNERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SAMANTHA MILSTEAD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SAMANTHA MILSTEAD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SHANNON M GOLDAPP appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: THOMAS S FLORES appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRACIE GREENE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: LORETTA STRUBBE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SHAWN L CONLEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DAVID GRIMES appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: STEPHEN BOWERMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: STEPHEN BOWERMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARK S MCKENZIE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARK S MCKENZIE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FPACP MIDLAND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST ACUTE CARE PARTNERS II LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST ACUTE CARE PARTNERS II LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KIMBERLEE J HUGHETT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KIMBERLEE J HUGHETT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: CARI CHAPLIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 February 2025: LARRY MERCER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 January 2023: THCM, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: RYAN C HARRINGTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: PAUL R MEYERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: LYNN R WHITE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ROBERT A JOHNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: LARRY MERCER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: TRACIE GREENE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: MIDLAND COUNTY HOSPITAL DISTRICT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: JEFFREY BEARD appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: DWAINE TOMLIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: DAVID GRIMES appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: MARK S MCKENZIE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: MARK S MCKENZIE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ANTONIO MIRAMONTES appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: CARI CHAPLIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv

Recent changes on this record

1 October 2025: TRACIE GREENE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: LORETTA STRUBBE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: JEFFREY BEARD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DWAINE TOMLIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SHAWN L CONLEY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: PAUL R MEYERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DAVID GRIMES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARK S MCKENZIE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARK S MCKENZIE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARK S MCKENZIE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST ACUTE CARE PARTNERS II LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ANTONIO MIRAMONTES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: CARI CHAPLIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST ACUTE CARE PARTNERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SAMANTHA MILSTEAD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SAMANTHA MILSTEAD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SHANNON M GOLDAPP appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: THOMAS S FLORES appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRACIE GREENE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: LORETTA STRUBBE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SHAWN L CONLEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DAVID GRIMES appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: STEPHEN BOWERMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: STEPHEN BOWERMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARK S MCKENZIE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MARK S MCKENZIE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FPACP MIDLAND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST ACUTE CARE PARTNERS II LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST ACUTE CARE PARTNERS II LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KIMBERLEE J HUGHETT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KIMBERLEE J HUGHETT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: CARI CHAPLIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
5 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 February 2025: LARRY MERCER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
10 April 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	19 June 2025	19 June 2025	14	2
2	11 April 2024	11 April 2024	18	13
3	9 March 2023	9 March 2023	16	1

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

Deficiencies cited

48 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
11 June 2026	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has no plan of correction
11 June 2026	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has no plan of correction
11 June 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has no plan of correction
23 April 2026	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	Yes	Deficient, Provider has date of correction	6 June 2026
23 April 2026	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	D	Yes	Deficient, Provider has date of correction	6 June 2026
12 December 2025	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	C	Yes	Deficient, Provider has date of correction	23 January 2026
2 August 2025	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	Yes	Deficient, Provider has date of correction	2 September 2025
2 August 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	Yes	Deficient, Provider has date of correction	2 September 2025
2 August 2025	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	B	Yes	Deficient, Provider has date of correction	2 September 2025
2 August 2025	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	Yes	Deficient, Provider has date of correction	2 September 2025
19 June 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	Yes	Deficient, Provider has date of correction	19 July 2025
19 June 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	19 July 2025
19 June 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.	E	Yes	Deficient, Provider has date of correction	19 July 2025
19 June 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	Yes	Deficient, Provider has date of correction	19 July 2025
6 May 2025	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	Yes	Deficient, Provider has date of correction	2 June 2025
6 May 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.	D	Yes	Deficient, Provider has date of correction	2 June 2025
6 May 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.	J	Yes	Deficient, Provider has date of correction	2 June 2025
25 September 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	Yes	Deficient, Provider has date of correction	17 October 2024
25 September 2024	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	Yes	Deficient, Provider has date of correction	17 October 2024
25 September 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	17 October 2024
25 September 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	Yes	Deficient, Provider has date of correction	17 October 2024
29 August 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.	E	Yes	Deficient, Provider has date of correction	22 September 2024
29 August 2024	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	Yes	Deficient, Provider has date of correction	22 September 2024
29 August 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	22 September 2024
15 July 2024	Health	F 0575	Resident Rights Deficiencies	Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.	C	Yes	Deficient, Provider has plan of correction	16 July 2024
11 April 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	4 May 2024
11 April 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.	E	No	Deficient, Provider has date of correction	4 May 2024
11 April 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.	E	No	Deficient, Provider has date of correction	4 May 2024
11 April 2024	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	4 May 2024
11 April 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	4 May 2024
11 April 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	4 May 2024
11 April 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	No	Deficient, Provider has date of correction	4 May 2024
11 April 2024	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	No	Deficient, Provider has date of correction	4 May 2024
11 February 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.	E	Yes	Deficient, Provider has date of correction	15 February 2024
11 February 2024	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	Yes	Deficient, Provider has date of correction	15 February 2024
9 March 2023	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	E	No	Deficient, Provider has date of correction	22 April 2023
9 March 2023	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E	No	Deficient, Provider has date of correction	22 April 2023
9 March 2023	Health	F 0636	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D	No	Deficient, Provider has date of correction	22 April 2023
9 March 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.	D	No	Deficient, Provider has date of correction	22 April 2023
9 March 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.	E	No	Deficient, Provider has date of correction	22 April 2023
9 March 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	22 April 2023
9 March 2023	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	22 April 2023
9 March 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	22 April 2023
9 March 2023	Health	F 0867	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	E	No	Deficient, Provider has date of correction	22 April 2023
9 March 2023	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	E	No	Deficient, Provider has date of correction	22 April 2023
9 March 2023	Health	F 0914	Environmental Deficiencies	Provide bedrooms that don't allow residents to see each other when privacy is needed.	E	No	Deficient, Provider has date of correction	22 April 2023
9 March 2023	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	No	Deficient, Provider has date of correction	22 April 2023
9 March 2023	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	F	No	Deficient, Provider has date of correction	22 April 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
6 May 2025	Fine	$9,281			113836

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	MIDLAND COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2003-08-18
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Midland
Telephone Number	4326861898
Chain Name	FOCUSED POST ACUTE CARE PARTNERS
Chain ID	224
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	106
Average Number of Residents per Day	83.0
Overall Rating	2
Health Inspection Rating	2
QM Rating	2
Long-Stay QM Rating	2
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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One email a day naming what moved on Focused Care at Midland: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 October 2025: TRACIE GREENE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Focused Care at Midland

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.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 675985.