Skilled nursing facility · CMS certification number 675991
PARK MANOR OF HUMBLE
HUMBLE, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 125
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $181,138.00 · Payment denials: 0. The most recent penalty on file: March 14, 2024, Fine, $181,138. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
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 September 1, 2024 to August 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,087,736 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,154,091 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,933,645 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,555,029 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $378,616 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,460 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $382,076 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $382,076 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 45,625 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,869 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 20,613 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,592 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 33,074 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 68 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 63 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 378 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 509 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 327.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1451117, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended August 31, 2024
Cost report for September 1, 2023 to August 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 18, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,640,568 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,574,726 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,065,842 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,868,445 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$802,603 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,150,242 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $347,639 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $347,639 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,337 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 612 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 257.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403846, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended August 31, 2023
Cost report for September 1, 2022 to August 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 14, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,263,604 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,171,837 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,091,767 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,054,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$962,508 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,433,558 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $471,050 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $471,050 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,156 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 518 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 310.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402232, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended August 31, 2022
Cost report for September 1, 2021 to August 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,674,526 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,496,149 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,178,377 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,296,409 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,118,032 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,308,306 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $190,274 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $190,274 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,105 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 784 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 268.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 37.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372314, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended August 31, 2021
Cost report for September 1, 2020 to August 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 19, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,742,410 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,938,779 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,803,631 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,532,019 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,728,388 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,607 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,706,781 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,706,781 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,574 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 559 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 287.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1352750, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended August 31, 2020
Cost report for January 1, 2020 to August 31, 2020 — a reporting period of 243 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 13, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,664,946 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,033,282 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,631,664 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,242,513 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$610,849 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,443 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$608,406 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$608,406 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,728 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 335 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 411.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1316070, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 3, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,472,664 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,588,480 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,884,184 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,194,107 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,309,923 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,935,575 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$374,348 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$374,348 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,415 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 614 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 315.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1311305, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 25, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,191,985 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,395,819 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,796,166 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,317,930 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$521,764 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,380 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$512,384 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$512,384 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,386 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 669 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 51.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1264973, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for March 31, 2017 to December 31, 2017 — a reporting period of 275 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 19, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,424,573 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,300,897 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,123,676 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,062,416 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $61,260 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,759 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $65,019 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $65,019 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,950 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 458 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 179.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1248409, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 5, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,944,714 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,996,759 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,947,955 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,957,921 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,966 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,687 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,279 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,279 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,410 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 564 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 228.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214966, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 21, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,492,751 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,799,293 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,693,458 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,832,460 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,139,002 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,142 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,130,860 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,130,860 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,553 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 490 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 283.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181237, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 12, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,036,398 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,530,232 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,506,166 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,592,740 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $913,426 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,255 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $923,681 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $923,681 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,171 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 571 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148380, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 8, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,161,361 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,007,470 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,153,891 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,594,675 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $559,216 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,211 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $568,427 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $568,427 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,327 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 587 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 323.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1114130, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,237,737 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,528,813 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,708,924 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,505,264 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $203,660 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $374,194 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $577,854 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $577,854 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,129 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 371 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 764.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1041169, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 10, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,484,174 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,999,884 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,484,290 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,876,072 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $608,218 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,128 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $612,346 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $612,346 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,374 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 492 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 301.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1051909, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,802,167 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,786,907 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,015,260 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,860 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,035,120 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,042 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 449 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,881.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417010, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,296,739 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,367,218 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $929,521 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,062 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $945,583 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,592 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 535 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 245.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 70.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 383355, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,538,828 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,427,230 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,111,598 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,007 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,137,605 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,842 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 594 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 227.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 65.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 349724, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 17, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,297,942 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,250,836 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,047,106 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,512 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,090,618 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,981 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 574 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 180.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 328527, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 25, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,788,569 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,749,859 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,038,710 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,172 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,068,882 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,098 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 522 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 174.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 76.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 289583, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 26, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,102,169 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,324,436 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $777,733 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,661 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $780,394 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,859 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 393 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 204.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 96.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 255697, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended August 31, 2004
Cost report for October 23, 2003 to August 31, 2004 — a reporting period of 313 days, on form CMS-2540-96, settled, processed by CMS on August 15, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,682,722 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,738,178 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$55,456 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,991 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$49,465 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,028 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 331 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 115.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 63.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230771, read from the public cost report file SNFFY2004.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.
Ownership, as filed with CMS
Care Compare
As filed (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CIBC BANK USA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/01/2018 |
| FORVIS MAZARS LLP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/01/2018 |
| SABRA HEALTH CARE REIT INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/01/2018 |
| ZIONS BANCORPORATION | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/01/2018 |
| BALSAMO, KRYSTAL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2018 |
| CANNON, CRAIG | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/15/2021 |
| CULP, ROLAND | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2018 |
| DASPIT, LAURENCE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2018 |
| DOHN, WILLIAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2018 |
| HEALTHMARK GROUP LTD | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/22/2025 |
| HM GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/22/2025 |
| HMG HEALTHCARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/22/2025 |
| MYLES, ARDRILA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/24/2023 |
| PICO, ANA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2018 |
| PRINCE, DEREK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2018 |
| REINARZ, CHRISTIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2018 |
| ROGERS, DENISE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/02/2021 |
| STANBRIDGE, NORMA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2018 |
| STRAMECKI, ANTHONY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/01/2016 |
| BALSAMO, KRYSTAL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
| CANNON, CRAIG | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/15/2021 |
| CULP, ROLAND | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
| DASPIT, LAURENCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
| DOHN, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
| HMG PARK MANOR OF HUMBLE, L.L.C. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/31/2017 |
| MURRELL, EDWARD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
| MYLES, ARDRILA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/24/2023 |
| PICO, ANA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
| PRINCE, DEREK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
| REINARZ, CHRISTIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
| ROGERS, DENISE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/02/2021 |
| ROLLO, JEFFERY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
| STRAMECKI, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
| VRATIS, KACEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
| WAY, GEORGE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of WINNIE-STOWELL HOSPITAL DISTRICT (enrollment ID O20170811002629).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CIBC BANK USA | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| FORVIS MAZARS LLP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| SABRA HEALTH CARE REIT INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2018 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| WINNIE-STOWELL HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Not stated in the filing | 04/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| ZIONS BANCORPORATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANA I PICO | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33.00 | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEREK L PRINCE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33.00 | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURENCE C DASPIT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33.00 | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROLAND WAYNE CULP | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33.00 | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANA I PICO | Individual | ADP OF THE SNF | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ARDRILA MYLES | Individual | ADP OF THE SNF | Not stated in the filing | 01/24/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTIAN REINARZ | Individual | ADP OF THE SNF | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CRAIG CANNON | Individual | ADP OF THE SNF | Not stated in the filing | 02/15/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENISE ROGERS | Individual | ADP OF THE SNF | Not stated in the filing | 03/02/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEREK L PRINCE | Individual | ADP OF THE SNF | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEALTHMARK GROUP LTD | Organization | ADP OF THE SNF | Not stated in the filing | 07/22/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| HM GROUP LLC | Organization | ADP OF THE SNF | Not stated in the filing | 07/22/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| HMG HEALTHCARE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 07/22/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| KRYSTAL BALSAMO | Individual | ADP OF THE SNF | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURENCE C DASPIT | Individual | ADP OF THE SNF | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NORMA STANBRIDGE | Individual | ADP OF THE SNF | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROLAND WAYNE CULP | Individual | ADP OF THE SNF | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM W DOHN | Individual | ADP OF THE SNF | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY STRAMECKI | Individual | CORPORATE DIRECTOR | 100.00 | 11/01/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANA I PICO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY STRAMECKI | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100.00 | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ARDRILA MYLES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 01/24/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTIAN REINARZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CRAIG CANNON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 02/15/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENISE ROGERS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 03/02/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEREK L PRINCE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 33.33 | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EDWARD R MURRELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GEORGE WAY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HMG PARK MANOR OF HUMBLE, L.L.C. | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100.00 | 03/31/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| JEFFERY ROLLO | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100.00 | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KACEY VRATIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRYSTAL BALSAMO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURENCE C DASPIT | Individual | OPERATIONAL/MANAGERIAL CONTROL | 33.33 | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROLAND WAYNE CULP | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM W DOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2025: DEREK L PRINCE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HM GROUP LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JEFFERY ROLLO no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HMG HEALTHCARE LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BRYANT SAM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAURENCE C DASPIT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHERRIE NORRIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HEALTHMARK GROUP, LTD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: EDWARD R MURRELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ROLAND WAYNE CULP no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEREK L PRINCE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEREK L PRINCE (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ZIONS BANCORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CIBC BANK USA (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HM GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTIAN REINARZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTIAN REINARZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KACEY VRATIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FORVIS MAZARS LLP (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HMG HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WILLIAM W DOHN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WILLIAM W DOHN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAURENCE C DASPIT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAURENCE C DASPIT (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GEORGE WAY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DENISE ROGERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DENISE ROGERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NORMA STANBRIDGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WINNIE-STOWELL HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HEALTHMARK GROUP, LTD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRAIG CANNON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRAIG CANNON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KRYSTAL BALSAMO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KRYSTAL BALSAMO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: EDWARD R MURRELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ARDRILA MYLES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ARDRILA MYLES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ROLAND WAYNE CULP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ROLAND WAYNE CULP (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NSR PHYSICIANS P.A. (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ANA I PICO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ANA I PICO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ANA I PICO (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2024: RAUL ESPINOSA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: RAUL ESPINOSA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: RAUL ESPINOSA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: SHARON BURGESS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: SHARON BURGESS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- July 24, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- January 30, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- September 1, 2025: DEREK L PRINCE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HM GROUP LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JEFFERY ROLLO no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HMG HEALTHCARE LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BRYANT SAM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAURENCE C DASPIT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHERRIE NORRIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HEALTHMARK GROUP, LTD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: EDWARD R MURRELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ROLAND WAYNE CULP no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEREK L PRINCE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEREK L PRINCE (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ZIONS BANCORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CIBC BANK USA (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HM GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTIAN REINARZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTIAN REINARZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KACEY VRATIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FORVIS MAZARS LLP (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HMG HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WILLIAM W DOHN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WILLIAM W DOHN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAURENCE C DASPIT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAURENCE C DASPIT (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GEORGE WAY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DENISE ROGERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DENISE ROGERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NORMA STANBRIDGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WINNIE-STOWELL HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HEALTHMARK GROUP, LTD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRAIG CANNON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRAIG CANNON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KRYSTAL BALSAMO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KRYSTAL BALSAMO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: EDWARD R MURRELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ARDRILA MYLES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ARDRILA MYLES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 9, 2026 | April 9, 2026 | 5 | 4 |
| 2 | February 5, 2025 | February 5, 2025 | 4 | 4 |
| 3 | November 6, 2023 | November 6, 2023 | 9 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 21, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | May 22, 2026 |
| May 21, 2026 | 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 | May 22, 2026 |
| April 9, 2026 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | May 2, 2026 |
| April 9, 2026 | 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 | May 2, 2026 |
| April 9, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 10, 2026 |
| February 5, 2025 | 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. | E | Yes | Deficient, Provider has date of correction | February 6, 2025 |
| February 5, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | February 7, 2025 |
| January 24, 2025 | 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 | February 5, 2025 |
| October 15, 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 | October 25, 2024 |
| May 12, 2024 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Yes | Deficient, Provider has date of correction | June 5, 2024 |
| March 14, 2024 | Health | F 0551 | Resident Rights Deficiencies | Give the resident's representative the ability to exercise the resident's rights. | J | Yes | Deficient, Provider has date of correction | March 15, 2024 |
| March 14, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Yes | Deficient, Provider has date of correction | March 15, 2024 |
| March 14, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | March 15, 2024 |
| November 14, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | November 15, 2023 |
| November 14, 2023 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Yes | Deficient, Provider has date of correction | November 15, 2023 |
| November 6, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | November 7, 2023 |
| November 6, 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | November 10, 2023 |
| November 6, 2023 | 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 | November 7, 2023 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| March 14, 2024 | Fine | $181,138 | 112523 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | WINNIE-STOWELL HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2003-10-23 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Harris |
| Telephone Number | 2813194060 |
| Chain Name | HMG HEALTHCARE |
| Chain ID | 272 |
| 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 | 125 |
| Average Number of Residents per Day | 98.7 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-10-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Oct2026.csv, processed on October 1, 2026.
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The citable document for PARK MANOR OF HUMBLE
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