Skilled nursing facility · CMS certification number 676000
PINE RIDGE HEALTH CARE LLP
LIVINGSTON, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
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 September 2024 to 31 August 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 February 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,379,020 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,190,401 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,188,619 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,424,210 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$235,591 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$235,591 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$235,591 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,070 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,060 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,894 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,368 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 20,322 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 128 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 55 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,223.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448068, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 31 August 2024
Cost report for 1 September 2023 to 31 August 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 February 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,699,030 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,400,786 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,298,244 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,500,462 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,202,218 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,202,218 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,202,218 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,682 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 10.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,507 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1404025, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 31 August 2023
Cost report for 1 September 2022 to 31 August 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 March 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,276,121 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,508,525 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,767,596 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,652,877 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$885,281 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$885,281 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$885,281 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,886 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,594.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 189.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375102, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 31 August 2022
Cost report for 1 September 2021 to 31 August 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 March 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,197,470 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $736,110 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,461,360 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,270,658 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$809,298 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$809,298 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$809,298 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,795 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,639.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 897.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344341, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 31 August 2021
Cost report for 1 September 2020 to 31 August 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,045,549 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $960,699 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,084,850 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,392,968 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$308,118 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$308,118 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$308,118 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,123 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 8,551.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 514.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313499, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 31 August 2020
Cost report for 1 September 2019 to 31 August 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,573,600 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,306,403 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,267,197 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,662,002 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$394,805 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$394,805 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$394,805 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,029 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,379 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 351.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282658, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 31 August 2019
Cost report for 1 September 2018 to 31 August 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,412,888 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,204,800 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,208,088 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,630,543 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,422,455 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,422,455 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,422,455 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,274 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,237.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 307.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250821, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 31 August 2018
Cost report for 1 September 2017 to 31 August 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 February 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,446,343 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,091,956 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,354,387 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,617,803 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,263,416 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,263,416 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,263,416 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,257 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 11,109.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 595.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220328, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 August 2017
Cost report for 1 September 2016 to 31 August 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,033,598 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,166,800 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,866,798 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,494,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$628,074 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$628,074 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$628,074 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,770 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | 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 | 3,458 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 408.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188108, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 31 August 2016
Cost report for 1 September 2015 to 31 August 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,257,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,257,972 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,932,918 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$674,946 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$674,946 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$674,946 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,533 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,984.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 290.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1155804, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 31 August 2015
Cost report for 1 September 2014 to 31 August 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,141,675 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,141,675 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,118,101 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,023,574 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $1,023,574 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,023,574 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,302 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,787.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 253.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121901, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 31 August 2014
Cost report for 1 September 2013 to 31 August 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 June 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,525,617 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,747,346 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | −$221,729 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,769,113 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,990,842 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$4,990,842 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,990,842 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,326 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,866.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 311.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1100019, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 31 August 2013
Cost report for 1 September 2012 to 31 August 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 March 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,540,121 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $1,540,121 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,390,314 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,850,193 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$3,850,193 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,850,193 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,570 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 228 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 267.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056824, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 31 August 2012
Cost report for 1 September 2011 to 31 August 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 March 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,075,457 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,530,909 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,544,548 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,513,210 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$968,662 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$968,662 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$968,662 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,733 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 243.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026472, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 August 2010
Cost report for 1 September 2009 to 31 August 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 March 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,102,734 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,138,315 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,035,581 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: −$1,035,581 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,235 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 179 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 259.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 140.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 396285, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 31 August 2009
Cost report for 1 September 2008 to 31 August 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 March 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,481,117 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,811,931 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$330,814 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: −$330,814 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,857 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 178 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 269.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 145.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 365110, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 31 August 2008
Cost report for 1 September 2007 to 31 August 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 4 March 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,110,339 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,431,482 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$321,143 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: −$321,143 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,192 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 262 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 192.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 126.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 334565, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 31 August 2007
Cost report for 1 September 2006 to 31 August 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 March 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,245,493 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,482,540 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $762,953 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $762,953 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,259 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 198 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 244.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 178.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305176, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 31 August 2006
Cost report for 1 September 2005 to 31 August 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 October 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,355,079 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,507,627 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $847,452 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $847,452 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,600 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 218 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 399.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 181.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 294689, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 31 August 2005
Cost report for 1 September 2004 to 31 August 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 March 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,653,831 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,237,981 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $415,850 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $415,850 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,104 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 207 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 209.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 184.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 244126, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 August 2004
Cost report for 5 February 2004 to 31 August 2004 — a reporting period of 208 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 19 January 2005.
None of these figures is carried on this report.
CMS report record 204350, 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 in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ARNOLD, JASON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2025 |
| LUNA, JEFFREY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/20/2025 |
| MONTGOMERY, MITCHELL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2025 |
| MONTGOMERY, RAYMOND | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2025 |
| PANTEL, ANGELINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/20/2025 |
| WOOD, JERRY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/20/2025 |
| XU, SHIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/20/2025 |
| ARNOLD, JASON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2001 |
| MONTGOMERY, RAYMOND | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2001 |
| MONTGOMERY, MITCHELL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2001 |
| OAK MANAGEMENT | GENERAL PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2001 |
| BURMONT, INC. | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2001 |
| HOUSTON, CARLIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/23/2024 |
| LUNA, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/26/2013 |
| PANTEL, ANGELINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/25/2024 |
| WOOD, JERRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/02/2010 |
| XU, SHIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/19/2024 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PINE RIDGE HEALTH CARE L L P (enrollment ID O20120523000723).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ANGELINA PANTEL | 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. | 2/20/2025 | 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. |
| JASON ARNOLD | 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. | 1/2/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY L LUNA | 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. | 2/20/2025 | 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. |
| JERRY D WOOD | 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. | 2/20/2025 | 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. |
| MITCHELL TODD MONTGOMERY | 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. | 1/2/2025 | 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. |
| RAYMOND MONTGOMERY | 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. | 1/2/2025 | 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. |
| SHIN XU | 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. | 2/20/2025 | 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. |
| JASON ARNOLD | Individual | CORPORATE DIRECTOR | 100 | 1/1/2001 | 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. |
| RAYMOND MONTGOMERY | Individual | CORPORATE DIRECTOR | 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. | 1/1/2001 | 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. |
| MITCHELL TODD MONTGOMERY | Individual | CORPORATE OFFICER | 100 | 1/1/2001 | 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. |
| OAK MANAGEMENT | Organization | GENERAL PARTNERSHIP INTEREST | 1 | 1/1/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| BURMONT, INC. | Organization | LIMITED PARTNERSHIP INTEREST | 99 | 1/1/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANGELINA PANTEL | 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. | 3/25/2024 | 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. |
| CARLIE HOUSTON | 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. | 12/23/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY L LUNA | 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. | 8/26/2013 | 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. |
| JERRY D WOOD | 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. | 11/2/2010 | 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. |
| SHIN XU | 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. | 8/19/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: MITCHELL TODD MONTGOMERY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MITCHELL TODD MONTGOMERY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND MONTGOMERY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND MONTGOMERY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON ARNOLD no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON ARNOLD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHIN XU no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHIN XU no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MITCHELL TODD MONTGOMERY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MITCHELL TODD MONTGOMERY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND MONTGOMERY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND MONTGOMERY appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON ARNOLD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON ARNOLD appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHIN XU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHIN XU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2025: MARY MOORE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MARY MOORE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ERIC WOOD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ERIC WOOD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ANGELINA PANTEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ANGELINA PANTEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: CARLIE HOUSTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JERRY D WOOD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JERRY D WOOD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JEFFREY L LUNA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JEFFREY L LUNA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MITCHELL TODD MONTGOMERY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: RAYMOND MONTGOMERY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JASON ARNOLD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: SHIN XU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: SHIN XU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
Recent changes on this record
- 1 July 2026: MITCHELL TODD MONTGOMERY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MITCHELL TODD MONTGOMERY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND MONTGOMERY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND MONTGOMERY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON ARNOLD no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON ARNOLD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHIN XU no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHIN XU no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MITCHELL TODD MONTGOMERY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MITCHELL TODD MONTGOMERY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND MONTGOMERY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAYMOND MONTGOMERY appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON ARNOLD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON ARNOLD appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHIN XU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SHIN XU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 23 February 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 1 May 2025: MARY MOORE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MARY MOORE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ERIC WOOD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ERIC WOOD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ANGELINA PANTEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ANGELINA PANTEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: CARLIE HOUSTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JERRY D WOOD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JERRY D WOOD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JEFFREY L LUNA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JEFFREY L LUNA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MITCHELL TODD MONTGOMERY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: RAYMOND MONTGOMERY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JASON ARNOLD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: SHIN XU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: SHIN XU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 20 February 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 18 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 14 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 21 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 20 April 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 11 February 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 27 February 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 20 May 2026 | 20 May 2026 | 6 | 2 |
| 2 | 26 March 2025 | 26 March 2025 | 7 | 1 |
| 3 | 14 February 2024 | 14 February 2024 | 8 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
21 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 20 May 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 28 May 2026 |
| 20 May 2026 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | 28 May 2026 |
| 20 May 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 28 May 2026 |
| 20 May 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 28 May 2026 |
| 20 May 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 28 May 2026 |
| 20 May 2026 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | E | No | Deficient, Provider has date of correction | 30 May 2026 |
| 26 March 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 2 April 2025 |
| 26 March 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 2 April 2025 |
| 26 March 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 2 April 2025 |
| 26 March 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 2 April 2025 |
| 26 March 2025 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | 1 April 2025 |
| 8 August 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | 21 August 2024 |
| 8 August 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 21 August 2024 |
| 14 February 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 16 February 2024 |
| 14 February 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 8 March 2024 |
| 14 February 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | E | No | Deficient, Provider has date of correction | 8 March 2024 |
| 14 February 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | 29 February 2024 |
| 14 February 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | 15 March 2024 |
| 14 February 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. | F | No | Deficient, Provider has date of correction | 29 February 2024 |
| 14 February 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 15 March 2024 |
| 1 November 2023 | 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 | 15 December 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Partnership |
| Legal Business Name | PINE RIDGE HEALTH CARE L L P |
| Date First Approved to Provide Medicare and Medicaid Services | 2004-02-05 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Polk |
| Telephone Number | 9363275415 |
| 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 | 120 |
| Average Number of Residents per Day | 65.6 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on PINE RIDGE HEALTH CARE LLP: 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 July 2026: MITCHELL TODD MONTGOMERY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for PINE RIDGE HEALTH CARE LLP
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.
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 676000.