Skilled nursing facility · CMS certification number 676012
Mystic Park Nursing and Rehabilitation Center
San Antonio, Texas · Medicare and Medicaid · 119 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $111,121.00 · Payment denials: 0. The most recent penalty on file: April 28, 2024, Fine, $111,121. Every penalty on file ↓
Mystic Park Nursing and Rehabilitation Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering April 1, 2024 to March 31, 2025 (364 days), and CMS processed it on September 15, 2025.
- Net patient revenue rose from $10.8M in fiscal year 2024 to $11.7M in fiscal year 2025.
- Its result from service to patients: $634K (2023), $903K (2024), $721K (2025).
- Its cost reports on file run from fiscal year 2004 to fiscal year 2025.
- Its net patient revenue of $11.7M ranks 57th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a gain on service to patients.
Mystic Park Nursing and Rehabilitation Center: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1439622 | 2024 · report 1398216 | 2023 · report 1366780 | 2022 · report 1334879 | 2021 · report 1302653 | 2020 · report 1270513 | 2019 · report 1245272 | 2018 · report 1239950 | 2017 · report 1208963 | 2016 · report 1175002 | 2015 · report 1143029 | 2014 · report 1107096 | 2013 · report 1113633 | 2012 · report 1045301 | 2011 · report 1053193 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | April 1, 2024 | April 1, 2023 | April 1, 2022 | April 1, 2021 | April 1, 2020 | April 1, 2019 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | March 31, 2025 | March 31, 2024 | March 31, 2023 | March 31, 2022 | March 31, 2021 | March 31, 2020 | March 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | January 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | — | — | — | 89 | — | — | — | 30 | — | — | — | — |
| Processed by CMS | September 15, 2025 | October 28, 2024 | October 17, 2023 | October 17, 2022 | October 20, 2021 | October 14, 2020 | November 5, 2019 | August 7, 2019 | August 21, 2018 | August 25, 2017 | September 30, 2016 | August 6, 2015 | December 1, 2015 | August 1, 2013 | December 23, 2013 |
| Total patient revenue | $15,514,408 | $14,460,843 | $7,068,842 | $6,326,083 | $5,904,707 | $6,279,820 | $1,757,604 | $7,894,464 | $6,917,460 | $8,682,842 | $801,845 | $8,438,309 | $8,585,621 | $9,800,127 | $10,646,544 |
| Contractual allowances and discounts | $3,852,899 | $3,642,059 | $1,993,628 | — | — | — | $285,427 | $1,313,557 | $370,065 | $1,293,116 | — | — | — | — | $1 |
| Net patient revenue | $11,661,509 | $10,818,784 | $5,075,214 | $6,326,083 | $5,904,707 | $6,279,820 | $1,472,177 | $6,580,907 | $6,547,395 | $7,389,726 | $801,845 | $8,438,309 | $8,585,621 | $9,800,127 | $10,646,543 |
| Total operating expenses | $10,940,189 | $9,915,796 | $4,441,649 | $7,853,914 | $7,770,967 | $6,478,064 | $1,784,928 | $7,566,028 | $7,249,004 | $8,210,274 | $665,811 | $7,950,543 | $8,048,780 | $8,638,135 | $8,900,456 |
| Net income from service to patients | $721,320 | $902,988 | $633,565 | −$1,527,831 | −$1,866,260 | −$198,244 | −$312,751 | −$985,121 | −$701,609 | −$820,548 | $136,034 | $487,766 | $536,841 | $1,161,992 | $1,746,087 |
| Total other income | $4,085 | −$2,351 | $123 | $2,022,993 | $2,314,972 | $353,124 | $269 | $5,835 | $12,439 | $30,173 | — | $93 | $5,471 | $964 | $1,732 |
| Net income after other income | $725,405 | $900,637 | $633,688 | $495,162 | $448,712 | $154,880 | −$312,482 | −$979,286 | −$689,170 | −$790,375 | $136,034 | $487,859 | $542,312 | $1,162,956 | $1,747,819 |
| Net income | $725,405 | $900,637 | $633,688 | $495,162 | $448,712 | $154,880 | −$312,482 | −$979,286 | −$689,170 | −$790,375 | $136,034 | $487,859 | $542,312 | $1,162,956 | $1,747,819 |
| Total facility beds, all components | 119 | 119 | 119 | 119 | 120 | 125 | 125 | 125 | 125 | 125 | 125 | 125 | 125 | 125 | 125 |
| Bed days available, all components | 43,435 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,930 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 22,576 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 13,935 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 38,441 | 35,607 | 30,468 | 30,731 | 25,400 | 31,400 | 7,781 | 34,866 | 33,231 | 33,778 | 3,222 | 36,201 | 34,889 | 40,798 | 18,571 |
| Medicare discharges | 43 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 25 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 263 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 331 | 185 | 78 | 288 | 169 | 201 | 38 | 538 | 216 | 229 | 107 | 244 | 275 | 355 | 528 |
| Average length of stay, Medicare, in days | 44.88 | 33.18 | 51.25 | 28.05 | 67.5 | 45.7 | 45.4 | 10.01 | 29.43 | 42.31 | 81 | 51.06 | 52.01 | 53.35 | 48.72 |
| Average length of stay, Medicaid, in days | 903.04 | 929.96 | 1,564.14 | 209.33 | 204.53 | 246.8 | 520.45 | 1,357.83 | 664.51 | 358.1 | — | 187.75 | 280.71 | 284.74 | 31.18 |
| Average length of stay, all patients, in days | 116.14 | 192.47 | 390.62 | 106.7 | 150.3 | 156.22 | 204.76 | 64.81 | 153.85 | 147.5 | 30.11 | 148.36 | 126.87 | 114.92 | 35.17 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 417982 | 2009 · report 381783 | 2008 · report 348857 | 2007 · report 324319 | 2006 · report 291815 | 2005 · report 262374 | 2004 · report 238839 |
|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | April 1, 2007 | January 1, 2006 | January 1, 2005 | April 6, 2004 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 |
| Days, where not a full year | — | — | — | 274 | — | — | 269 |
| Processed by CMS | September 19, 2011 | July 15, 2010 | July 14, 2009 | August 18, 2008 | August 13, 2007 | September 1, 2006 | December 12, 2005 |
| Net patient revenue | $9,041,958 | $8,660,048 | $8,452,494 | $5,644,725 | $7,409,870 | $6,740,593 | $3,399,984 |
| Total operating expenses | $8,167,962 | $8,138,546 | $8,085,464 | $5,611,578 | $6,364,114 | $5,981,879 | $3,523,989 |
| Net income from service to patients | $873,996 | $521,502 | $367,030 | $33,147 | $1,045,756 | $758,714 | −$124,005 |
| Total other income | $7,913 | $1,320 | $25,157 | — | — | — | — |
| Net income | $881,909 | $522,822 | $392,187 | $33,147 | $1,045,756 | $758,714 | −$124,005 |
| Total facility beds, all components | 125 | 125 | 125 | 125 | 125 | 125 | 125 |
| Total patient days, all components | 42,946 | 42,367 | 30,778 | 31,848 | 43,297 | 43,650 | 21,956 |
| Total discharges, all components | 238 | 240 | 230 | 173 | 339 | 315 | 208 |
| Average length of stay, Medicare, in days | 51.94 | 50.44 | 61.91 | 50.4 | 28.76 | 31.83 | 31.18 |
| Average length of stay, Medicaid, in days | 415.02 | 424.89 | 313.71 | 576.76 | 942.48 | 403.41 | 305.72 |
| Average length of stay, all patients, in days | 180.45 | 176.53 | 133.82 | 184.09 | 127.72 | 138.57 | 105.56 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004. Checked against the form’s own arithmetic: what that check shows.
Mystic Park Nursing and Rehabilitation Center: nurse staffing hours by quarter →
Who owns Mystic Park Nursing and Rehabilitation Center, as filed with CMS
Care Compare
- ADP OF THE SNF: BREWER, DEVIN (individual), since 10/01/2022; ENSIGN SERVICES INC (organization), since 01/18/2022; FOX SPARROW HEALTHCARE, INC. (organization), since 10/16/2025; ZANTUA, OMAR (individual), since 01/18/2023
- CORPORATE OFFICER: BURNAM, SOON (individual), since 01/18/2022; KEETCH, CHAD (individual), since 03/01/2011; THOMPSON, JOHNNY (individual), since 05/16/2024
- MANAGING CONTROL - GOVERNING BODY: BREWER, DEVIN (individual), since 10/01/2022; ZANTUA, OMAR (individual), since 01/18/2023
- OPERATIONAL/MANAGERIAL CONTROL: BREWER, DEVIN (individual), since 10/01/2022; FOX SPARROW HEALTHCARE, INC. (organization), since 10/01/2022; ZANTUA, OMAR (individual), since 01/18/2023
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20190417001949).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: WEST WHARTON COUNTY HOSPITAL DISTRICT (organization), 100.00%, since 10/01/2022
- ADP OF THE SNF: DEVIN BREWER (individual), since 10/01/2022; ENSIGN SERVICES INC (organization), since 01/18/2022; FOX SPARROW HEALTHCARE, INC. (organization), since 10/16/2025; OMAR A ZANTUA (individual), since 01/18/2023
- CORPORATE OFFICER: CHAD KEETCH (individual), since 03/01/2011; JOHNNY THOMPSON (individual), since 05/16/2024; SOON BURNAM (individual), 0.00%, since 01/18/2022
- MANAGING CONTROL - GOVERNING BODY: DEVIN BREWER (individual), since 10/01/2022; OMAR A ZANTUA (individual), since 01/18/2023
- OPERATIONAL/MANAGERIAL CONTROL: DEVIN BREWER (individual), 0.00%, since 10/01/2022; FOX SPARROW HEALTHCARE, INC. (organization), 100.00%, since 10/01/2022; OMAR A ZANTUA (individual), since 01/18/2023
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: WEST WHARTON COUNTY HOSPITAL DISTRICT; ENSIGN SERVICES INC; FOX SPARROW HEALTHCARE, INC.; FOX SPARROW HEALTHCARE, INC..
Private equity company, real estate investment trust and holding company: Paused by CMS: DEVIN BREWER; OMAR A ZANTUA; CHAD KEETCH; JOHNNY THOMPSON; SOON BURNAM; DEVIN BREWER; OMAR A ZANTUA; DEVIN BREWER; OMAR A ZANTUA.
Changes in ownership
- December 1, 2025, enrollment ownership file; no longer listed: SOON BURNAM (OPERATIONAL/MANAGERIAL CONTROL); DEVIN BREWER (W-2 MANAGING EMPLOYEE); DAVID MAK (OPERATIONAL/MANAGERIAL CONTROL); DAVID MAK (CORPORATE OFFICER); first listed: OMAR A ZANTUA (ADP OF THE SNF), associated since January 18, 2023; OMAR A ZANTUA (MANAGING CONTROL - GOVERNING BODY), associated since January 18, 2023; OMAR A ZANTUA (OPERATIONAL/MANAGERIAL CONTROL), associated since January 18, 2023; CHAD A KEETCH (CORPORATE OFFICER), associated since March 1, 2011; ENSIGN SERVICES INC (ADP OF THE SNF), associated since January 18, 2022; FOX SPARROW HEALTHCARE, INC. (ADP OF THE SNF), associated since October 16, 2025; DEVIN BREWER (ADP OF THE SNF), associated since October 1, 2022; DEVIN BREWER (MANAGING CONTROL - GOVERNING BODY), associated since October 1, 2022; JOHNNY THOMPSON (CORPORATE OFFICER), associated since May 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- February 15, 2023, enrollment ownership file; no longer listed: REGENCY IHS OF MYSTIC PARK LLC (OPERATIONAL/MANAGERIAL CONTROL); PAUL SOECHTING (DIRECTOR); ELIZABETH RUEHLE (CONTRACTED MANAGING EMPLOYEE); first listed: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2022; SOON E BURNAM (OFFICER), associated since January 18, 2022; WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since April 1, 2019; FOX SPARROW HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2022; DEVIN BREWER (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2022; DEVIN BREWER (W-2 MANAGING EMPLOYEE), associated since October 1, 2022; DAVID MAK (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2022; DAVID MAK (OFFICER), associated since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Inspections of Mystic Park Nursing and Rehabilitation Center
- Cycle 1: health April 3, 2026 (11 deficiencies), fire safety April 3, 2026 (2)
- Cycle 2: health January 24, 2025 (8 deficiencies), fire safety January 24, 2025 (7)
- Cycle 3: health December 8, 2023 (5 deficiencies), fire safety December 8, 2023 (3)
Deficiencies cited at Mystic Park Nursing and Rehabilitation Center
24 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 6 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0583, resident rights: July 2, 2026 (D, from a complaint, corrected July 20, 2026).
- F 0656, resident assessment and care planning: June 30, 2026 (D, from a complaint, corrected July 6, 2026).
- F 0641, resident assessment and care planning: April 3, 2026 (D, corrected April 21, 2026); January 24, 2025 (D, corrected February 6, 2025).
- F 0644, resident assessment and care planning: April 3, 2026 (D, corrected April 21, 2026).
- F 0690, quality of life and care: April 3, 2026 (D, corrected April 21, 2026); January 24, 2025 (D, corrected February 6, 2025).
- F 0761, pharmacy service: April 3, 2026 (D, corrected April 21, 2026).
- F 0802, nutrition and dietary: April 3, 2026 (D, corrected April 21, 2026).
- F 0812, nutrition and dietary: April 3, 2026 (D, corrected April 21, 2026); January 24, 2025 (E, corrected February 6, 2025); December 8, 2023 (D, corrected December 13, 2023).
- F 0814, nutrition and dietary: April 3, 2026 (D, corrected April 21, 2026).
- F 0842, resident assessment and care planning: April 3, 2026 (D, corrected April 21, 2026).
- F 0880, infection control: April 3, 2026 (D, corrected April 21, 2026); January 24, 2025 (D, corrected February 6, 2025); December 8, 2023 (E, corrected December 13, 2023).
- F 0550, resident rights: January 24, 2025 (D, corrected February 6, 2025).
- F 0755, pharmacy service: January 24, 2025 (D, corrected February 6, 2025); April 28, 2024 (K, from a complaint, corrected April 29, 2024).
- F 0584, resident rights: December 19, 2024 (D, from a complaint, corrected January 7, 2025).
- F 0609, freedom from abuse, neglect, and exploitation: December 19, 2024 (D, from a complaint, corrected January 7, 2025).
- F 0849, administration: April 28, 2024 (K, from a complaint, corrected April 29, 2024).
- F 0645, resident assessment and care planning: December 8, 2023 (D, corrected December 13, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 28, 2024 | Fine | $111,121 | 112768 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Mystic Park Nursing and Rehabilitation Center in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: WEST WHARTON COUNTY HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 2004-04-06
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Bexar
- Telephone Number: 2102560906
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 107.5
- Overall Rating: 3
- Health Inspection Rating: 2
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 4
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in San Antonio
Report a figure on Mystic Park Nursing and Rehabilitation Center’s record that differs from its CMS file, quoting 676012.