Skilled nursing facility · CMS certification number 676030

SHADY OAK NURSING AND REHABILITATION

MOULTON, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 61

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 April 2024 to 31 March 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 October 2025.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$2,517,241	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$114,537	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,402,704	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,148,490	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$745,786	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$256,814	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$488,972	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$488,972 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	22,265	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	780	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	6,376	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,807	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	9,963	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	30	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	75	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	82	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	26	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	85.01	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	53.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440578, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended 31 March 2024

Cost report for 1 April 2023 to 31 March 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 October 2024.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$2,623,992	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$183,176	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,440,816	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,349,297	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$908,481	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$328,447	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$580,034	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$580,034 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,343	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	72	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	101.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	270.96	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	157.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1397670, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended 31 March 2023

Cost report for 1 September 2022 to 31 March 2023 — a reporting period of 211 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 23 October 2023.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$1,627,559	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$126,374	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,501,185	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,780,923	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$279,738	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$220,634	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$59,104	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$59,104 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	7,035	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	39	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	70.62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	304.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	180.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1367023, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended 31 August 2022

Cost report for 1 July 2022 to 31 August 2022 — a reporting period of 61 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 3 March 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$522,139	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$52,697	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$469,442	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$520,174	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$50,732	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$76,957	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$26,225	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $26,225 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	2,185	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	5	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	113.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	437	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1343808, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 June 2021

Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 January 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,987,195	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$434,221	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,552,974	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,274,852	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$278,122	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$633,835	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$911,957	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $911,683 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,901	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	54	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	135	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	449.82	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	238.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1308566, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 30 June 2020

Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 March 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,917,016	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$570,474	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,346,542	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,038,011	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$308,531	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$359,535	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$668,066	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $668,066 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,429	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	40	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	160.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,188.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	385.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1280770, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended 30 June 2019

Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,329,229	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$575,849	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,753,380	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,854,270	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$100,890	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$52,930	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$47,960	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$48,609 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,616	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	36	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	69.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	831.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	378.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249521, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended 30 June 2018

Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,508,994	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$715,519	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,793,475	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,983,144	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$189,669	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$75,315	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$114,354	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$115,601 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,051	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	33	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	147.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	661.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	395.48	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1217489, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended 30 June 2017

Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 January 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,046,047	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$834,942	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,211,105	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,278,484	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$67,379	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$114,535	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$47,156	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $46,838 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,662	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	63	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	90.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	414.03	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	264.48	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1182848, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended 30 June 2016

Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 January 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,647,437	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,117,242	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,530,195	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,373,898	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$156,297	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$334,369	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$490,666	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $489,214 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,915	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	62	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	141.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	496.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	288.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1151934, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended 30 June 2015

Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 December 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$4,295,178	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$797,860	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,497,318	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,277,605	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$219,713	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,528	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$227,241	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $227,241 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,380	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	73	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	104.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	384.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	238.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1147416, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended 30 June 2014

Cost report for 1 March 2014 to 30 June 2014 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 January 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$1,429,004	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$223,771	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,205,233	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,118,680	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$86,553	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$476	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$87,029	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $86,836 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	5,618	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	25	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	70.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	400.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	224.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118000, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$3,420,306	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$642,867	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,777,439	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,810,463	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$33,024	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$31	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$32,993	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$32,994 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,491	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	62	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	89.47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	383.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	249.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1074832, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$3,267,830	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$563,885	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,703,945	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,814,663	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$110,718	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$332,913	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$222,195	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $222,195 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,700	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	96.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	238.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	198.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1043619, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$3,216,613	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$516,303	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,700,310	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,780,604	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$80,294	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,994	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$78,300	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$78,300 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,934	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	148	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	228.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	114.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013472, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 September 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,827,603	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,805,849	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$21,754	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$52,401	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $74,155 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,357	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	130	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.06	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	263.4	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	133.52	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 417016, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 July 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Total operating expenses	$2,760,779	CMS-2540-96 worksheet G200002 line 1500 column 200

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,078	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	120	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.33	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	290.53	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	158.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 383178, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 August 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,754,014	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,657,090	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$96,924	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,201	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$332	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $106,793 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,775	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	210	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.68	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	110.95	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	94.17	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 355946, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$2,551,257	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,325,358	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$225,899	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,404	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$547	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $235,756 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,264	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	145	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.05	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	173.69	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	139.75	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 323097, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 July 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,573,727	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,267,433	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$306,294	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,623	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$2	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $322,915 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,052	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	202	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	155.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	99.27	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 290153, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 July 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,322,088	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,113,978	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$208,110	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$129	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $207,981 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,236	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	151	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	179.64	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	134.01	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 258803, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 4 May 2004 to 31 December 2004 — a reporting period of 241 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 16 December 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$1,306,111	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,324,672	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$18,561	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,069	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$15,492 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	13,750	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	120	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.43	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	156.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	114.58	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 239441, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
BLAKE, GARY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/01/2022
HOUSER, HERBERT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/20/2025
MOULTON I ENTERPRISES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/20/2025
THOMAS, JOHN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
HUGGINS, LINDA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/01/2022
WILLIG, ZACHARY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
THOMPSON, JOHNNY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2025
BOWERS, SEAN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 07/01/2024
CISNEROS, ALFRED	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 02/18/2008
COBB, TRAVIS	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/05/2022
COOPER, STEPHEN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/11/2022
HARDIN, SHERRIE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 09/04/2024
KERZEE, RICHARD	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 09/24/2007
KORENEK, PATRICIA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 05/05/2018
SOECHTING, PAUL	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/22/2024
STRACK, JOE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 02/11/2022
BLAKE, GARY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/01/2022
BLAKE, MALISA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/01/2022
MOULTON I ENTERPRISES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 09/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20221026001127).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
WEST WHARTON COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	9/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
GARY R BLAKE	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.	9/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
HERBERT CLAYBORN HOUSER	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.	5/20/2025	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.
JOHN W THOMAS	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.	1/1/2025	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.
MOULTON I ENTERPRISES LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/20/2025	Private equity company: No Real estate investment trust: No Holding company: No
LINDA F HUGGINS	Individual	CORPORATE DIRECTOR	0	9/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ZACHARY WILLIG	Individual	CORPORATE DIRECTOR	0	1/1/2025	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.
JOHNNY THOMPSON	Individual	CORPORATE OFFICER	0	1/1/2025	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.
ALFRED CISNEROS	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/18/2008	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.
JOE STRACK	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/11/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PATRICIA A KORENEK	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/5/2018	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.
PAUL SOECHTING	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/22/2024	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.
RICHARD KERZEE	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/24/2007	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.
SEAN BOWERS	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHERRIE HARDIN	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/4/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEPHEN COOPER	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/11/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRAVIS COBB	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/5/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GARY R BLAKE	Individual	OPERATIONAL/MANAGERIAL CONTROL	50	9/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MALISA A BLAKE	Individual	OPERATIONAL/MANAGERIAL CONTROL	50	9/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MOULTON I ENTERPRISES LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	9/1/2022	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: JOHNNY THOMPSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RICHARD KERZEE no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHNNY THOMPSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RICHARD KERZEE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 August 2025: HONOR X ENTERPRISES, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ALFRED CISNEROS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ZACHARY WILLIG appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SHERRIE HARDIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: HERBERT CLAYBORN HOUSER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: TRAVIS COBB appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOE STRACK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MOULTON I ENTERPRISES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SEAN BOWERS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: STEPHEN COOPER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: PAUL SOECHTING appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: GARY R BLAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: PATRICIA A KORENEK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOHN W THOMAS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOHNNY THOMPSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: RICHARD KERZEE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
15 February 2023: CITIZENS MEDICAL CENTER COUNTY OF VICTORIA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: JAMES F NEUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: TANYA SEILER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: PAUL B HOLM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: LUIS A GUERRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: MICHAEL R OLSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: MICHAEL R OLSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: BEN GALVIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: RUSSELL MARSHALL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: WEST WHARTON COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: HONOR X ENTERPRISES, LLC appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: LINDA F HUGGINS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: MOULTON I ENTERPRISES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: GARY R BLAKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: MALISA A BLAKE-DEANE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: DAVID MAK appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv

Recent changes on this record

1 July 2026: JOHNNY THOMPSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RICHARD KERZEE no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHNNY THOMPSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RICHARD KERZEE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
10 October 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
1 August 2025: HONOR X ENTERPRISES, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ALFRED CISNEROS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ZACHARY WILLIG appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SHERRIE HARDIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: HERBERT CLAYBORN HOUSER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: TRAVIS COBB appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOE STRACK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MOULTON I ENTERPRISES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SEAN BOWERS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: STEPHEN COOPER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: PAUL SOECHTING appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: GARY R BLAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: PATRICIA A KORENEK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOHN W THOMAS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOHNNY THOMPSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: RICHARD KERZEE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
21 October 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
23 October 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
3 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
15 February 2023: CITIZENS MEDICAL CENTER COUNTY OF VICTORIA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: JAMES F NEUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: TANYA SEILER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: PAUL B HOLM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: LUIS A GUERRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: MICHAEL R OLSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: MICHAEL R OLSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: BEN GALVIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: RUSSELL MARSHALL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: WEST WHARTON COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: HONOR X ENTERPRISES, LLC appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: LINDA F HUGGINS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: MOULTON I ENTERPRISES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: GARY R BLAKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: MALISA A BLAKE-DEANE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	5 September 2025	5 September 2025	4	3
2	8 August 2024	8 August 2024	2	4
3	14 July 2023	14 July 2023	8	5

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

Deficiencies cited

14 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
5 September 2025	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	8 September 2025
5 September 2025	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	D	No	Deficient, Provider has date of correction	8 September 2025
5 September 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	8 September 2025
5 September 2025	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	No	Deficient, Provider has date of correction	8 September 2025
8 August 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	9 August 2024
8 August 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	No	Deficient, Provider has date of correction	9 August 2024
14 July 2023	Health	F 0570	Resident Rights Deficiencies	Assure the security of all personal funds of residents deposited with the facility.	F	No	Deficient, Provider has date of correction	9 August 2023
14 July 2023	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	No	Deficient, Provider has date of correction	9 August 2023
14 July 2023	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	No	Deficient, Provider has date of correction	9 August 2023
14 July 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	9 August 2023
14 July 2023	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	No	Deficient, Provider has date of correction	9 August 2023
14 July 2023	Health	F 0944	Administration Deficiencies	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.	E	No	Deficient, Provider has date of correction	9 August 2023
14 July 2023	Health	F 0946	Administration Deficiencies	Provide training in compliance and ethics.	E	No	Deficient, Provider has date of correction	9 August 2023
14 July 2023	Health	F 0949	Administration Deficiencies	Provide behavior health training consistent with the requirements and as determined by a facility assessment.	E	No	Deficient, Provider has date of correction	9 August 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 - Corporation
Legal Business Name	WEST WHARTON COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	1980-12-10
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Lavaca
Telephone Number	3615967373
Chain Name	CREATIVE SOLUTIONS IN HEALTHCARE
Chain ID	169
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	61
Average Number of Residents per Day	33.3
Overall Rating	5
Health Inspection Rating	5
QM Rating	2
Long-Stay QM Rating	4
Short-Stay QM Rating	1
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 SHADY OAK NURSING AND REHABILITATION: 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: JOHNNY THOMPSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for SHADY OAK NURSING AND REHABILITATION

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.

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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 676030.