Skilled nursing facility · CMS certification number 676048
LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G
Gladewater, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 100
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 5 · Fines: 5 · Fines, total amount: $110,274.00 · Payment denials: 0. The most recent penalty on file: October 23, 2024, Fine, $16,801. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 21, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,783,578 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,619,672 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,163,906 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,923,756 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $240,150 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,459 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $241,609 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $241,609 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 36,600 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,993 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,044 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,273 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 23,310 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 43 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 29 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 168 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 240 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 553.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1424879, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 4, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,254,204 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,612,653 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,641,551 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,447,775 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $193,776 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,044 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $194,820 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $194,820 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,865 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 263 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 614.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1381078, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 8, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,392,855 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,137,863 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,254,992 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,716,243 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $538,749 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,087 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $540,836 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $540,836 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,439 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 216 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 637.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361455, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 4, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,577,126 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$368,464 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,945,590 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,318,632 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $626,958 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,183 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $630,141 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $630,145 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,774 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 649.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328984, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,361,563 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$143,790 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,505,353 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,838,705 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $666,648 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,213 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $668,861 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $668,861 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,621 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 91.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,012.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 181.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1290360, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 24, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,847,029 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $500,374 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,346,655 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,950,402 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $396,253 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,028 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $399,281 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $399,281 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,912 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 540.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 183.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1269612, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 7, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,275,426 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $218,844 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,056,582 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,072,438 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,856 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,317 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$11,539 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$11,539 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,176 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 179 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 472.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239953, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for April 1, 2017 to December 31, 2017 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 24, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,768,493 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,075 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,765,418 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,009,391 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$243,973 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $581 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$243,392 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$243,392 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,554 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 659.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 210.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1210604, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for May 1, 2016 to December 31, 2016 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,525,474 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$222,407 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,747,881 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,784,868 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$36,987 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $539 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$36,448 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$36,448 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,421 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 89.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 860.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 323.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200097, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 19, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,420,722 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,217,833 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,202,889 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,827,688 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,375,201 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,760 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,376,961 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,364,990 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,302 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 84.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 356.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 227.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141925, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 29, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,032,783 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,879,374 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,153,409 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,824,335 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,329,074 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $58 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,329,132 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,329,132 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,530 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 706.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 254.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150443, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 22, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,932,733 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,053,496 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,879,237 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,002,758 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $876,479 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $474 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $876,953 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $862,300 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,550 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 198 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 403.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1116131, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,945,627 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,707,733 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,237,894 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,652,941 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $584,953 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $227 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $585,180 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $569,465 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,992 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 194 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 326.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1045233, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,823,753 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,033,543 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,790,210 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,246,225 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $543,985 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,734 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $545,719 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $530,180 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,662 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 461.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1014166, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 24, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,432,800 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,091,037 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $341,763 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,673 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $14,767 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $329,669 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,884 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 303 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 160.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430841, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 15, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,355,974 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,206,187 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $149,787 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,351 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $14,007 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $137,131 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,098 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 233 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 217.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 381787, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 12, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,814,708 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,587,165 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $227,543 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $886 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $14,211 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $214,218 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,067 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 190 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 230.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 137.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354491, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 18, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,723,960 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,528,417 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $195,543 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,182 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $29,508 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $179,217 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,869 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 211 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 243.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324322, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 29, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,683,341 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,379,746 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $303,595 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $13,620 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $289,975 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,183 | 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 | 34.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 679.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 180.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295314, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for December 1, 2004 to December 31, 2005 — a reporting period of 395 days, on form CMS-2540-96, settled, processed by CMS on October 20, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,547,964 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,173,325 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $374,639 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,844 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $12,078 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $387,405 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,432 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,133.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 309.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264948, read from the public cost report file SNFFY2005.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated October 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/01/2017 |
| DAFFODIL HEALTHCARE, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/29/2025 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2016 |
| KEGARISE, BRANDON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2017 |
| NATIONAL HEALTH INVESTORS, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| SHEN, HONG-I | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/06/2021 |
| TEXAS NHI INVESTORS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| SANDERSON, CLARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEGARISE, BRANDON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 04/01/2017 |
| SHEN, HONG-I | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/06/2021 |
| DAFFODIL HEALTHCARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2017 |
| KEGARISE, BRANDON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2017 |
| SHEN, HONG-I | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/06/2021 |
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of FANNIN COUNTY HOSPITAL AUTHORITY (enrollment ID O20180206000216).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRANDON KEGARISE | Individual | ADP OF THE SNF | Not stated in the filing | 04/01/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAFFODIL HEALTHCARE, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 09/29/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 05/01/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| HONG-I SHEN | Individual | ADP OF THE SNF | Not stated in the filing | 05/06/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATIONAL HEALTH INVESTORS, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 04/01/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| TEXAS NHI INVESTORS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 04/01/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAD KEETCH | Individual | CORPORATE OFFICER | Not stated in the filing | 03/01/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLARK SANDERSON | Individual | CORPORATE OFFICER | Not stated in the filing | 04/01/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | CORPORATE OFFICER | Not stated in the filing | 04/01/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRANDON KEGARISE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 04/01/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HONG-I SHEN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 05/06/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRANDON KEGARISE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100.00 | 04/01/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAFFODIL HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100.00 | 04/01/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| HONG-I SHEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 05/06/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 1, 2025: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRANDON KEGARISE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRANDON KEGARISE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: FANNIN COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HONG-I SHEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HONG-I SHEN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HONG-I SHEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAFFODIL HEALTHCARE, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TEXAS NHI INVESTORS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NATIONAL HEALTH INVESTORS, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
Recent changes on this record
- November 1, 2025: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRANDON KEGARISE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRANDON KEGARISE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: FANNIN COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HONG-I SHEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HONG-I SHEN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HONG-I SHEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAFFODIL HEALTHCARE, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TEXAS NHI INVESTORS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NATIONAL HEALTH INVESTORS, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- May 21, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 4, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 8, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 4, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 23, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 24, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 7, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 24, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 19, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- June 27, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- February 24, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- December 29, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 19, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- December 22, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 1, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- June 24, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- July 15, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 12, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 18, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- October 29, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- October 20, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 15, 2026 | April 15, 2026 | 13 | 1 |
| 2 | February 12, 2025 | February 12, 2025 | 10 | 1 |
| 3 | January 24, 2024 | January 24, 2024 | 14 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
39 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 23, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | May 26, 2026 |
| April 15, 2026 | Health | F 0572 | Resident Rights Deficiencies | Give residents a notice of rights, rules, services and charges. | E | No | Deficient, Provider has date of correction | May 1, 2026 |
| April 15, 2026 | Health | F 0576 | Resident Rights Deficiencies | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | No | Deficient, Provider has date of correction | May 1, 2026 |
| April 15, 2026 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | No | Deficient, Provider has date of correction | April 16, 2026 |
| April 15, 2026 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | No | Deficient, Provider has date of correction | May 1, 2026 |
| April 15, 2026 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | May 1, 2026 |
| April 15, 2026 | 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 | May 1, 2026 |
| April 15, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | May 1, 2026 |
| April 15, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | April 24, 2026 |
| April 15, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | May 1, 2026 |
| April 15, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 1, 2026 |
| January 29, 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | February 18, 2026 |
| January 21, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | February 4, 2026 |
| February 12, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | March 14, 2025 |
| February 12, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | March 14, 2025 |
| February 12, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | March 14, 2025 |
| February 12, 2025 | Health | F 0802 | Nutrition and Dietary Deficiencies | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | No | Deficient, Provider has date of correction | March 14, 2025 |
| February 12, 2025 | Health | F 0807 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | No | Deficient, Provider has date of correction | March 14, 2025 |
| February 12, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | March 14, 2025 |
| October 23, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Past Non-Compliance | August 30, 2024 |
| October 23, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Yes | Past Non-Compliance | August 30, 2024 |
| October 23, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Yes | Past Non-Compliance | August 30, 2024 |
| October 23, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | J | Yes | Past Non-Compliance | August 30, 2024 |
| June 19, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | July 16, 2024 |
| June 19, 2024 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | G | Yes | Deficient, Provider has date of correction | July 16, 2024 |
| February 22, 2024 | Health | F 0563 | Resident Rights Deficiencies | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | Yes | Deficient, Provider has date of correction | March 21, 2024 |
| February 22, 2024 | Health | F 0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | H | Yes | Deficient, Provider has date of correction | March 21, 2024 |
| February 22, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | March 21, 2024 |
| January 24, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | February 23, 2024 |
| January 24, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | February 23, 2024 |
| January 24, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | February 23, 2024 |
| January 24, 2024 | 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 | February 23, 2024 |
| January 24, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | February 23, 2024 |
| January 24, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | February 23, 2024 |
| January 24, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | No | Deficient, Provider has date of correction | February 23, 2024 |
| January 24, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | February 23, 2024 |
| January 24, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Yes | Deficient, Provider has date of correction | February 23, 2024 |
| September 13, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | October 12, 2023 |
| September 13, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | October 12, 2023 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| October 23, 2024 | Fine | $16,801 | 113319 | ||
| October 23, 2024 | Fine | $16,801 | 113320 | ||
| October 23, 2024 | Fine | $16,801 | 113321 | ||
| October 23, 2024 | Fine | $16,801 | 113322 | ||
| June 19, 2024 | Fine | $43,070 | 113051 | ||
| September 13, 2023 | Fine | $14,285 | 111398 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - Hospital district |
| Legal Business Name | FANNIN COUNTY HOSPITAL AUTHORITY |
| Date First Approved to Provide Medicare and Medicaid Services | 2004-12-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Gregg |
| Telephone Number | 9038452175 |
| 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 |
| Number of Certified Beds | 100 |
| Average Number of Residents per Day | 73.4 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-10-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Oct2026.csv, processed on October 1, 2026.
Get an email when this record changes
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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 May 21, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G
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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