Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 676089

Winnie L Nursing & Rehabilitation

Cameron, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 105

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 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$3,293,161CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$136,920CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,156,241CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,668,927CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$512,686CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$353,817CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$158,869CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$158,869 (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
FigureAs filedWhere it comes from
Total facility beds, all components105CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components38,430CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days765CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days10,314CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days3,781CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components14,860CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges25CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges47CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges63CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components135CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days219.45CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days110.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438412, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$3,522,812CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$55,068CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,577,880CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,058,812CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$480,932CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$134,631CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$346,301CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$453,883 (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
FigureAs filedWhere it comes from
Total facility beds, all components105CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,459CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components116CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days89.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days337.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days150.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389363, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 May 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$4,259,314CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$57,368CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,201,946CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,702,578CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$500,632CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$336,325CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$164,307CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$504,818 (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
FigureAs filedWhere it comes from
Total facility beds, all components105CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,870CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components131CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days132.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days229.41CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days151.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1346979, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 August 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$5,467,665CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$247,156CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,714,821CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,137,742CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$577,079CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$195,896CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$772,975CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $772,975 (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
FigureAs filedWhere it comes from
Total facility beds, all components105CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,238CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components140CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days126.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days469.28CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days158.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329441, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,518,755CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$341,024CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,177,731CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,502,874CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$674,857CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$450,105CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,124,962CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,124,962 (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
FigureAs filedWhere it comes from
Total facility beds, all components105CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,465CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components124CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days162.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days227.37CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days205.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1301899, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 October 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$5,537,087CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$571,492CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,965,595CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,544,989CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$420,606CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,346CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$424,952CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $424,952 (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
FigureAs filedWhere it comes from
Total facility beds, all components105CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,852CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components69CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days58.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days959.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days360.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1271419, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$5,053,586CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$227,213CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,826,373CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,403,326CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$423,047CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,831CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$433,878CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $433,878 (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
FigureAs filedWhere it comes from
Total facility beds, all components105CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,860CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components110CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days78.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days306.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days216.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240867, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$4,679,184CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$71,359CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,607,825CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,357,657CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$250,168CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,601CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$253,769CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $253,769 (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
FigureAs filedWhere it comes from
Total facility beds, all components105CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,982CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components175CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days210.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days148.47CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210605, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$4,978,197CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$121,676CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,856,521CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,463,238CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$393,283CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,150CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$398,433CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $398,433 (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
FigureAs filedWhere it comes from
Total facility beds, all components105CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,096CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components170CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days242.95CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days165.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174535, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$6,047,836CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$900,000CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,147,836CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,583,153CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$564,683CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,947CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$569,630CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $569,630 (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
FigureAs filedWhere it comes from
Total facility beds, all components109CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,826CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components154CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days76.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days280.96CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days193.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142814, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 February 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$4,962,107CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,109,124CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,852,983CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,685,331CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$167,652CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,483CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$169,135CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $168,635 (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
FigureAs filedWhere it comes from
Total facility beds, all components109CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,430CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components81CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days78.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days403.51CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days289.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118435, 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 10 November 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$4,704,665CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,303,083CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,401,582CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,320,268CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$81,314CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,333CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$82,647CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $82,647 (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
FigureAs filedWhere it comes from
Total facility beds, all components109CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,461CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components51CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days67.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,303.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days401.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1112518, 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 22 August 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$4,248,763CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,070,808CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,177,955CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,932,425CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$245,530CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,417CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$254,947CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $254,947 (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
FigureAs filedWhere it comes from
Total facility beds, all components109CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,169CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components124CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days67.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days220.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days138.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1047211, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 December 2011 to 31 December 2011 — a reporting period of 30 days, not a full year, on form CMS-2540-10, as submitted, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$210,609CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$33,506CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$177,103CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$198,762CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$21,659CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$21,658CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$21,658 (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
FigureAs filedWhere it comes from
Total facility beds, all components109CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components1,174CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components9CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days310CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days130.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013193, read from the public cost report file SNF10FY2012.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 17 August 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$2,307,320CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,395,424CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$88,104CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$88,104 (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
FigureAs filedWhere it comes from
Total facility beds, all components109CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,793CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components26CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days120.44CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,698CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days645.88CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415471, 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 14 June 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$2,352,797CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,419,623CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$66,826CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$66,826 (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 2009
FigureAs filedWhere it comes from
Total facility beds, all components109CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,498CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components27CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days169.4CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,423.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days685.11CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 374566, 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 15 July 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$2,668,745CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,645,154CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$23,591CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $23,591 (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
FigureAs filedWhere it comes from
Total facility beds, all components109CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,664CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components56CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days62.48CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days668.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days369CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 350490, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 March 2007 to 31 December 2007 — a reporting period of 305 days, on form CMS-2540-96, settled, processed by CMS on 1 August 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$2,691,682CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,530,968CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$160,714CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $160,714 (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
FigureAs filedWhere it comes from
Total facility beds, all components109CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,212CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components20CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days191.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,837.38CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days1,060.6CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 322535, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 March 2006 to 31 December 2006 — a reporting period of 305 days, on form CMS-2540-96, settled, processed by CMS on 1 August 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$2,542,432CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,453,727CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$88,705CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $88,705 (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
FigureAs filedWhere it comes from
Total facility beds, all components109CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,905CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components41CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days72.13CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,291.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days558.66CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 290735, read from the public cost report file SNFFY2006.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 managerRoleTypeOwnership percentageAssociation
BLAKE, GARYADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2024
CAMERON I ENTERPRISES, L.L.C.ADP OF THE SNFOrganizationNOT APPLICABLEsince 04/12/2025
HOUSE, JANELLEADP OF THE SNFIndividualNOT APPLICABLEsince 04/12/2025
JOHNSON, CHRISADP OF THE SNFIndividualNOT APPLICABLEsince 06/24/2026
HUGGINS, LINDACORPORATE DIRECTORIndividualNOT APPLICABLEsince 08/01/2024
WILLIG, ZACHARYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
MURRELL, EDWARDCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2023
MURRELL, EDWARDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/01/2012
ROLLO, JEFFERYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/01/2012
STRAMECKI, ANTHONYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/01/2016
WAY, GEORGEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/01/2018
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2024
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2024
CAMERON I ENTERPRISES, L.L.C.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WINNIE-STOWELL HOSPITAL DISTRICT (enrollment ID O20230131003533).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
WINNIE-STOWELL HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
CAMERON I ENTERPRISES, L.L.C.OrganizationADP OF THE SNFCMS 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.4/12/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CHRIS JOHNSONIndividualADP OF THE SNFCMS 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.6/24/2026
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 BLAKEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
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.
JANELLE K HOUSEIndividualADP OF THE SNFCMS 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.4/12/2025
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.
LINDA F HUGGINSIndividualCORPORATE DIRECTOR08/1/2024
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.
ZACHARY WILLIGIndividualCORPORATE DIRECTOR01/1/2025
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.
EDWARD R MURRELLIndividualCORPORATE OFFICER01/1/2023
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.
ANTHONY STRAMECKIIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.11/1/2016
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.
EDWARD R MURRELLIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.11/1/2012
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.
GEORGE WAYIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.11/1/2018
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.
JEFFERY ROLLOIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.11/1/2012
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.
CAMERON I ENTERPRISES, L.L.C.OrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
GARY R BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
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.
MALISA A BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2024
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.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
122 May 202522 May 2025105
24 April 20244 April 2024133
316 February 202316 February 2023110

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

Deficiencies cited

34 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
12 May 2026HealthF 0602Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.DYesDeficient, Provider has date of correction13 May 2026
12 May 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction13 May 2026
12 May 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.EYesDeficient, Provider has date of correction13 May 2026
4 December 2025HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DYesDeficient, Provider has date of correction5 December 2025
14 August 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesPast Non-Compliance
22 May 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.ENoDeficient, Provider has date of correction23 May 2025
22 May 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction23 May 2025
22 May 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction23 May 2025
22 May 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correction23 May 2025
22 May 2025HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correction23 May 2025
12 May 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction19 May 2025
12 May 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction19 May 2025
12 May 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correction19 May 2025
1 July 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.HYesDeficient, Provider has date of correction22 July 2024
31 May 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JYesDeficient, Provider has date of correction2 July 2024
31 May 2024HealthF 0659Resident Assessment and Care Planning DeficienciesProvide care by qualified persons according to each resident's written plan of care.JYesDeficient, Provider has date of correction2 July 2024
31 May 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.JYesDeficient, Provider has date of correction2 July 2024
4 April 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction3 May 2024
4 April 2024HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.ENoDeficient, Provider has date of correction3 May 2024
4 April 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction3 May 2024
4 April 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction3 May 2024
4 April 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction3 May 2024
4 April 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction3 May 2024
4 April 2024HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FNoDeficient, Provider has date of correction26 April 2024
4 April 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correction3 May 2024
4 April 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correction3 May 2024
4 April 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction26 April 2024
16 February 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.ENoDeficient, Provider has date of correction24 March 2023
16 February 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correction24 March 2023
16 February 2023HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.ENoDeficient, Provider has date of correction24 March 2023
16 February 2023HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FNoDeficient, Provider has date of correction24 March 2023
16 February 2023HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.BNoDeficient, Provider has date of correction24 March 2023
16 February 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction24 March 2023
16 February 2023HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DNoDeficient, Provider has date of correction24 March 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
14 August 2025Fine$10,549134623
31 May 2024Fine$40,930112927
31 May 2024Payment Denial2 July 202420

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameWINNIE-STOWELL HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2006-03-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishMilam
Telephone Number2546974985
Chain NameCREATIVE SOLUTIONS IN HEALTHCARE
Chain ID169
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds105
Average Number of Residents per Day41.3
Overall Rating2
Health Inspection Rating2
QM Rating5
Long-Stay QM Rating5
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 August 2026: JAMES BOSWELL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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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 676089.