Skilled nursing facility · CMS certification number 676113
LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -
SAN ANTONIO, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 126
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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,970,155 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,463,280 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,433,435 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,944,307 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,489,128 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,751 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,492,879 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,492,861 (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 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 46,116 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,851 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 21,128 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 15,761 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 41,740 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 115 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 940 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 1,083 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 754.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 38.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438414, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, reopened, processed by CMS on 8 January 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,508,539 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$258,820 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,767,359 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,956,198 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,811,161 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,629 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,813,790 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,813,790 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,978 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 928 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 501.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446251, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 September 2022
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 March 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,268,903 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,003,903 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,272,806 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,480,133 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,792,673 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,320 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,793,993 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,793,413 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,931 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 891 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 524.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 44.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374267, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 30 September 2021
Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,872,726 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,695,083 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,567,809 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,095,950 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,471,859 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $998 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,472,857 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,472,857 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,181 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 754 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 569.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314653, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 September 2020
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 May 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,946,987 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$233,803 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,180,790 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,269,937 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $910,853 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,492 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $913,345 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $913,093 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,648 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 608 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 341.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283973, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,696,295 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$473,199 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,169,494 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,136,598 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,032,896 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,555 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,035,451 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,035,451 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,790 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 712 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 51.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253342, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 September 2018
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,029,780 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$450,734 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,480,514 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,190,499 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $290,015 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,835 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $301,850 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $301,850 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,810 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 525 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 488.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222348, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 30 September 2017
Cost report for 1 April 2017 to 30 September 2017 — a reporting period of 182 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,725,082 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$146,787 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,871,869 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,064,977 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$193,108 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$193,048 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$193,048 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,960 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 231 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 312.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189254, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 May 2016 to 31 December 2016 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,527,446 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $222,455 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,304,991 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,482,123 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$177,132 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $202 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$176,930 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$176,930 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,824 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 440.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174767, 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 March 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,874,411 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,716,938 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,157,473 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,998,031 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $159,442 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,948 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $161,390 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $151,882 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,251 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 502 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 214.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1186202, 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 15 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,825,321 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,248,616 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,576,705 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,161,463 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $415,242 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,642 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $434,884 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $434,884 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,966 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 415 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 448.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1149114, 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 21 December 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,192,410 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,017,041 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,175,369 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,746,338 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $429,031 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $277 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $429,308 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $423,251 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,504 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 559 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 234.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1115991, 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 18 November 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,841,392 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,765,257 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,076,135 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,686,508 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $389,627 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,275 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $390,902 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $385,253 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,487 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 645 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 173.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080375, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,121,474 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,022,226 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,099,248 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,127,025 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $972,223 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,337 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $973,560 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $968,044 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,421 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 623 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 345.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1014933, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,937,916 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,924,751 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,013,165 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $809 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,804 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,008,170 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,803 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 420 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 209.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 94.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433038, 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 20 December 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,287,476 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,659,635 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,627,841 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,373 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,622,506 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,540 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 538 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 237.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 75.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 391520, 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 5 November 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,271,581 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,463,685 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $807,896 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $754 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,816 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $806,834 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,954 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 477 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 259.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 81.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358845, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 September 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,108,624 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,691,484 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $417,140 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,693 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,491 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $420,342 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,804 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 452 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 158.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 325366, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 10 October 2006 to 31 December 2006 — a reporting period of 82 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 26 July 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $616,138 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $959,341 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$343,203 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $234 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$343,413 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 3,213 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 185.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 56.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 289776, read from the public cost report file SNFFY2007.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2016 |
| HUTCHINS HEALTHCARE INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/24/2025 |
| MARTINEZ, FERNANDO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/16/2017 |
| NATIONAL HEALTH INVESTORS, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| TEXAS NHI INVESTORS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| YAMSANI, PRADEEP | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2019 |
| ALEXANDER, ALMA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/27/2020 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| MARTINEZ, FERNANDO | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/16/2017 |
| YAMSANI, PRADEEP | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/30/2019 |
| HUTCHINS HEALTHCARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2017 |
| MARTINEZ, FERNANDO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/16/2017 |
| YAMSANI, PRADEEP | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/30/2019 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of DEWITT MEDICAL DISTRICT (enrollment ID O20170602000295).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DEWITT MEDICAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| FERNANDO MARTINEZ | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/16/2017 | 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. |
| HUTCHINS HEALTHCARE INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/24/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| NATIONAL HEALTH INVESTORS, INC. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| PRADEEP YAMSANI | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/30/2019 | 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. |
| TEXAS NHI INVESTORS, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALMA ALEXANDER | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/27/2020 | 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. |
| CHAD KEETCH | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2011 | 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. |
| SOON BURNAM | Individual | CORPORATE OFFICER | 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. | 4/1/2017 | 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. |
| FERNANDO MARTINEZ | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/16/2017 | 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. |
| PRADEEP YAMSANI | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/30/2019 | 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. |
| FERNANDO MARTINEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/16/2017 | 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. |
| HUTCHINS HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| PRADEEP YAMSANI | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 5/30/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: NATIONAL HEALTH INVESTORS, INC. no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NATIONAL HEALTH INVESTORS, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 December 2025: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PRADEEP YAMSANI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ALMA ALEXANDER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JOSE ROLANDO AMADO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PRADEEP YAMSANI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PRADEEP YAMSANI appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: HUTCHINS HEALTHCARE INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ALMA ALEXANDER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FERNANDO MARTINEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FERNANDO MARTINEZ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FERNANDO MARTINEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: TEXAS NHI INVESTORS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NATIONAL HEALTH INVESTORS, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
Recent changes on this record
- 1 July 2026: NATIONAL HEALTH INVESTORS, INC. no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NATIONAL HEALTH INVESTORS, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 8 January 2026: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 December 2025: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PRADEEP YAMSANI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ALMA ALEXANDER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: JOSE ROLANDO AMADO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PRADEEP YAMSANI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: PRADEEP YAMSANI appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: HUTCHINS HEALTHCARE INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ALMA ALEXANDER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FERNANDO MARTINEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FERNANDO MARTINEZ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: FERNANDO MARTINEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: TEXAS NHI INVESTORS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 1 December 2025: NATIONAL HEALTH INVESTORS, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 2 March 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 22 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 14 May 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 26 March 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 17 April 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 29 March 2018: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 22 November 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 24 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 15 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 13 December 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 21 December 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 18 November 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 26 October 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 20 December 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 5 November 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 9 September 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 26 July 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2007.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 4 December 2025 | 4 December 2025 | 15 | 2 |
| 2 | 27 September 2024 | 27 September 2024 | 8 | 3 |
| 3 | 28 July 2023 | 28 July 2023 | 9 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
32 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 15 May 2026 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | 16 May 2026 |
| 15 May 2026 | Health | F 0573 | Resident Rights Deficiencies | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Yes | Deficient, Provider has date of correction | 16 May 2026 |
| 15 May 2026 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | Yes | Deficient, Provider has date of correction | 16 May 2026 |
| 15 May 2026 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | 16 May 2026 |
| 15 May 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 | 16 May 2026 |
| 15 May 2026 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | B | Yes | Deficient, Provider has date of correction | 16 May 2026 |
| 15 May 2026 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Yes | Deficient, Provider has date of correction | 16 May 2026 |
| 4 December 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 30 December 2025 |
| 4 December 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 30 December 2025 |
| 4 December 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 30 December 2025 |
| 4 December 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | No | Deficient, Provider has date of correction | 30 December 2025 |
| 4 December 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 30 December 2025 |
| 4 December 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. | D | No | Deficient, Provider has date of correction | 30 December 2025 |
| 4 December 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | 30 December 2025 |
| 4 December 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 30 December 2025 |
| 27 September 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 20 October 2024 |
| 27 September 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | No | Deficient, Provider has date of correction | 20 October 2024 |
| 27 September 2024 | 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 | 20 October 2024 |
| 27 September 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 20 October 2024 |
| 27 September 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | No | Deficient, Provider has date of correction | 20 October 2024 |
| 27 September 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 20 October 2024 |
| 27 September 2024 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | No | Deficient, Provider has date of correction | 20 October 2024 |
| 27 September 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 20 October 2024 |
| 22 March 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 22 March 2024 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | E | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 28 July 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 16 August 2023 |
| 28 July 2023 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | 16 August 2023 |
| 28 July 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 16 August 2023 |
| 28 July 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. | D | No | Deficient, Provider has date of correction | 16 August 2023 |
| 28 July 2023 | 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 | 16 August 2023 |
| 28 July 2023 | Health | F 0712 | Nursing and Physician Services Deficiencies | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | No | Deficient, Provider has date of correction | 16 August 2023 |
| 28 July 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 16 August 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Individual |
| Legal Business Name | DEWITT MEDICAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2006-10-10 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Bexar |
| Telephone Number | 2109270800 |
| 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 | 126 |
| Average Number of Residents per Day | 107.8 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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One email a day naming what moved on LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: NATIONAL HEALTH INVESTORS, INC. no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -
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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