Skilled nursing facility · CMS certification number 676119

RIO GRANDE CITY NURSING AND REHABILITATION CENTER

RIO GRANDE CITY, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 110

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 19 February 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$8,048,832	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$744,958	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,303,874	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,803,615	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$500,259	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$710,660	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,210,919	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,210,919 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	40,260	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	728	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	28,101	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,782	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	31,611	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	17	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	87	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	55	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	159	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	323	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	198.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403914, 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, settled, processed by CMS on 21 March 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,881,567	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$382,439	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,499,128	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,555,804	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$56,676	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,225,983	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,169,307	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,169,307 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,303	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	206	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	265.71	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	142.25	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375427, 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 24 April 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$5,325,435	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,325,435	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,636,868	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,311,433	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,003,800	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$692,367	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $692,367 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,928	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	159	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	358.92	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	156.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1346272, 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 25 March 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,233,589	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,233,589	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,931,762	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,698,173	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,402,483	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$704,310	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $704,310 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,903	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	165	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.74	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	276.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	138.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313058, 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 April 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,861,596	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$7,861,596	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,763,516	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$901,920	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,312,929	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$411,009	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $411,009 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,076	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	229	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	273.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	131.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281959, 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 16 September 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$8,222,879	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$8,222,879	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,582,622	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$359,743	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$714,812	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$355,069	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $355,069 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,451	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	238	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	339.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	148.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1299813, 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 19 March 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$8,626,674	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$8,626,674	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,962,857	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$336,183	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$662,639	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$326,456	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $326,456 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,860	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	270	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	332.04	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	140.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1221480, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 30 September 2017

Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$8,690,894	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$8,690,894	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,880,523	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$189,629	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$370,301	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$180,672	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $180,672 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,699	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	274	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	283.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	141.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188210, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 30 September 2016

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

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$9,265,801	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$9,265,801	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,068,324	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$802,523	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$802,523	CMS-2540-10 worksheet G300000 line 2500 column 100

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	41,177	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	305	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	323.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	135.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1156366, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 27 February 2015

Cost report for 1 January 2015 to 27 February 2015 — a reporting period of 57 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$1,408,417	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$1,408,417	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,187,601	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$220,816	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,008	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$224,824	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $224,824 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	5,959	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	55	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	410.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	108.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1144277, 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 8 December 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$7,987,754	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$7,987,754	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,811,625	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,176,129	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,458	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,177,587	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,177,587 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,767	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	320	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	279.26	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	118.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1147825, 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 17 November 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$7,687,500	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$7,687,500	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,704,365	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$983,135	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,136	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$988,271	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $988,271 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,328	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	360	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	236.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	103.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1112865, 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 13 November 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$7,455,808	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$7,455,808	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,720,754	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$735,054	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$21,247	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$756,301	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $756,301 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,361	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	377	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	251.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	99.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1080163, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

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

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$7,261,383	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,261,382	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,412,150	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$849,232	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,322	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$854,554	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $854,554 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,823	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	360	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	176.7	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	99.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1014934, 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 27 June 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$7,057,806	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,641,483	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$416,323	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$20,805	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $437,128 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,789	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	456	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.28	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	146.02	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	80.68	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 430991, 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 12 August 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$6,702,718	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,249,381	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$453,337	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$15,386	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $468,723 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,955	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	390	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.98	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	144.53	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	94.76	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385390, 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
Figure	As filed	Where it comes from
Net patient revenue	$5,293,169	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,283,590	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$9,579	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$35,407	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $44,986 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,203	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	406	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	133.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	76.85	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 350492, 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.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$4,053,469	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,708,346	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$654,877	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,057	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$647,820 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,511	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	364	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	24.35	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	133.37	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	61.84	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 325367, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 19 October 2006 to 31 December 2006 — a reporting period of 73 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 21 August 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$332,222	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,015,492	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$683,270	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,604	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$678,666 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	1,947	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	32	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.14	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	87.24	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	60.84	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 292454, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
STARR COUNTY HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 02/28/2015
2530 CENTRAL PALM DRIVE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
DEKOWSKI, DONOVAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/28/2015
GONZALES, ANA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
MARTINEZ, ARTURO	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
PENA, ALEGRIA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/29/2024
PENA, EMANUEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
REGENCY IHS CLINICAL CONSULTING, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
REGENCY IHS MASTER TENANT LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
REGENCY IHS OF RIO GRANDE CITY, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
REGENCY IHS REHAB LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
REGENCY INTEGRATED HEALTH SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
STARR COUNTY HOSPITAL DISTRICT	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/14/2025
MUNOZ, THALIA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/1982
REGENCY IHS OF RIO GRANDE CITY, LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 02/28/2015
CSV RHEA MANAGEMENT HOLDCO, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 02/28/2015
DWD TX HOLDINGS LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 02/28/2015
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 02/28/2015
REG HG OPCO 1, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 02/28/2015
REG HG OPCO LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 02/28/2015
REG OPERATOR HOLDCO LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 02/28/2015
REGENCY INTEGRATED HEALTH SERVICES LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 02/28/2015
REGENCY TEXAS HOLDINGS LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 02/28/2015
BAIRD, DANIEL	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/13/2021
CLAPP, BARBARA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 06/01/2021
CORTESE, DAREN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 08/10/2021
GIBSON, PATRICIA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 08/01/2021
GUERRA, ADRIAN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 05/01/2016
MANDELBAUM, ELLIOT	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2025
MUNOZ, THALIA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/1982
PENA, ELISA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 05/01/2022
SALINAS, ARCADIO	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 09/17/2024
DEKOWSKI, DONOVAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/28/2015
PENA, ALEGRIA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/29/2024
REGENCY IHS OF RIO GRANDE CITY, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/28/2025
REGENCY INTEGRATED HEALTH SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/28/2015
STARR COUNTY HOSPITAL DISTRICT	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/28/2015

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of STARR COUNTY HOSPITAL DISTRICT (enrollment ID O20150325000463).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
STARR COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
2530 CENTRAL PALM DRIVE 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.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
ALEGRIA PENA	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.	7/29/2024	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.
ANA GONZALES	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ARTURO 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.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DONOVAN R DEKOWSKI	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.	2/28/2015	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.
EMANUEL PENA	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
REGENCY IHS CLINICAL CONSULTING, 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.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
REGENCY IHS MASTER TENANT 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.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
REGENCY IHS OF RIO GRANDE CITY, 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.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
REGENCY IHS REHAB 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.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
REGENCY INTEGRATED HEALTH SERVICES 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.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
STARR COUNTY HOSPITAL DISTRICT	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.	4/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
THALIA H MUNOZ	Individual	CORPORATE OFFICER	0	1/1/1982	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.
REGENCY IHS OF RIO GRANDE CITY, LLC	Organization	DIRECT OWNERSHIP INTEREST	0	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
CSV RHEA MANAGEMENT HOLDCO, LLC	Organization	INDIRECT OWNERSHIP INTEREST	0	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
DWD TX HOLDINGS LLC	Organization	INDIRECT OWNERSHIP INTEREST	0	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC	Organization	INDIRECT OWNERSHIP INTEREST	0	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
REG HG OPCO 1, LLC	Organization	INDIRECT OWNERSHIP INTEREST	0	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
REG HG OPCO LLC	Organization	INDIRECT OWNERSHIP INTEREST	0	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
REG OPERATOR HOLDCO LLC	Organization	INDIRECT OWNERSHIP INTEREST	0	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
REGENCY INTEGRATED HEALTH SERVICES LLC	Organization	INDIRECT OWNERSHIP INTEREST	0	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
REGENCY TEXAS HOLDINGS LLC	Organization	INDIRECT OWNERSHIP INTEREST	0	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
ADRIAN GUERRA	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.	5/1/2016	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.
ARCADIO J SALINAS	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/17/2024	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.
BARBARA B CLAPP	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.	6/1/2021	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.
DANIEL S BAIRD	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.	4/13/2021	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.
DAREN A CORTESE	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.	8/10/2021	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.
ELISA G PENA	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.	5/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ELLIOT J MANDELBAUM	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.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PATRICIA GIBSON	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.	8/1/2021	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.
THALIA H MUNOZ	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.	1/1/1982	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.
ALEGRIA PENA	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.	7/29/2024	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.
DONOVAN R DEKOWSKI	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.	2/28/2015	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.
REGENCY IHS OF RIO GRANDE CITY, LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	2/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
REGENCY INTEGRATED HEALTH SERVICES LLC	Organization	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.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
STARR COUNTY HOSPITAL DISTRICT	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: CSV RHEA MANAGEMENT HOLDCO, LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANA GONZALES 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: CSV RHEA MANAGEMENT HOLDCO, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANA GONZALES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 November 2025: MICHELLLE FLORES no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: THALIA H MUNOZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: THALIA H MUNOZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOSE A VAZQUEZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ELLIOT J MANDELBAUM appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAREN A CORTESE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DONOVAN R DEKOWSKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DONOVAN R DEKOWSKI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY IHS CLINICAL CONSULTING, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ALEGRIA PENA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ALEGRIA PENA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ARTURO MARTINEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ARCADIO J SALINAS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DANIEL S BAIRD appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ELISA G PENA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY INTEGRATED HEALTH SERVICES LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY INTEGRATED HEALTH SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ADRIAN GUERRA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DWD TX HOLDINGS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY IHS MASTER TENANT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REG HG OPCO 1, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: 2530 CENTRAL PALM DRIVE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REG HG OPCO LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: STARR COUNTY HOSPITAL DISTRICT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: STARR COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BARBARA B CLAPP appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY IHS OF RIO GRANDE CITY, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY IHS OF RIO GRANDE CITY, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REG OPERATOR HOLDCO LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: PATRICIA GIBSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: THALIA H MUNOZ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: THALIA H MUNOZ appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY TEXAS HOLDINGS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY IHS REHAB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: EMANUEL PENA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CSV RHEA MANAGEMENT HOLDCO, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ANA GONZALES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv

Recent changes on this record

1 July 2026: CSV RHEA MANAGEMENT HOLDCO, LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANA GONZALES 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: CSV RHEA MANAGEMENT HOLDCO, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANA GONZALES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 November 2025: MICHELLLE FLORES no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: THALIA H MUNOZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: THALIA H MUNOZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOSE A VAZQUEZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ELLIOT J MANDELBAUM appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAREN A CORTESE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DONOVAN R DEKOWSKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DONOVAN R DEKOWSKI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY IHS CLINICAL CONSULTING, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ALEGRIA PENA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ALEGRIA PENA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ARTURO MARTINEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ARCADIO J SALINAS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DANIEL S BAIRD appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ELISA G PENA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY INTEGRATED HEALTH SERVICES LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY INTEGRATED HEALTH SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ADRIAN GUERRA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DWD TX HOLDINGS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY IHS MASTER TENANT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REG HG OPCO 1, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: 2530 CENTRAL PALM DRIVE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REG HG OPCO LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: STARR COUNTY HOSPITAL DISTRICT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: STARR COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BARBARA B CLAPP appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY IHS OF RIO GRANDE CITY, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY IHS OF RIO GRANDE CITY, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REG OPERATOR HOLDCO LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: PATRICIA GIBSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: THALIA H MUNOZ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: THALIA H MUNOZ appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY TEXAS HOLDINGS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: REGENCY IHS REHAB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: EMANUEL PENA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies
1	10 September 2025	10 September 2025	11
2	8 August 2024	8 August 2024	4
3	18 May 2023	18 May 2023	3

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

Deficiencies cited

18 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
11 June 2026	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	12 June 2026
5 May 2026	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	27 May 2026
20 November 2025	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	Yes	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	D	Yes	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	Yes	Deficient, Provider has date of correction	21 November 2025
10 September 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	12 September 2025
10 September 2025	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	12 September 2025
10 September 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	12 September 2025
10 September 2025	Health	F 0694	Quality of Life and Care Deficiencies	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	D	No	Deficient, Provider has date of correction	12 September 2025
10 September 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	12 September 2025
10 September 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	12 September 2025
4 November 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	Yes	Deficient, Provider has date of correction	8 November 2024
4 November 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G	Yes	Deficient, Provider has date of correction	8 November 2024
8 August 2024	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	3 September 2024
8 August 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	E	No	Deficient, Provider has date of correction	3 September 2024
20 June 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	21 June 2024
20 June 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	Yes	Deficient, Provider has date of correction	21 June 2024
18 May 2023	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	19 May 2023

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
4 November 2024	Fine	$13,514			113323

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Government - Hospital district
Legal Business Name	STARR COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2006-10-19
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Starr
Telephone Number	9564873996
Chain Name	WELLSENTIAL HEALTH
Chain ID	670
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	110
Average Number of Residents per Day	88.0
Overall Rating	4
Health Inspection Rating	4
QM Rating	4
Long-Stay QM Rating	4
Short-Stay QM Rating	3
Processing Date	2026-08-01

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

Get an email when this record changes

One email a day naming what moved on RIO GRANDE CITY NURSING 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: CSV RHEA MANAGEMENT HOLDCO, LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for RIO GRANDE CITY NURSING 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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