Skilled nursing facility · CMS certification number 676175

PERMIAN RESIDENTIAL CARE CENTER

ANDREWS, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 112

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 27 March 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$11,097,168	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,070,771	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,026,397	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,291,726	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,265,329	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$347,922	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$917,407	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$917,407 (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	112	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	40,992	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,937	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	15,674	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	4,632	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	22,243	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	20	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	38	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	19	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	77	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	96.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	412.47	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	288.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405938, 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 18 March 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,261,623	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,454,738	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,806,885	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,598,101	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$791,216	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$555,141	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$236,075	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$233,303 (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	93	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,862	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	107	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.81	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	311.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	185.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375175, 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 20 March 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$3,791,830	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$147,382	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,644,448	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,241,188	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$596,740	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$912,788	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$316,048	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$4,172 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,923	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	86	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	578.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	220.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344625, 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 21 April 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$4,047,815	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$185,018	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,232,833	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,250,750	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,017,917	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$992,100	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$25,817	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$25,923 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,510	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	121	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.84	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	306.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	161.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314069, 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 23 March 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,917,472	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$52,934	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,864,538	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,043,386	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,178,848	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$909,454	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$269,394	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$269,394 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,599	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	89	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.16	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	337.18	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	253.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281616, 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 12 March 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$4,379,076	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$709,250	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,669,826	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,034,826	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,365,000	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$81,652	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,283,348	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,283,348 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,255	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	123	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	286.32	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	197.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252381, 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 11 March 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,437,761	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$483,995	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,953,766	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,822,797	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$869,031	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$158,200	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$710,831	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$710,831 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,320	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	108	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	297.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	234.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1220944, 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	$4,337,180	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$330,561	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,006,619	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,672,140	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$665,521	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,315	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$654,206	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$559,977 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,951	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	110	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	68.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	344.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	235.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188319, 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 30 March 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,140,293	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$442,427	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,697,866	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,382,803	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$684,937	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$15,180	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$669,757	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$39,287 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,220	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	71	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	144	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	544.9	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	369.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1155388, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 30 September 2015

Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,138,312	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$297,638	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,840,674	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,402,299	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,561,625	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,151	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,550,474	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,550,474 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,455	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	84	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	88.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	513	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	314.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1121729, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 30 September 2014

Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 January 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$3,614,162	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$257,955	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,356,207	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,139,758	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$783,551	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$24,713	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$758,838	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$758,838 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,203	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	93	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	462.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	281.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118039, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 30 September 2013

Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 March 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$3,669,804	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$415,092	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,254,712	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,855,174	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$600,462	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,138	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$588,324	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$588,324 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,311	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	85	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	90.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	459.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	309.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1056228, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 30 September 2012

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 May 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$3,756,078	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$349,274	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,406,804	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,701,853	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$295,049	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,977	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$282,072	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$282,072 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,885	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	87	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	86.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	496	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	309.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1028564, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 September 2011

Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$3,536,682	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,544,223	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$7,541	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,835	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $3,294 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,665	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	90	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	74.78	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	723.05	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	296.28	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433004, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended 30 September 2010

Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 March 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,633,341	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,736,869	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$103,528	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$811,073	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $707,545 (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	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,152	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	98	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	107.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	336.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	287.27	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 395572, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 September 2009

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 March 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,529,221	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,429,020	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$100,201	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$701,392	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $801,593 (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	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,714	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	71	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	63.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	698.21	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	390.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 366576, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 30 September 2008

Cost report for 23 May 2008 to 30 September 2008 — a reporting period of 130 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 25 June 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,780,570	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,746,872	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$33,698	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$546,960	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$462,762	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $117,896 (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	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,840	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	79	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	215	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	370.63	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	339.75	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 347289, read from the public cost report file SNFFY2008.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
ANDREWS COUNTY HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 02/12/2003
ANDREWS COUNTY HOSPITAL DISTRICT	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/12/2003
FULKS, CYDNEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022
SLAUGHTER, PAUL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/08/2025
BENDER, SARAH	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/01/2023
BOSWELL, CAROL	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 02/12/2003
CASTILLO, MARTINA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 05/01/2024
GONZALES, MANUAL	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2017
SANCHEZ, MIKE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/01/2020
VARNER, JESSICA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 05/01/2022
WARNKE, ANDREA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2018
BENDER, SARAH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2023
BOOTH, DONNY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2019
BOSWELL, CAROL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/12/2003
FULKS, CYDNEY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2022
GONZALES, MANUAL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2017
JAMISON, FELICIA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/11/2022
PRYOR, DONNA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/05/2005
SANCHEZ, MIKE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2020
SLAUGHTER, PAUL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/12/2003
VARNER, JESSICA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2022
ANDREWS COUNTY HOSPITAL DISTRICT	TRUSTEE OF THE SNF	Organization	NOT APPLICABLE	since 02/12/2003
FULKS, CYDNEY	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ANDREWS COUNTY HOSPITAL DISTRICT (enrollment ID O20071030000555).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ANDREWS COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	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.	2/12/2003	Private equity company: No Real estate investment trust: No Holding company: No
ANDREWS 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.	2/12/2003	Private equity company: No Real estate investment trust: No Holding company: No
CYDNEY FULKS	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.	10/1/2022	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.
PAUL M SLAUGHTER	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.	4/8/2025	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.
ANDREA WARNKE	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.	1/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CAROL BOSWELL	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/12/2003	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.
JESSICA VARNER	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.
MANUAL GONZALES	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.	1/1/2017	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.
MARTINA CASTILLO	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.	5/1/2024	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.
MIKE SANCHEZ	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2020	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.
SARAH BENDER	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CAROL BOSWELL	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.	2/12/2003	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.
CYDNEY FULKS	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.	10/1/2022	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.
DONNA PRYOR	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.	12/5/2005	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.
DONNY BOOTH	Individual	OPERATIONAL/MANAGERIAL CONTROL	0	10/1/2019	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.
FELICIA D JAMISON	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.	5/11/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JESSICA VARNER	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.	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.
MANUAL GONZALES	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.	1/1/2017	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.
MIKE SANCHEZ	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.	11/1/2020	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.
PAUL M SLAUGHTER	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.	2/12/2003	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.
SARAH BENDER	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.	11/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANDREWS COUNTY HOSPITAL DISTRICT	Organization	TRUSTEE 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.	2/12/2003	Private equity company: No Real estate investment trust: No Holding company: No
CYDNEY FULKS	Individual	TRUSTEE 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.	10/1/2022	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.

Changes in ownership

1 July 2026: MANUAL GONZALES no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MANUAL GONZALES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MANUAL GONZALES appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MANUAL GONZALES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2026: ANDREA WARNKE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MORGAN MASON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MORGAN MASON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARTINA CASTILLO appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: FELICIA D JAMISON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DONNA PRYOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 June 2025: MIKE SANCHEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: SARAH BENDER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JESSICA VARNER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ELIZABETH BOYNTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ANDREA WARNKE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CAROL BOSWELL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MANUAL GONZALES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CYDNEY FULKS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CYDNEY FULKS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CYDNEY FULKS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MIKE SANCHEZ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MIKE SANCHEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: SARAH BENDER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: SARAH BENDER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ANDREWS COUNTY HOSPITAL DISTRICT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ANDREWS COUNTY HOSPITAL DISTRICT appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JESSICA VARNER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JESSICA VARNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ANDREA WARNKE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ANDREA WARNKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CAROL BOSWELL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CAROL BOSWELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MORGAN MASON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: PAUL M SLAUGHTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: PAUL M SLAUGHTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MANUAL GONZALES appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MANUAL GONZALES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 March 2024: TOM JONES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: STACY SALAZAR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: SHIRLEY JOHNSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: RONALD HUCKABAY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: JO ANN SEALY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: MIKE SANCHEZ appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: SARAH BENDER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: JESSICA VARNER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: ANDREA WARNKE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
15 March 2023: DONLIN SAWYER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: RUSSELL TIPPIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: RUSSELL TIPPIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: STACY SALAZAR appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: DONALD BOOTH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: MORGAN MASON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv

Recent changes on this record

1 July 2026: MANUAL GONZALES no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MANUAL GONZALES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MANUAL GONZALES appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MANUAL GONZALES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2026: ANDREA WARNKE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MORGAN MASON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MORGAN MASON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARTINA CASTILLO appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: FELICIA D JAMISON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DONNA PRYOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 June 2025: MIKE SANCHEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: SARAH BENDER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JESSICA VARNER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ELIZABETH BOYNTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ANDREA WARNKE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CAROL BOSWELL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MANUAL GONZALES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CYDNEY FULKS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CYDNEY FULKS appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CYDNEY FULKS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MIKE SANCHEZ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MIKE SANCHEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: SARAH BENDER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: SARAH BENDER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ANDREWS COUNTY HOSPITAL DISTRICT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ANDREWS COUNTY HOSPITAL DISTRICT appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JESSICA VARNER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JESSICA VARNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ANDREA WARNKE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ANDREA WARNKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CAROL BOSWELL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CAROL BOSWELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MORGAN MASON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: PAUL M SLAUGHTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: PAUL M SLAUGHTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MANUAL GONZALES appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MANUAL GONZALES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
27 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
18 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 March 2024: TOM JONES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	12 December 2025	12 December 2025	4	4
2	26 September 2024	26 September 2024	2	0
3	27 July 2023	27 July 2023	2	1

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

Deficiencies cited

8 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
12 December 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	13 December 2025
12 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	13 December 2025
12 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.	E	No	Deficient, Provider has date of correction	13 December 2025
12 December 2025	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	D	No	Deficient, Provider has date of correction	13 December 2025
26 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	27 September 2024
26 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	27 September 2024
7 March 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.	J	Yes	Past Non-Compliance	6 March 2024
27 July 2023	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	No	Deficient, Provider has date of correction	1 August 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
7 March 2024	Fine	$20,865			112483

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 - County
Legal Business Name	ANDREWS COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2008-05-23
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Andrews
Telephone Number	4324642430
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	112
Average Number of Residents per Day	67.7
Overall Rating	5
Health Inspection Rating	5
QM Rating	3
Long-Stay QM Rating	2
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.

Get an email when this record changes

One email a day naming what moved on PERMIAN RESIDENTIAL CARE 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: MANUAL GONZALES no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for PERMIAN RESIDENTIAL CARE 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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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676175.