Skilled nursing facility · CMS certification number 676181

The Heights of Atascosa

PLEASANTON, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 100

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,845,519	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,131,123	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,714,396	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,630,614	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,083,782	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,210	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,094,992	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,094,992 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	36,600	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	4,062	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	16,830	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	10,637	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	31,529	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	104	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	74	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	317	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	495	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	227.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	63.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436060, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 June 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$11,075,999	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$964,048	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,111,951	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,576,222	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,535,729	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$529,715	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,065,444	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,065,444 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,241	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	511	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.41	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	141.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	57.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1383487, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 April 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$12,139,756	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,172,945	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,966,811	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,853,859	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,112,952	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$351,396	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,464,348	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,464,348 (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 2022
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,071	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	383	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	99.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	124.57	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	78.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376719, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

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

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$11,821,013	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,389,184	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,431,829	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,438,993	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,992,836	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$671,918	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,664,754	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,664,754 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,580	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	558	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	116.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	47.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328514, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 December 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$13,721,610	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,442,030	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,279,580	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,683,548	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,596,032	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$561,918	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,157,950	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,157,950 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,681	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	439	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	97.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1338995, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 October 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$11,840,141	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,172,419	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,667,722	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,102,437	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$565,285	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,760	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$570,045	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $570,045 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,835	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	405	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	295.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	83.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1272101, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

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

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$10,529,376	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,517,109	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,012,267	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,648,152	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$364,115	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,972	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$368,087	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $368,087 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,118	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	355	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	213.82	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	93.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1235793, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$9,563,905	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,561,786	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,002,119	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,307,431	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$305,312	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,376	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$286,936	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$286,936 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,919	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	309	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	247.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	100.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1207542, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 December 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$7,198,801	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$157,558	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,356,359	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,350,995	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$5,364	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,333	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$10,697	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$10,998 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,358	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	260	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	456.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	124.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1215945, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 28 February 2015 to 31 December 2015 — a reporting period of 306 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$6,797,554	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$865,382	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,932,172	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,884,677	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$47,495	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$853	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$48,348	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $48,348 (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 2015
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,179	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	273	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	257.66	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	95.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1156186, 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 6 August 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$7,395,042	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$763,235	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,631,807	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,912,647	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$280,840	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,427	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$278,413	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$278,413 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,650	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	272	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	399.47	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1107035, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 July 2013

Cost report for 1 January 2013 to 31 July 2013 — a reporting period of 211 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 July 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$3,962,883	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$339,518	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,623,365	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,714,805	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$91,440	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$776	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$90,664	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$140,368 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,851	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	135	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	483.92	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	139.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1103384, 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 11 September 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$7,094,825	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$435,486	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,659,339	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,527,026	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$132,313	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,703	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$135,016	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $154,288 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,070	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	227	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	606.72	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	145.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1077996, 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	$7,104,972	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	$7,104,971	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,501,339	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$603,632	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,717	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$605,349	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $347,322 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,619	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	343	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	182.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	92.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1015770, 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 22 July 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$6,926,572	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,297,910	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$628,662	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,329	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$80,000	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $549,991 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,415	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	259	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.94	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	441.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	129.02	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 412605, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$7,150,356	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,679,128	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$471,228	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$887	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $472,115 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,639	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	235	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.29	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	3,941.75	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	138.89	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 380823, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 16 May 2008 to 31 December 2008 — a reporting period of 229 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 7 August 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,525,538	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,735,228	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$209,690	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$209,690 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,964	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	128	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	62.42	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	649.6	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	116.91	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 354179, 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
BEXAR COUNTY HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 02/28/2015
LUMENT REAL ESTATE CAPITAL LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 05/05/2014
AEGIS THERAPIES, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
ALAMO ADVISORS LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
CAMPBELL, LESLIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2020
CARVAJAL PHARMACY LTC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/01/2017
CASTILLO, LYNNEA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/28/2015
CLAYTON, JONATHON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2023
DUENES, MARIA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/17/2020
FELLBAUM, ERNEST	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/28/2015
MORRIS, NICOLE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2025
NUTRITIOUS LIFESTYLES, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
PLANTE & MORAN PLLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
SEHLKE, BRYON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/16/2016
STUDER, STANLEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/28/2015
TOUCHSTONE COMMUNITIES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
TOUCHSTONE REALTY - ATASCOSA LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
TOUCHSTONE STRATEGIES - PLEASANTON LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/10/2025
TRIDENT HEALTH SERVICES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
ZERTUCHE, BENJAMIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2014
ZUROVEC, DARRELL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2017
HURLEY, CHRISTOPHER	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 09/26/2014
CAMPBELL, LESLIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2020
CASTILLO, LYNNEA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/28/2015
CLAYTON, JONATHON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2023
DUENES, MARIA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/17/2020
MORRIS, NICOLE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2025
SEHLKE, BRYON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/16/2016
TOUCHSTONE STRATEGIES - PLEASANTON LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2016
ZERTUCHE, BENJAMIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2014
ZUROVEC, DARRELL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2017

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BEXAR COUNTY HOSPITAL DISTRICT (enrollment ID O20150508001024).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
BEXAR 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
LUMENT REAL ESTATE CAPITAL LLC	Organization	5% OR GREATER MORTGAGE INTEREST	5	5/5/2014	Private equity company: No Real estate investment trust: No Holding company: No
AEGIS THERAPIES, INC.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
ALAMO ADVISORS LP	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
BENJAMIN S ZERTUCHE	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.	12/1/2014	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.
BRYON SEHLKE	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.	12/16/2016	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.
CARVAJAL PHARMACY LTC	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.	7/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
DARRELL D ZUROVEC	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2017	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.
ERNEST C FELLBAUM	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.
JONATHON DEWEY CLAYTON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2023	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.
LESLIE D CAMPBELL	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.	4/1/2020	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.
LYNNEA CASTILLO	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.
MARIA DUENES	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/17/2020	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.
NICOLE MORRIS	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.	10/1/2025	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.
NUTRITIOUS LIFESTYLES, INC.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
PLANTE & MORAN PLLC	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
STANLEY S STUDER	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.
TOUCHSTONE COMMUNITIES INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
TOUCHSTONE REALTY - ATASCOSA 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
TOUCHSTONE STRATEGIES - PLEASANTON 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.	7/10/2025	Private equity company: No Real estate investment trust: No Holding company: No
TRIDENT HEALTH SERVICES INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
CHRISTOPHER REED HURLEY	Individual	CORPORATE OFFICER	0	9/26/2014	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.
BENJAMIN S ZERTUCHE	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.	12/1/2014	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.
BRYON SEHLKE	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.	12/16/2016	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.
DARRELL D ZUROVEC	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2017	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.
JONATHON DEWEY CLAYTON	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.	5/1/2023	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.
LESLIE D CAMPBELL	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.	4/1/2020	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.
LYNNEA CASTILLO	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.
MARIA DUENES	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/17/2020	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.
NICOLE MORRIS	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.	10/1/2025	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.
TOUCHSTONE STRATEGIES - PLEASANTON 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.	3/1/2016	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: CARVAJAL PHARMACY LTC 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: CARVAJAL PHARMACY LTC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: MARIAH DOMINGUEZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARIAH DOMINGUEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NICOLE MORRIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NICOLE MORRIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 November 2025: CHRISTOPHER REED HURLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BEXAR COUNTY HOSPITAL DISTRICT 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: YING COLLINGWOOD 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: GEORGE B HERNANDEZ 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: GEORGE B HERNANDEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAISY NOGUERA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: STANLEY S STUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JONATHON DEWEY CLAYTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JONATHON DEWEY CLAYTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TRIDENT HEALTH SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ERNEST C FELLBAUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CHRISTOPHER REED HURLEY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LESLIE D CAMPBELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LESLIE D CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BRYON SEHLKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BRYON SEHLKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BENJAMIN S ZERTUCHE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BENJAMIN S ZERTUCHE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: AEGIS THERAPIES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TOUCHSTONE COMMUNITIES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BEXAR 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: DARRELL D ZUROVEC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DARRELL D ZUROVEC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TOUCHSTONE STRATEGIES - PLEASANTON 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: TOUCHSTONE REALTY - ATASCOSA 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: MARIA DUENES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: MARIA DUENES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: NUTRITIOUS LIFESTYLES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: PLANTE & MORAN PLLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ALAMO ADVISORS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LUMENT REAL ESTATE CAPITAL LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LYNNEA CASTILLO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LYNNEA CASTILLO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: MARIAH DOMINGUEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: MARIAH DOMINGUEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CARVAJAL PHARMACY LTC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 January 2023: WILLIAM R BEDWELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: CATHERINE CASTORENO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: REED HURLEY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: YING COLLINGWOOD appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: DAISY NOGUERA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv

Recent changes on this record

1 July 2026: CARVAJAL PHARMACY LTC 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: CARVAJAL PHARMACY LTC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: MARIAH DOMINGUEZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARIAH DOMINGUEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NICOLE MORRIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NICOLE MORRIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 November 2025: CHRISTOPHER REED HURLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BEXAR COUNTY HOSPITAL DISTRICT 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: YING COLLINGWOOD 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: GEORGE B HERNANDEZ 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: GEORGE B HERNANDEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAISY NOGUERA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: STANLEY S STUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JONATHON DEWEY CLAYTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JONATHON DEWEY CLAYTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TRIDENT HEALTH SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ERNEST C FELLBAUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CHRISTOPHER REED HURLEY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LESLIE D CAMPBELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LESLIE D CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BRYON SEHLKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BRYON SEHLKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BENJAMIN S ZERTUCHE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BENJAMIN S ZERTUCHE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: AEGIS THERAPIES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TOUCHSTONE COMMUNITIES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BEXAR 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: DARRELL D ZUROVEC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DARRELL D ZUROVEC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TOUCHSTONE STRATEGIES - PLEASANTON 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: TOUCHSTONE REALTY - ATASCOSA 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: MARIA DUENES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: MARIA DUENES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: NUTRITIOUS LIFESTYLES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: PLANTE & MORAN PLLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ALAMO ADVISORS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LUMENT REAL ESTATE CAPITAL LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LYNNEA CASTILLO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LYNNEA CASTILLO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: MARIAH DOMINGUEZ 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	Fire safety deficiencies
1	16 May 2025	16 May 2025	7	11
2	22 March 2024	22 March 2024	3	1
3	10 February 2023	10 February 2023	6	1

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

Deficiencies cited

16 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
24 November 2025	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.	E	Yes	Deficient, Provider has date of correction	25 November 2025
16 May 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	17 May 2025
16 May 2025	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	17 May 2025
16 May 2025	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	17 May 2025
16 May 2025	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	17 May 2025
16 May 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	No	Deficient, Provider has date of correction	17 May 2025
16 May 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	17 May 2025
22 March 2024	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	23 March 2024
22 March 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	23 March 2024
22 March 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	23 March 2024
10 February 2023	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	11 February 2023
10 February 2023	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	11 February 2023
10 February 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	11 February 2023
10 February 2023	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	D	No	Deficient, Provider has date of correction	11 February 2023
10 February 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	11 February 2023
10 February 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	8 March 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	BEXAR COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2008-05-16
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Atascosa
Telephone Number	8302818202
Chain Name	TOUCHSTONE COMMUNITIES
Chain ID	521
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	None
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	100
Average Number of Residents per Day	85.2
Overall Rating	4
Health Inspection Rating	4
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	2
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 The Heights of Atascosa: 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: CARVAJAL PHARMACY LTC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for The Heights of Atascosa

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 676181.