Skilled nursing facility · CMS certification number 676184
Providence Park Rehabilitation and Skilled Nursing
Tyler, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 125
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 12 September 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,609,617 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,602,124 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,007,493 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,791,785 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$784,292 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $633,538 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$150,754 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$150,755 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 45,750 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,577 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 19,335 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 13,285 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 36,197 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 115 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 130 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 309 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 554 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 148.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439529, 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 11 February 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,954,100 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,225,683 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,728,417 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,494,643 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,766,226 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $949,010 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$817,216 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$817,218 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,393 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 624 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 143.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403524, 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 4 June 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,118,615 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,312,635 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,805,980 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,636,512 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$830,532 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,134,030 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $303,498 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $303,498 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,481 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 800 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 148.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1381083, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 30 September 2021
Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,453,279 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,068,060 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,385,219 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,158,592 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$773,373 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,053,263 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $279,890 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $279,890 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,148 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 692 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 121.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359866, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 September 2020
Cost report for 1 April 2020 to 30 September 2020 — a reporting period of 182 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 23 March 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,567,076 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,502,562 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,064,514 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,843,968 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $220,546 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $933,121 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,153,667 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,153,667 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,135 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 252 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 303.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281617, 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 February 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,731,252 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,368,454 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,362,798 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,653,677 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $709,121 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $63,977 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $773,098 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $773,096 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,557 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 834 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 234.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310683, 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 21 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,771,014 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,671,572 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,099,442 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,503,068 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $596,374 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $61,864 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $658,238 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $658,237 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,601 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 819 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 388.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1277072, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,369,679 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,881,347 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,488,332 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,762,092 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $726,240 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $49,803 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $776,043 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $776,043 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,567 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 792 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 430.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 49.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207075, 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 13 October 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,059,841 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,850,083 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,209,758 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,462,209 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $747,549 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $45,086 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $792,635 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $792,635 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,305 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 754 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 696.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1212855, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 June 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,556,358 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,253,689 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,302,669 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,273,587 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,029,082 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,816 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,064,898 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,064,898 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,873 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 433 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,697.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1159233, 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 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,230,387 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,044,232 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,186,155 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,796,650 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,389,505 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,882 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,414,387 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,414,387 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,952 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 650 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 639.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 49.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1147569, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,134,282 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,796,050 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,338,232 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,138,180 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,200,052 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,390 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,204,442 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,204,440 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,761 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 342 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 412.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109091, 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 9 December 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,201,610 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,271,004 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,930,606 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,966,120 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $964,486 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,038 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $969,524 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $969,523 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,231 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 503 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 256.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1082060, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,335,571 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,142,758 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,192,813 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,019,079 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,173,734 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,303 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,179,037 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,179,036 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,544 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 467 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 787.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 82.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1015492, 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 8 September 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,850,904 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,487,662 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,363,242 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,950 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,368,192 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,201 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 451 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 360.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 416838, 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 24 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,517,105 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,378,887 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $138,218 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $138,221 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,311 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 331 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 255.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 88.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 386158, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 24 July 2008 to 31 December 2008 — a reporting period of 160 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 21 September 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,205,041 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,673,812 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$468,771 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: −$468,771 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,476 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 141.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 66.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 357040, 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.
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 |
|---|---|---|---|---|
| SOUTH LIMESTONE HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/01/2020 |
| UMB BANK NATIONAL ASSOCIATION | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/23/2021 |
| DILLON, SHANNON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/12/2023 |
| LARSEN, DAVID | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/20/2024 |
| LIFETIME WELLNESS, LTD. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/23/2021 |
| MARTUS FINANCIAL SERVICES, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/31/2023 |
| MCKEEHAN, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/18/2023 |
| PF BROADMORE SNF OPS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/03/2025 |
| PHARMERICA DRUG SYSTEMS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/27/2017 |
| PRESERVATION FREEHOLD COMPANY | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/23/2021 |
| REHAB PRO LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/23/2021 |
| SANCTUARY LTC, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/23/2021 |
| STONEGATE SENIOR LIVING, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/03/2025 |
| PRICE, LARRY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/1982 |
| CAMPBELL, SCOTT | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/03/2025 |
| CHANCE, JAMES | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/03/2025 |
| FISHER, JAMES | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/04/2025 |
| LANGDON, THOMAS | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/03/2025 |
| MCGEHEE, WILLIAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/03/2025 |
| TAYLOR, JOHN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/03/2025 |
| MCKEEHAN, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/18/2023 |
| PF BROADMORE SNF OPS, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/23/2021 |
| STONEGATE SENIOR LIVING, LP | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/22/2022 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SOUTH LIMESTONE HOSPITAL DISTRICT (enrollment ID O20200513000998).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| SOUTH LIMESTONE HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| UMB BANK NATIONAL ASSOCIATION | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 9/23/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID D LARSEN | 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. | 11/20/2024 | 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. |
| JOHN T MCKEEHAN | 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. | 9/18/2023 | 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. |
| LIFETIME WELLNESS, LTD. | 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. | 9/23/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARTUS FINANCIAL 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. | 12/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| PF BROADMORE SNF OPS, 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. | 12/3/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| PHARMERICA DRUG SYSTEMS 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. | 8/27/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| PRESERVATION FREEHOLD COMPANY | 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. | 9/23/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| REHAB PRO 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. | 9/23/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| SANCTUARY LTC, 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. | 9/23/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHANNON NICHOLE DILLON | 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. | 4/12/2023 | 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. |
| STONEGATE SENIOR LIVING, 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. | 12/3/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LARRY N PRICE | Individual | CORPORATE OFFICER | 0 | 6/1/1982 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN T MCKEEHAN | 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. | 9/18/2023 | 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. |
| PF BROADMORE SNF OPS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 9/23/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| STONEGATE SENIOR LIVING, LP | 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. | 6/22/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: DAVID D LARSEN 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: JOHN T MCKEEHAN 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: JOHN T MCKEEHAN 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: DAVID D LARSEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN T MCKEEHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN T MCKEEHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 February 2026: GLENDA R O'NEAL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MARTHA L STANTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: KENT WILSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: HERBERT D HEWITT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: ARNOLD GRAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DIANA DIAZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CARLOS YANEZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: TYRELL HOBBS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: PRESERVATION FREEHOLD COMPANY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: PHARMERICA DRUG SYSTEMS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: STONEGATE SENIOR LIVING, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: STONEGATE SENIOR LIVING, LP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SOUTH LIMESTONE HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: PF BROADMORE SNF OPS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SANCTUARY LTC, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: UMB BANK NA appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: REHAB PRO LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MARTUS FINANCIAL SERVICES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LIFETIME WELLNESS, LTD. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHANNON NICHOLE DILLON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DAVID D LARSEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JOHN T MCKEEHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JOHN T MCKEEHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 15 September 2023: JENNIFER WRIGHT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: GLENDA R O'NEAL appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: MARTHA L STANTON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: KENT WILSON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: HERBERT D HEWITT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: ARNOLD GRAY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: DIANA DIAZ appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: CARLOS YANEZ appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: TYRELL HOBBS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
Recent changes on this record
- 1 July 2026: DAVID D LARSEN 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: JOHN T MCKEEHAN 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: JOHN T MCKEEHAN 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: DAVID D LARSEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN T MCKEEHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN T MCKEEHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 February 2026: GLENDA R O'NEAL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MARTHA L STANTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: KENT WILSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: HERBERT D HEWITT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: ARNOLD GRAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DIANA DIAZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CARLOS YANEZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: TYRELL HOBBS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: PRESERVATION FREEHOLD COMPANY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: PHARMERICA DRUG SYSTEMS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: STONEGATE SENIOR LIVING, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: STONEGATE SENIOR LIVING, LP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SOUTH LIMESTONE HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: PF BROADMORE SNF OPS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SANCTUARY LTC, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: UMB BANK NA appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: REHAB PRO LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MARTUS FINANCIAL SERVICES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LIFETIME WELLNESS, LTD. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SHANNON NICHOLE DILLON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DAVID D LARSEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JOHN T MCKEEHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JOHN T MCKEEHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 12 September 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 11 February 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 4 June 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 15 September 2023: JENNIFER WRIGHT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: GLENDA R O'NEAL appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: MARTHA L STANTON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: KENT WILSON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: HERBERT D HEWITT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: ARNOLD GRAY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: DIANA DIAZ appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: CARLOS YANEZ appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 18 June 2025 | 18 June 2025 | 4 | 0 |
| 2 | 8 May 2024 | 8 May 2024 | 8 | 0 |
| 3 | 5 April 2023 | 5 April 2023 | 12 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
24 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 15 June 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 19 June 2026 |
| 24 November 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | J | Yes | Deficient, Provider has date of correction | 25 November 2025 |
| 18 June 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 | 19 June 2025 |
| 18 June 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 19 June 2025 |
| 29 August 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 | Deficient, Provider has date of correction | 31 August 2024 |
| 8 May 2024 | 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. | E | No | Deficient, Provider has date of correction | 9 May 2024 |
| 8 May 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | 9 May 2024 |
| 8 May 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 13 May 2024 |
| 8 May 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | 9 May 2024 |
| 8 May 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 20 May 2024 |
| 8 May 2024 | Health | F 0809 | Nutrition and Dietary Deficiencies | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | No | Deficient, Provider has date of correction | 9 May 2024 |
| 8 May 2024 | 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 | 9 May 2024 |
| 29 March 2024 | 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 | Yes | Deficient, Provider has date of correction | 5 April 2024 |
| 24 October 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has date of correction | 17 November 2023 |
| 24 October 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Yes | Deficient, Provider has date of correction | 17 November 2023 |
| 24 October 2023 | Health | F 0809 | Nutrition and Dietary Deficiencies | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Yes | Deficient, Provider has date of correction | 17 November 2023 |
| 24 October 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Yes | Deficient, Provider has date of correction | 17 November 2023 |
| 18 August 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Yes | Deficient, Provider has date of correction | 19 August 2023 |
| 5 April 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | 28 April 2023 |
| 5 April 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | No | Deficient, Provider has date of correction | 28 April 2023 |
| 5 April 2023 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | 28 April 2023 |
| 5 April 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 28 April 2023 |
| 5 April 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has date of correction | 28 April 2023 |
| 5 April 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 28 April 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 |
|---|---|---|---|---|---|
| 24 November 2025 | Fine | $143,582 | 136184 | ||
| 29 August 2024 | Fine | $44,779 | 113199 |
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 | For profit - Corporation |
| Legal Business Name | SOUTH LIMESTONE HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2008-07-24 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Smith |
| Telephone Number | 9039392443 |
| Chain Name | STONEGATE SENIOR LIVING |
| Chain ID | 495 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 125 |
| Average Number of Residents per Day | 104.2 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on Providence Park Rehabilitation and Skilled Nursing: 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: DAVID D LARSEN 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 Providence Park Rehabilitation and Skilled Nursing
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.
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 676184.