Skilled nursing facility · CMS certification number 676187
HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION
MARSHALL, 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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,500,296 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $270,789 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,229,507 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,873,760 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$644,253 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $433,494 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$210,759 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$210,759 (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 | 45,625 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,435 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 11,423 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,828 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 24,686 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 55 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 89 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 172 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 316 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 128.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446722, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 November 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,230,259 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,230,259 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,295,412 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$65,153 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,305 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$59,848 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$59,848 (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 | 20,602 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 266 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 145.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442903, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,247,362 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,247,362 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,930,804 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$683,442 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $683,442 | CMS-2540-10 worksheet G300000 line 2500 column 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 | 21,269 | 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 | 35.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 123.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372149, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,208,646 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,208,646 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,560,811 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,352,165 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,352,165 | CMS-2540-10 worksheet G300000 line 2500 column 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 | 23,946 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 304 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 266.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372348, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 January 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,958,079 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,958,079 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,446,846 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $511,233 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$511,233 | CMS-2540-10 worksheet G300000 line 2500 column 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 | 22,044 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 231 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 257.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308798, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 13 June 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,331,517 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,331,517 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,847,847 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$516,330 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $516,330 | CMS-2540-10 worksheet G300000 line 2500 column 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 | 27,463 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 286 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 247.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1319405, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,111,087 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,111,087 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,117,934 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,847 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,847 | CMS-2540-10 worksheet G300000 line 2500 column 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 | 27,106 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 281 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 344.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249522, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 January 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,079,225 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,053,205 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,026,020 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,146,921 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$120,901 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $120,901 | CMS-2540-10 worksheet G300000 line 2500 column 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 | 27,794 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 253 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 226.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218627, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 April 2017 to 30 June 2017 — a reporting period of 90 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,124,193 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $620,884 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,503,309 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,524,143 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$20,834 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,836 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2 (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 | 7,582 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 166.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189081, 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 18 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,506,434 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,499,574 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,006,860 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,324,266 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$317,406 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$44,427 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$361,833 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$361,833 (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 | 30,837 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 237 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 279.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173906, 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 30 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,345,691 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,969,981 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,375,710 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,806,258 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$430,548 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$28,678 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$459,226 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$459,226 (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 | 30,896 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 289 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 181.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142975, 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 12 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,059,162 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,884,661 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,174,501 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,314,460 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$139,959 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $714 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$139,245 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$190,174 (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 | 31,159 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 237 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148388, 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 15 October 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,215,797 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,993,189 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,222,608 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,066,221 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $156,387 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $684 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $157,071 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $134,593 (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 | 28,758 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 262 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 189.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111070, 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 3 December 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,451,875 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,095,291 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,356,584 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,641,136 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$284,552 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $792 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$283,760 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$296,059 (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 | 25,701 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 283 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 190.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081552, 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 | $6,778,834 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,542,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,236,522 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,193,143 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $43,379 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,256 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $61,635 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $58,078 (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 | 28,536 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 136 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,501.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 209.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1015450, 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 24 August 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,814,084 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,978,600 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$164,516 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,976 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $26,928 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$186,468 (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 | 25,769 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,253.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 192.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 416249, 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 25 June 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,324,672 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,280,831 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $43,841 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,266 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,760 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $43,347 (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 | 20,066 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 213 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 178.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 94.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 378290, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 9 July 2008 to 31 December 2008 — a reporting period of 175 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 14 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $664,446 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,234,680 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$570,234 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$570,180 (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 | 2,746 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 16 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 337 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 171.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 349895, 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 |
|---|---|---|---|---|
| LINDSEY, LYNN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2022 |
| SOUTHWEST LTC MARSHALL LTD | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2017 |
| THURMAN, LINDA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 09/01/2022 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NACOGDOCHES COUNTY HOSPITAL DISTRICT (enrollment ID O20170817000213).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| LYNN LINDSEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 1/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SOUTHWEST LTC MARSHALL LTD | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| FRED GROVER | Individual | OTHER | 20 | 1/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JUSTIN SOWELL | Individual | OTHER | 20 | 1/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LISA A KING | Individual | OTHER | 20 | 4/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SEAN HIGHTOWER | Individual | OTHER | 20 | 1/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WES MCKNIGHT | Individual | OTHER | 20 | 1/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LINDA THURMAN | Individual | W-2 MANAGING EMPLOYEE | 100 | 9/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: SEAN HIGHTOWER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SEAN HIGHTOWER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 15 February 2023: JESSICA L HENDERSON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: RHONDA D MCCABE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: RHONDA D MCCABE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: JAMES L ROBERTS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: WALTER L SCOTT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: PATRICK KUHNS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: JAMES D RODGE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: LINDA THURMAN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: JUSTIN SOWELL appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: WES MCKNIGHT appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: LYNN LINDSEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: FRED GROVER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: SEAN HIGHTOWER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- 1 July 2026: SEAN HIGHTOWER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SEAN HIGHTOWER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 16 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 24 November 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 22 January 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 17 January 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 15 February 2023: JESSICA L HENDERSON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: RHONDA D MCCABE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: RHONDA D MCCABE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: JAMES L ROBERTS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: WALTER L SCOTT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: PATRICK KUHNS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: JAMES D RODGE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: LINDA THURMAN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: JUSTIN SOWELL appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: WES MCKNIGHT appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: LYNN LINDSEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: FRED GROVER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: SEAN HIGHTOWER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 13 June 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 13 January 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 16 January 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 28 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 26 February 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 18 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 12 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 30 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 15 October 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 3 December 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 24 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 25 June 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 14 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 29 July 2025 | 29 July 2025 | 5 | 2 |
| 2 | 26 June 2024 | 26 June 2024 | 24 | 1 |
| 3 | 11 May 2023 | 11 May 2023 | 20 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
49 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 23 April 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 6 May 2026 |
| 19 February 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 18 March 2026 |
| 2 December 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 | Yes | Deficient, Provider has date of correction | 20 January 2026 |
| 29 July 2025 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | 9 September 2025 |
| 29 July 2025 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | 9 September 2025 |
| 9 April 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 10 April 2025 |
| 9 April 2025 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Past Non-Compliance | 27 February 2025 |
| 9 April 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. | D | Yes | Deficient, Provider has date of correction | 10 April 2025 |
| 29 January 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has date of correction | 30 January 2025 |
| 26 June 2024 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | 20 July 2024 |
| 26 June 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | 20 July 2024 |
| 26 June 2024 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | No | Deficient, Provider has date of correction | 27 June 2024 |
| 26 June 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | 27 June 2024 |
| 26 June 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 2 August 2024 |
| 26 June 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | 2 August 2024 |
| 26 June 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 27 June 2024 |
| 26 June 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 27 June 2024 |
| 26 June 2024 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | No | Deficient, Provider has date of correction | 27 June 2024 |
| 26 June 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. | D | No | Deficient, Provider has date of correction | 28 June 2024 |
| 26 June 2024 | Health | F 0680 | Quality of Life and Care Deficiencies | Ensure the activities program is directed by a qualified professional. | C | No | Deficient, Provider has date of correction | 30 June 2024 |
| 26 June 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | No | Deficient, Provider has date of correction | 27 June 2024 |
| 26 June 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. | D | No | Deficient, Provider has date of correction | 27 June 2024 |
| 26 June 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 28 June 2024 |
| 26 June 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 27 June 2024 |
| 26 June 2024 | 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 | No | Deficient, Provider has date of correction | 27 June 2024 |
| 26 June 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 28 June 2024 |
| 26 June 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 27 June 2024 |
| 26 June 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 27 June 2024 |
| 26 June 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 28 June 2024 |
| 12 June 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | 13 June 2024 |
| 12 June 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 13 June 2024 |
| 12 June 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. | D | Yes | Deficient, Provider has date of correction | 13 June 2024 |
| 26 May 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 28 May 2024 |
| 11 May 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | C | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 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 | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | 23 June 2023 |
| 11 May 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 23 June 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 |
|---|---|---|---|---|---|
| 26 June 2024 | Fine | $67,706 | 113038 |
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 - Individual |
| Legal Business Name | NACOGDOCHES COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2008-07-10 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Harrison |
| Telephone Number | 9039356700 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 125 |
| Average Number of Residents per Day | 66.7 |
| Overall Rating | 2 |
| Health Inspection Rating | 3 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| 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 HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION: 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: SEAN HIGHTOWER no longer appears as OTHER in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for HERITAGE HOUSE OF MARSHALL HEALTH & REHABILITATION
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 676187.