Skilled nursing facility · CMS certification number 676211
Wesley Woods Health & Rehabilitation
Waco, Texas · Medicare and Medicaid · 120 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 2 · Fines: 1 · Fines, total amount: $55,900.00 · Payment denials: 1. The most recent penalty on file: March 19, 2025, Fine, $55,900. Every penalty on file ↓
Wesley Woods Health & Rehabilitation: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering September 1, 2024 to August 31, 2025 (364 days), and CMS processed it on November 25, 2025.
- Net patient revenue fell from $10.6M in fiscal year 2024 to $8.6M in fiscal year 2025.
- Its result from service to patients: −$1.2M (2023), $105K (2024), −$713K (2025).
- Its cost reports on file run from fiscal year 2009 to fiscal year 2025.
- Since its cost report for fiscal year 2025 was filed on November 25, 2025, no other change appears in the CMS files.
- Its net patient revenue of $8.6M ranks 155th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 4 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.
Wesley Woods Health & Rehabilitation: Medicare cost reports
| Form CMS-2540-10 | 2025 · report 1442993 | 2024 · report 1403781 | 2023 · report 1375177 | 2022 · report 1343546 | 2021 · report 1345889 | 2020 · report 1314453 | 2019 · report 1292096 | 2018 · report 1261749 | 2017 · report 1188181 | 2016 · report 1216526 | 2015 · report 1143083 | 2014 · report 1121998 | 2013 · report 1075951 | 2012 · report 1045305 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | September 1, 2024 | September 1, 2023 | September 1, 2022 | September 1, 2021 | September 1, 2020 | September 1, 2019 | September 1, 2018 | September 1, 2017 | April 1, 2017 | January 1, 2016 | August 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 |
| Period ended | August 31, 2025 | August 31, 2024 | August 31, 2023 | August 31, 2022 | August 31, 2021 | August 31, 2020 | August 31, 2019 | August 31, 2018 | August 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 |
| Days, where not a full year | — | — | — | — | — | — | — | — | 152 | — | 152 | — | — | — |
| Report status | as submitted | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled |
| Processed by CMS | November 25, 2025 | February 17, 2025 | March 18, 2024 | February 28, 2023 | April 18, 2023 | April 21, 2022 | August 5, 2021 | July 28, 2020 | May 2, 2018 | December 19, 2018 | September 30, 2016 | April 20, 2016 | August 14, 2014 | August 1, 2013 |
| Total patient revenue | $10,186,355 | $10,795,855 | $6,794,941 | $6,653,435 | $6,234,845 | $10,285,332 | — | — | $3,670,665 | $10,630,510 | $4,256,679 | $9,172,759 | $8,003,107 | $8,106,627 |
| Contractual allowances and discounts | $1,560,745 | $231,172 | −$476,724 | −$296,456 | −$1,203,210 | $2,051,277 | — | — | $668,295 | $2,282,390 | $854,151 | $1,473,106 | $1,422,046 | $1,923,330 |
| Net patient revenue | $8,625,610 | $10,564,683 | $7,271,665 | $6,949,891 | $7,438,055 | $8,234,055 | — | — | $3,002,370 | $8,348,120 | $3,402,528 | $7,699,653 | $6,581,061 | $6,183,297 |
| Total operating expenses | $9,338,256 | $10,459,277 | $8,477,793 | $7,020,786 | $7,594,830 | $7,498,038 | $6,583,750 | $6,667,723 | $3,039,353 | $8,055,323 | $3,301,233 | $7,449,349 | $6,465,934 | $6,278,148 |
| Net income from service to patients | −$712,646 | $105,406 | −$1,206,128 | −$70,895 | −$156,775 | $736,017 | −$6,583,750 | −$6,667,723 | −$36,983 | $292,797 | $101,295 | $250,304 | $115,127 | −$94,851 |
| Total other income | $340,418 | $635,429 | $360,664 | $454,429 | $1,315,860 | $656,558 | — | — | −$431 | −$3,371 | −$93 | $172 | $2,844 | $5,785 |
| Net income after other income | −$372,228 | $740,835 | −$845,464 | $383,534 | $1,159,085 | $1,392,575 | −$6,583,750 | −$6,667,723 | −$37,414 | $289,426 | $101,202 | $250,476 | $117,971 | −$89,066 |
| Net income | −$372,228 | $740,835 | −$1,325,469 | $107,143 | $1,083,759 | $1,367,323 | −$6,583,750 | −$6,667,723 | −$37,414 | $289,426 | $101,202 | $250,476 | $117,971 | −$89,066 |
| Total facility beds, all components | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 |
| Bed days available, all components | 43,800 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,521 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 23,832 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 13,757 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 39,110 | 36,638 | 30,859 | 28,913 | 26,224 | 36,536 | 33,722 | 33,374 | 15,199 | 38,644 | 16,411 | 40,111 | 39,133 | 39,244 |
| Medicare discharges | 19 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 61 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 43 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 123 | 174 | 92 | 141 | 291 | 185 | 145 | 136 | 92 | 247 | 105 | 202 | 140 | 118 |
| Average length of stay, Medicare, in days | 80.05 | 62.07 | 79.81 | 31.7 | 23.68 | 24.56 | 38.65 | 45.31 | 32.93 | 49.98 | 31.83 | 46.48 | 58.51 | 62.88 |
| Average length of stay, Medicaid, in days | 390.69 | 419.1 | 550.09 | 495.07 | 357.48 | 893.08 | 828.5 | 1,430.07 | 786.33 | 87.1 | 513.81 | 769.26 | 985.8 | 1,005.82 |
| Average length of stay, all patients, in days | 317.97 | 210.56 | 335.42 | 205.06 | 90.12 | 197.49 | 232.57 | 245.4 | 165.21 | 156.45 | 156.3 | 198.57 | 279.52 | 332.58 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2011 · report 435359 | 2010 · report 418215 | 2009 · report 384171 |
|---|---|---|---|
| Period began | January 1, 2011 | January 1, 2010 | February 1, 2009 |
| Period ended | October 31, 2011 | December 31, 2010 | December 31, 2009 |
| Processed by CMS | September 23, 2013 | September 21, 2011 | July 27, 2010 |
| Net patient revenue | $4,786,550 | $5,408,344 | $4,659,019 |
| Total operating expenses | $5,295,331 | $6,302,767 | $5,527,162 |
| Net income from service to patients | −$508,781 | −$894,423 | −$868,143 |
| Total other income | $62,526 | $35,199 | $52,515 |
| Net income | −$446,255 | −$859,224 | −$815,628 |
| Total facility beds, all components | 120 | 120 | 120 |
| Total patient days, all components | 31,186 | 36,044 | 33,328 |
| Total discharges, all components | 139 | 131 | 120 |
| Average length of stay, Medicare, in days | 23.42 | 28.89 | 39.33 |
| Average length of stay, Medicaid, in days | 562.88 | 850.68 | 1,175.85 |
| Average length of stay, all patients, in days | 224.36 | 275.15 | 277.73 |
Net income, fiscal years 2011, 2010, 2009. Checked against the form’s own arithmetic: what that check shows.
Wesley Woods Health & Rehabilitation: nurse staffing hours by quarter →
Who owns Wesley Woods Health & Rehabilitation, as filed with CMS
Care Compare
- ADP OF THE SNF: COOK, JACK (individual), since 12/01/2018; CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (organization), since 12/01/2018; FLOWERS, ADAM (individual), since 04/01/2023; THOMASSON, DEBRA (individual), since 04/01/2023; WOODGATE SENIOR CARE LLC (organization), since 04/07/2025
- CORPORATE DIRECTOR: BYROM, DAVID (individual), since 04/01/2017
- MANAGING CONTROL - GOVERNING BODY: BYROM, DAVID (individual), since 12/01/2018
- OPERATIONAL/MANAGERIAL CONTROL: COOK, CATHERINE (individual), since 12/01/2018; COOK, JACK (individual), since 12/01/2018; CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (organization), since 12/01/2018; FLOWERS, ADAM (individual), since 04/01/2023; THOMASSON, DEBRA (individual), since 04/01/2023; WOODGATE SENIOR CARE LLC (organization), since 12/01/2018
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (enrollment ID O20170710000539).
- ADP OF THE SNF: ADAM DAVID FLOWERS (individual), since 04/01/2023; CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (organization), since 12/01/2018; DEBRA THOMASSON (individual), since 04/01/2023; JACK COOK (individual), since 12/01/2018; WOODGATE SENIOR CARE LLC (organization), since 04/07/2025
- CORPORATE DIRECTOR: DAVID BYROM (individual), since 04/01/2017
- MANAGING CONTROL - GOVERNING BODY: DAVID BYROM (individual), since 12/01/2018
- OPERATIONAL/MANAGERIAL CONTROL: ADAM DAVID FLOWERS (individual), since 04/01/2023; CATHERINE COOK (individual), since 12/01/2018; CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (organization), since 12/01/2018; DEBRA THOMASSON (individual), since 04/01/2023; JACK COOK (individual), since 12/01/2018; WOODGATE SENIOR CARE LLC (organization), since 12/01/2018
Ownership percentage for each: not stated in the filing.
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: Paused by CMS: ADAM DAVID FLOWERS; DEBRA THOMASSON; JACK COOK; DAVID BYROM; DAVID BYROM; ADAM DAVID FLOWERS; CATHERINE COOK; DEBRA THOMASSON; JACK COOK.
Private equity company, real estate investment trust and holding company: No: CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY; WOODGATE SENIOR CARE LLC; CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY; WOODGATE SENIOR CARE LLC.
Changes in ownership
- June 1, 2025, enrollment ownership file; no longer listed: DAVID BYROM (W-2 MANAGING EMPLOYEE); first listed: JACK COOK (ADP OF THE SNF), associated since December 1, 2018; WOODGATE SENIOR CARE LLC (ADP OF THE SNF), associated since April 7, 2025; WOODGATE SENIOR CARE LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2018; CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY (ADP OF THE SNF), associated since December 1, 2018; DEBRA THOMASSON (ADP OF THE SNF), associated since April 1, 2023; DEBRA THOMASSON (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2023; ADAM D FLOWERS (ADP OF THE SNF), associated since April 1, 2023; ADAM D FLOWERS (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2023; DAVID BYROM (MANAGING CONTROL - GOVERNING BODY), associated since December 1, 2018; CATHERINE COOK (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- October 31, 2022, enrollment ownership file; first listed: JACK COOK (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- October 2, 2024: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- October 2, 2024: A deficiency was cited under tag F 0645, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- October 2, 2024: A deficiency was cited under tag F 0812, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- October 2, 2024: A deficiency was cited under tag F 0806, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- October 2, 2024: A deficiency was cited under tag F 0804, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- October 2, 2024: A deficiency was cited under tag F 0803, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- October 2, 2024: An inspection was recorded in inspection cycle 2. NH_SurveySummary_Sep2026_2.csv
- November 15, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2012.zip
Inspections of Wesley Woods Health & Rehabilitation
- Cycle 1: health December 31, 2025 (5 deficiencies), fire safety December 31, 2025 (0)
- Cycle 2: health October 2, 2024 (15 deficiencies), fire safety October 2, 2024 (1)
- Cycle 3: health August 2, 2023 (9 deficiencies), fire safety August 2, 2023 (7)
- Cycle 3: health June 23, 2022 (8 deficiencies), fire safety June 23, 2022 (8)
Deficiencies cited at Wesley Woods Health & Rehabilitation
32 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 15 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0812, nutrition and dietary: March 19, 2026 (F, from a complaint, corrected April 9, 2026); December 31, 2025 (E, corrected February 2, 2026); March 19, 2025 (D, from a complaint, corrected April 12, 2025); October 2, 2024 (F, corrected October 7, 2024); May 25, 2024 (F, from a complaint, corrected June 12, 2024).
- F 0755, pharmacy service: December 31, 2025 (D, corrected February 2, 2026); May 6, 2025 (E, from a complaint, corrected May 10, 2025); April 8, 2025 (K, from a complaint, corrected May 16, 2025); May 25, 2024 (E, from a complaint, corrected June 12, 2024).
- F 0804, nutrition and dietary: December 31, 2025 (E, corrected February 2, 2026); October 2, 2024 (F, corrected October 7, 2024).
- F 0880, infection control: December 31, 2025 (D, corrected February 2, 2026); October 2, 2024 (D, corrected October 7, 2024); August 2, 2023 (F, corrected August 11, 2023); June 23, 2022 (D, corrected June 24, 2022).
- F 0583, resident rights: August 15, 2025 (D, from a complaint, corrected August 17, 2025); August 2, 2023 (G, corrected August 3, 2023); June 23, 2022 (D, corrected June 24, 2022).
- F 0550, resident rights: June 24, 2025 (D, from a complaint, corrected July 11, 2025); March 19, 2025 (D, from a complaint, corrected April 12, 2025).
- F 0809, nutrition and dietary: June 24, 2025 (E, from a complaint, corrected July 11, 2025).
- F 0552, resident rights: March 28, 2025 (D, from a complaint, corrected April 14, 2025).
- F 0689, quality of life and care: March 19, 2025 (D, from a complaint, corrected April 12, 2025).
- F 0645, resident assessment and care planning: October 2, 2024 (D, corrected October 7, 2024).
- F 0803, nutrition and dietary: October 2, 2024 (F, corrected October 7, 2024).
- F 0806, nutrition and dietary: October 2, 2024 (F, corrected October 7, 2024).
- F 0600, freedom from abuse, neglect, and exploitation: June 13, 2024 (G, from a complaint, corrected June 14, 2024).
- F 0684, quality of life and care: June 13, 2024 (D, from a complaint, corrected June 14, 2024).
- F 0842, resident assessment and care planning: January 22, 2024 (E, from a complaint, corrected February 6, 2024).
- F 0677, quality of life and care: August 2, 2023 (E, corrected August 3, 2023).
- F 0695, quality of life and care: August 2, 2023 (E, corrected August 3, 2023).
- F 0908, environmental: June 23, 2022 (F, corrected July 8, 2022).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| March 19, 2025 | Fine | $55,900 | 113751 | ||
| March 19, 2025 | Payment Denial | May 8, 2025 | 8 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Wesley Woods Health & Rehabilitation in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
- Date First Approved to Provide Medicare and Medicaid Services: 2009-02-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Mc Lennan
- Telephone Number: 2546665454
- Chain Name: CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
- Chain ID: 163
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 114.1
- Overall Rating: 2
- Health Inspection Rating: 2
- QM Rating: 2
- Long-Stay QM Rating: 2
- Short-Stay QM Rating: 1
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in Waco and Texas
Report a figure on Wesley Woods Health & Rehabilitation’s record that differs from its CMS file, quoting 676211.