Facility record report · CMS certification number 676224

THE HEIGHTS ON HUEBNER

SAN ANTONIO, Texas · Medicare and Medicaid

Finances, as filed

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

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

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$15,111,598	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,322,359	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,789,239	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,048,040	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,741,199	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,465	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,749,664	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,749,664 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	43,920	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	4,186	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	17,549	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	18,038	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	39,773	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	161	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	82	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	748	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	991	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	214.01	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	40.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436067, read from the public cost report file SNF10FY2024.zip.

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

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$14,537,733	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,688,715	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,849,018	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,777,057	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,071,961	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$607,339	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,679,300	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,679,300 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,440	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	803	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	102.28	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	47.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1383488, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 March 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$14,029,471	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,435,523	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,593,948	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,570,257	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,023,691	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$673,563	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,697,254	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,697,254 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,255	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	548	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	131.64	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	66.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375178, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$13,174,829	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,053,903	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,120,926	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,653,495	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,467,431	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$973,110	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,440,541	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,440,541 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,322	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	603	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	111.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	55.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1326672, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 13 August 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$14,626,944	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,446,618	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,180,326	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,767,149	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,413,177	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$470,258	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,883,435	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,883,435 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,344	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	425	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	92.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	113.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	80.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1293776, read from the public cost report file SNF10FY2020.zip.

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 14 September 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$13,212,526	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,708,098	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,504,428	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,023,496	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$480,932	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,050	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$481,982	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $481,982 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,235	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	537	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	325.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1267485, read from the public cost report file SNF10FY2019.zip.

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 26 June 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$12,436,163	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,850,261	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,585,902	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,032,097	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$553,805	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,037	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$565,842	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $565,842 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,860	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	404	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	227.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	93.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1232690, read from the public cost report file SNF10FY2018.zip.

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 26 November 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$11,951,656	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,266,580	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,685,076	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,478,855	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$206,221	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,663	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$213,884	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $213,884 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,478	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	576	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	190.96	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	61.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1246481, read from the public cost report file SNF10FY2017.zip.

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 15 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$8,726,542	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$485,104	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,241,438	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,371,983	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$130,545	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$271,729	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$141,184	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $141,184 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,728	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	352	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	389.76	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	101.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1173223, read from the public cost report file SNF10FY2016.zip.

Cost report for 28 February 2015 to 31 December 2015 — a reporting period of 306 days, on form CMS-2540-10, settled, processed by CMS on 23 June 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,585,887	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,313,743	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,272,144	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,248,147	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$23,997	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,556	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$27,553	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $27,553 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,521	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	247	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	475.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	131.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1165439, read from the public cost report file SNF10FY2015.zip.

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 21 November 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$10,142,987	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,398,711	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,744,276	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,547,320	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$196,956	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,065	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$203,021	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $203,021 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,226	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	310	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	403.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	126.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1146769, read from the public cost report file SNF10FY2014.zip.

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 21 September 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$9,822,611	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$932,801	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,889,810	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,243,397	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$646,413	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,000	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$649,413	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $454,331 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,535	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	353	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	402.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	112	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1109929, read from the public cost report file SNF10FY2013.zip.

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 14 October 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$9,578,764	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$836,376	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,742,388	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,329,100	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$413,288	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,037	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$417,325	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $339,852 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,875	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	459	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	266.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	86.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1078673, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$9,500,967	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$220,422	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,280,545	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,502,696	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$777,849	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,546	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$780,395	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $539,751 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,517	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	653	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.66	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	103.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	60.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1015546, read from the public cost report file SNF10FY2011.zip.

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 25 July 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$7,783,977	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,727,572	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$56,405	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$464	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$70,000	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$13,131 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,496	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	466	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.33	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	510.54	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	78.32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 412837, read from the public cost report file SNFFY2010.zip.

Cost report for 1 July 2009 to 31 December 2009 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 11 November 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,382,015	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,950,177	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$568,162	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$157	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$568,005 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	9,428	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	167	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.79	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	117.15	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	56.46	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 389573, read from the public cost report file SNFFY2009.zip.

Five facilities of a similar size in Texas, fiscal year 2024

Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
BRAZOS HEALTHCARE CENTER	120	14,814	$3,628,260	$3,448,627	$179,633	31 August 2024
MIDWESTERN HEALTHCARE CENTER	121	25,411	$5,692,492	$5,400,724	$291,768	31 December 2024
PETAL HILL NURSING & REHAB CENTER	120	30,527	$7,713,737	$8,056,206	−$342,469	31 December 2024
SENIOR CARE OF CORPUS CHRISTI	121	19,524	$4,739,173	$4,937,575	−$198,402	31 December 2024
THE HEIGHTS ON HUEBNER	120	39,773	$12,789,239	$11,048,040	$1,741,199	31 December 2024
THE LAKES AT TEXAS CITY	120	14,087	$2,846,022	$3,158,939	−$312,917	31 August 2024

Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
BEXAR COUNTY HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 02/28/2015
CAPITAL FUNDING GROUP, INC.	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 11/01/2021
AEGIS THERAPIES, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
ALEMAN, ASHLEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2017
CAMPBELL, LESLIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2020
CARVAJAL PHARMACY LTC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
CASTILLO, LYNNEA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/28/2015
CLAYTON, JONATHON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2023
ESTES, MARGARET	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/23/2009
FELLBAUM, ERNEST	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/28/2015
MARTINEZ, ASHLEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/14/2020
NUTRITIOUS LIFESTYLES, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
PLANTE & MORAN PLLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
SEHLKE, BRYON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/16/2016
STUDER, STANLEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/28/2015
TOUCHSTONE COMMUNITIES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
TOUCHSTONE REALTY - HUEBNER LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
TOUCHSTONE STRATEGIES - HB, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/24/2025
TRIDENT HEALTH SERVICES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/28/2015
ZUROVEC, DARRELL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2017
HURLEY, CHRISTOPHER	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 09/26/2014
ALEMAN, ASHLEY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2017
CAMPBELL, LESLIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2020
CASTILLO, LYNNEA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/28/2015
CLAYTON, JONATHON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2023
ESTES, MARGARET	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/23/2009
MARTINEZ, ASHLEY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/14/2020
SEHLKE, BRYON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/16/2016
TOUCHSTONE STRATEGIES - HB, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/28/2015
ZUROVEC, DARRELL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2017

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BEXAR COUNTY HOSPITAL DISTRICT (enrollment ID O20150508001513).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
BEXAR COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
CAPITAL FUNDING GROUP, INC.	Organization	5% OR GREATER MORTGAGE INTEREST	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2021	Private equity company: No Real estate investment trust: No Holding company: No
AEGIS THERAPIES, INC.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
ASHLEY ALEMAN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ASHLEY MARIE MARTINEZ	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.	9/14/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRYON SEHLKE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/16/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CARVAJAL PHARMACY LTC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
DARRELL D ZUROVEC	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ERNEST C FELLBAUM	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JONATHON DEWEY CLAYTON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LESLIE D CAMPBELL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LYNNEA CASTILLO	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARGARET A ESTES	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/23/2009	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NUTRITIOUS LIFESTYLES, INC.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
PLANTE & MORAN PLLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
STANLEY S STUDER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TOUCHSTONE COMMUNITIES INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
TOUCHSTONE REALTY - HUEBNER LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
TOUCHSTONE STRATEGIES - HB, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/24/2025	Private equity company: No Real estate investment trust: No Holding company: No
TRIDENT HEALTH SERVICES INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No
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.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/6/2025	Private equity company: No Real estate investment trust: No Holding company: No
CHRISTOPHER REED HURLEY	Individual	CORPORATE OFFICER	0	9/26/2014	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ASHLEY ALEMAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ASHLEY MARIE MARTINEZ	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.	9/14/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRYON SEHLKE	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/16/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DARRELL D ZUROVEC	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JONATHON DEWEY CLAYTON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LESLIE D CAMPBELL	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LYNNEA CASTILLO	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARGARET A ESTES	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/23/2009	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TOUCHSTONE STRATEGIES - HB, LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2015	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: CARVAJAL PHARMACY LTC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CARVAJAL PHARMACY LTC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 September 2025: MARGARET A ESTES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CHRISTOPHER REED HURLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BEXAR COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GEORGE B HERNANDEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GEORGE B HERNANDEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DAISY NOGUERA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: STANLEY S STUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ASHLEY MARIE MARTINEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ASHLEY MARIE MARTINEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JONATHON DEWEY CLAYTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JONATHON DEWEY CLAYTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ASHLEY ALEMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ASHLEY ALEMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TRIDENT HEALTH SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARGARET A ESTES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARGARET A ESTES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ERNEST C FELLBAUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TOUCHSTONE REALTY - HUEBNER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CHRISTOPHER REED HURLEY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CAPITAL FUNDING GROUP, INC. appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LESLIE D CAMPBELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LESLIE D CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BRYON SEHLKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BRYON SEHLKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TOUCHSTONE STRATEGIES - HB, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: AEGIS THERAPIES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TOUCHSTONE COMMUNITIES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BEXAR COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DARRELL D ZUROVEC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DARRELL D ZUROVEC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: NUTRITIOUS LIFESTYLES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: PLANTE & MORAN PLLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LYNNEA CASTILLO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LYNNEA CASTILLO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CARVAJAL PHARMACY LTC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	14 January 2026	14 January 2026	9	8
2	1 November 2024	1 November 2024	5	5
3	29 September 2023	29 September 2023	4	0

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

Deficiencies cited

18 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
14 January 2026	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	15 January 2026
14 January 2026	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	3 February 2026
14 January 2026	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.	E	No	Deficient, Provider has date of correction	6 February 2026
14 January 2026	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	6 February 2026
14 January 2026	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	6 February 2026
14 January 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	No	Deficient, Provider has date of correction	2 February 2026
14 January 2026	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	E	No	Deficient, Provider has date of correction	6 February 2026
14 January 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	6 February 2026
20 November 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	21 November 2025
2 May 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	16 June 2025
1 November 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	8 November 2024
1 November 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	8 November 2024
1 November 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	No	Deficient, Provider has date of correction	8 November 2024
24 August 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	20 September 2024
16 May 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.	E	Yes	Deficient, Provider has date of correction	20 May 2024
29 September 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	6 October 2023
29 September 2023	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	6 October 2023
29 September 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	6 October 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	BEXAR COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2009-07-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Bexar
Telephone Number	2108580828
Chain Name	TOUCHSTONE COMMUNITIES
Chain ID	521
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	120
Average Number of Residents per Day	113.3
Overall Rating	4
Health Inspection Rating	4
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	2
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Every change on this record

1 July 2026: CARVAJAL PHARMACY LTC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CARVAJAL PHARMACY LTC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 September 2025: MARGARET A ESTES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CHRISTOPHER REED HURLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BEXAR COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GEORGE B HERNANDEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GEORGE B HERNANDEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DAISY NOGUERA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: STANLEY S STUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ASHLEY MARIE MARTINEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ASHLEY MARIE MARTINEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JONATHON DEWEY CLAYTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JONATHON DEWEY CLAYTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ASHLEY ALEMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ASHLEY ALEMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TRIDENT HEALTH SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARGARET A ESTES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARGARET A ESTES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ERNEST C FELLBAUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TOUCHSTONE REALTY - HUEBNER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CHRISTOPHER REED HURLEY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CAPITAL FUNDING GROUP, INC. appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LESLIE D CAMPBELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LESLIE D CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BRYON SEHLKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BRYON SEHLKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TOUCHSTONE STRATEGIES - HB, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: AEGIS THERAPIES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TOUCHSTONE COMMUNITIES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BEXAR COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DARRELL D ZUROVEC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DARRELL D ZUROVEC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: NUTRITIOUS LIFESTYLES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: PLANTE & MORAN PLLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LYNNEA CASTILLO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LYNNEA CASTILLO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CARVAJAL PHARMACY LTC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
13 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
18 March 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
22 July 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
13 August 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
14 September 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
26 November 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
26 June 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
15 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
23 June 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
21 November 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
24 March 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
21 September 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
14 October 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
25 July 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
11 November 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip

How to read this report

Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.

A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.

This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.

How to cite this report

Velarion Records, THE HEIGHTS ON HUEBNER — facility record report, CMS certification number 676224. https://velarionrecords.com/facility/676224/report.

Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file SNF10FY2024.zip.
Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
Care Compare ownership: CMS file dated 1 August 2026.
Medicare enrollment ownership: CMS file dated 1 August 2026.
Nurse staffing: CMS Payroll-Based Journal, quarters 2017Q1 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676224. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	8,886	1,780.25	9,279.5	16,247	27,306.75
2017Q2	30 June 2017	91	8,932	1,684.75	10,149.25	15,986.5	27,820.5
2017Q3	30 September 2017	92	8,918	2,093.75	9,594.75	16,324.25	28,012.75
2017Q4	31 December 2017	92	9,403	2,715.5	8,721.25	16,830.5	28,267.25
2018Q1	31 March 2018	90	9,010	2,389	8,924	16,400.25	27,713.25
2018Q2	30 June 2018	91	9,591	2,689.75	8,617.25	16,672	27,979
2018Q3	30 September 2018	92	9,774	2,565.75	8,670.25	17,577.5	28,813.5
2018Q4	31 December 2018	92	9,897	2,431.75	8,918	16,666.25	28,016
2019Q1	31 March 2019	90	9,565	2,297.75	7,338	14,236.5	23,872.25
2019Q2	30 June 2019	91	9,519	2,848	8,940.5	14,901.25	26,689.75
2019Q3	30 September 2019	92	9,596	2,434.25	9,082.25	11,422.75	22,939.25
2019Q4	31 December 2019	92	9,494	1,389	9,373.5	11,535.5	22,298
2020Q1	31 March 2020	91	9,200	1,904	9,263.5	11,543.25	22,710.75
2020Q2	30 June 2020	91	8,331	2,299.25	8,113.5	12,039.75	22,452.5
2020Q3	30 September 2020	92	8,685	2,000.5	8,563.75	12,120	22,684.25
2020Q4	31 December 2020	92	8,293	1,984	8,449.5	15,510.25	25,943.75
2021Q1	31 March 2021	90	7,521	2,865.75	7,750.25	14,356.75	24,972.75
2021Q2	30 June 2021	91	7,707	3,396	7,568.25	14,654	25,618.25
2021Q3	30 September 2021	92	8,846	3,076	8,237.25	16,209.99	27,523.24
2022Q1	31 March 2022	90	8,987	3,602.5	7,850	17,362.27	28,814.77
2022Q2	30 June 2022	91	8,714	3,134.5	8,027.5	16,650.61	27,812.61
2022Q3	30 September 2022	92	9,041	3,243.5	7,592.25	16,561.14	27,396.89
2022Q4	31 December 2022	92	9,488	3,240	7,393.5	18,657.75	29,291.25
2023Q1	31 March 2023	90	9,675	3,339	7,468.5	19,477.5	30,285
2023Q2	30 June 2023	91	9,433	3,317.75	7,699.75	19,265.53	30,283.03
2023Q3	30 September 2023	92	9,740	3,627.25	7,517.75	19,443.21	30,588.21
2023Q4	31 December 2023	92	9,649	3,569.5	7,076.75	19,327.52	29,973.77
2024Q1	31 March 2024	91	9,804	3,611.5	7,537.75	17,807.26	28,956.51
2024Q2	30 June 2024	91	10,378	4,330.5	7,093.5	18,375.5	29,799.5
2024Q3	30 September 2024	92	10,311	4,576.5	7,363.25	18,956.25	30,896
2024Q4	31 December 2024	92	10,023	3,874.25	7,851	19,646.25	31,371.5
2025Q1	31 March 2025	90	10,132	4,027.75	7,514.25	18,458.07	30,000.07
2025Q2	30 June 2025	91	9,774	4,291.35	7,022	19,461.03	30,774.38
2025Q3	30 September 2025	92	9,834	4,488.75	7,178	20,253.04	31,919.79
2025Q4	31 December 2025	92	10,122	4,606.5	6,670.5	20,526.87	31,803.87
2026Q1	31 March 2026	90	10,200	5,112.5	5,832.83	20,574.21	31,519.54

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.200343	1.044283	1.828382	3.073008
2017Q2	0.18862	1.13628	1.789801	3.1147
2017Q3	0.234778	1.075886	1.830483	3.141147
2017Q4	0.288791	0.927497	1.789907	3.006195
2018Q1	0.26515	0.990455	1.820228	3.075832
2018Q2	0.280445	0.898473	1.738296	2.917214
2018Q3	0.262508	0.887073	1.798394	2.947974
2018Q4	0.245706	0.901081	1.68397	2.830757
2019Q1	0.240225	0.767172	1.488395	2.495792
2019Q2	0.299191	0.939227	1.565422	2.80384
2019Q3	0.253673	0.946462	1.190366	2.390501
2019Q4	0.146303	0.987308	1.215031	2.348641
2020Q1	0.206957	1.006902	1.254701	2.46856
2020Q2	0.275987	0.973893	1.445175	2.695055
2020Q3	0.23034	0.986039	1.395509	2.611888
2020Q4	0.239238	1.018871	1.870282	3.128391
2021Q1	0.381033	1.030481	1.908888	3.320403
2021Q2	0.440638	0.981997	1.901388	3.324024
2021Q3	0.347728	0.931184	1.832466	3.111377
2022Q1	0.400857	0.873484	1.931932	3.206272
2022Q2	0.359709	0.921219	1.910788	3.191716
2022Q3	0.358755	0.839758	1.831782	3.030294
2022Q4	0.341484	0.779247	1.966458	3.087189
2023Q1	0.345116	0.771938	2.013178	3.130233
2023Q2	0.351717	0.816257	2.042355	3.210329
2023Q3	0.372408	0.771843	1.996223	3.140473
2023Q4	0.369935	0.733418	2.003059	3.106412
2024Q1	0.36837	0.768844	1.816326	2.95354
2024Q2	0.417277	0.683513	1.770621	2.871411
2024Q3	0.443846	0.714116	1.838449	2.996412
2024Q4	0.386536	0.783298	1.960117	3.129951
2025Q1	0.397528	0.741635	1.82176	2.960923
2025Q2	0.439058	0.718437	1.991102	3.148596
2025Q3	0.456452	0.729917	2.059492	3.24586
2025Q4	0.455098	0.65901	2.027946	3.142054
2026Q1	0.501225	0.571846	2.017079	3.090151

How each quarter is derived, and its file

2017Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_rn_donadmin, hrs_lpn_admin, hrs_na_trn; they are read as hrs_rndon, hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv
2017Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin; they are read as hrs_lpnadmin. CMS's file labels its last six hours columns hrs_medaide, hrs_medaide_emp, hrs_rn_donadmin, hrs_na_trn, hrs_natrn_emp, hrs_natrn_ctr; they are read by position as Hrs_MedAide_emp, Hrs_MedAide_ctr, Hrs_NAtrn, Hrs_NAtrn_emp, Hrs_NAtrn_ctr, Hrs_MedAide, the order in which each total equals its employee and contract parts on every row. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv
2017Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv
2017Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv
2018Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv
2018Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv
2018Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv
2018Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv
2019Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv
2019Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv
2019Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv
2019Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv
2020Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv
2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv
2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv
2020Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv
2021Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv
2021Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv
2021Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv
2022Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv
2022Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv
2022Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv
2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv
2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv
2023Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv
2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv
2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv
2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv
2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv
2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv
2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv
2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv
2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv
2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv
2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv
2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv

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