Skilled nursing facility · CMS certification number 676235
Rock Creek Health and Rehabilitation
Sulphur Springs, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $58,807.00 · Payment denials: 0. The most recent penalty on file: April 17, 2026, Fine, $44,148. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
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 April 1, 2024 to March 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on September 15, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,782,714 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $328,037 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,454,677 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,477,504 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$22,827 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $532,528 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $509,701 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $509,701 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,800 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,659 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 18,028 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,578 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 29,265 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 69 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 124 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 162 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 355 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 145.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 82.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439624, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended March 31, 2024
Cost report for April 1, 2023 to March 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 9, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,056,188 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $633,936 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,422,252 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,269,006 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$846,754 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $541,169 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$305,585 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$305,585 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,464 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 196 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 348.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446327, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended March 31, 2023
Cost report for October 1, 2022 to March 31, 2023 — a reporting period of 181 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 5, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,626,724 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $412,430 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,214,294 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,976,874 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$762,580 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $381,922 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$380,658 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$380,658 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,538 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 246.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1369670, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 4, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,716,195 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $543,054 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,173,141 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,197,143 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,024,002 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $308,748 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$715,254 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$715,254 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,054 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 250.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1346828, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for July 1, 2021 to September 30, 2021 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 27, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,169,206 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $82,485 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,086,721 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,353,468 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$266,747 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,907 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$209,840 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$209,840 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,389 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 226.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1317416, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 20, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,263,582 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $556,504 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,707,078 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,382,740 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $324,338 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $932,537 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,256,875 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,256,875 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,965 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 161 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 384.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302136, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 23, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,033,660 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $24,849 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,008,811 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,175,056 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$166,245 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,457 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$159,788 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$159,788 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,225 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 555.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 232.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1277415, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 10, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,143,869 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$184,832 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,328,701 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,337,953 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,252 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,194 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,058 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,060 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,314 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 276.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1224141, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,509,861 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,673,749 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,836,112 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,013,815 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$177,703 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$177,703 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$177,703 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,421 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 185 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 330.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207728, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,698,256 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,362,086 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,336,170 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,268,642 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $67,528 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $67,528 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $67,528 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,296 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 459.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174537, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,231,877 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$355,546 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,587,423 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,501,032 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $86,391 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,247 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $90,638 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $90,638 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,113 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 155 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,198.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138675, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,692,024 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$487,299 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,179,323 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,217,046 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$37,723 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,930 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$35,793 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$35,793 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,159 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 173 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 921.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1118441, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 25, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,506,231 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$836,096 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,342,327 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,068,350 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $273,977 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,269 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $275,246 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $275,246 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,929 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 167 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 827.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 179.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1067848, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on May 7, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,265,654 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$768,303 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,033,957 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,499,133 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $534,824 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,388 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $536,212 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $536,212 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,904 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 273 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 232.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1028702, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,524,865 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,514,909 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,009,956 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,579,667 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$569,711 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $59,221 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$510,490 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$510,490 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,921 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 179 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 652 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1054102, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 26, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,154,021 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,318,648 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,164,627 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,325 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,163,302 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,116 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 589.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 147.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 413043, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for August 13, 2009 to December 31, 2009 — a reporting period of 140 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 25, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $848,804 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,761,232 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$912,428 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$912,428 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 3,653 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 249.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 378294, read from the public cost report file SNFFY2009.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| HUGGINS, LINDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/01/2022 |
| MAK, DAVID | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/17/2021 |
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| SULPHUR SPRINGS II ENTERPRISES, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2022 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20221011002160).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 09/01/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| LINDA F HUGGINS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 09/01/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID MAK | Individual | CORPORATE OFFICER | Not stated in the filing | 05/17/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARY R BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50.00 | 09/01/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MALISA A BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50.00 | 09/01/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SULPHUR SPRINGS II ENTERPRISES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100.00 | 09/01/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| HONOR X ENTERPRISES, LLC | Organization | OTHER | 100.00 | 09/01/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- October 2, 2023: LINDA L WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: VAL VERDE COUNTY HOSPITAL DISTRICT no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: SULPHUR SPRINGS II ENTERPRISES, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: AURELIO LAING no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LINDA F HUGGINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: GARY R BLAKE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MALISA A BLAKE-DEANE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: SULPHUR SPRINGS II ENTERPRISES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: HONOR X ENTERPRISES, LLC (OTHER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LINDA F HUGGINS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DAVID MAK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
Recent changes on this record
- August 5, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Oct2026.csv
- January 9, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- September 15, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- December 5, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 2, 2023: LINDA L WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: VAL VERDE COUNTY HOSPITAL DISTRICT no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: SULPHUR SPRINGS II ENTERPRISES, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: AURELIO LAING no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LINDA F HUGGINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: GARY R BLAKE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MALISA A BLAKE-DEANE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: SULPHUR SPRINGS II ENTERPRISES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: HONOR X ENTERPRISES, LLC (OTHER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LINDA F HUGGINS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DAVID MAK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- May 4, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 27, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- March 31, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- October 20, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 23, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- May 10, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 22, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 28, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- February 2, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- June 25, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- January 27, 2014: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- May 7, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- July 26, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- June 25, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 14, 2025 | August 14, 2025 | 8 | 5 |
| 2 | June 20, 2024 | June 20, 2024 | 20 | 1 |
| 3 | May 10, 2023 | May 10, 2023 | 11 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
39 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| August 5, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | August 6, 2026 |
| June 25, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | Yes | Deficient, Provider has date of correction | June 26, 2026 |
| June 25, 2026 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Yes | Deficient, Provider has date of correction | June 26, 2026 |
| April 17, 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | K | Yes | Deficient, Provider has date of correction | April 18, 2026 |
| March 5, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | March 6, 2026 |
| March 5, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | March 6, 2026 |
| November 24, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | November 25, 2025 |
| August 14, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | August 15, 2025 |
| December 13, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | December 11, 2024 |
| October 23, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | October 24, 2024 |
| September 5, 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 | Yes | Deficient, Provider has date of correction | September 6, 2024 |
| September 5, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | September 6, 2024 |
| June 20, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 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 | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0770 | Administration Deficiencies | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | B | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | June 21, 2024 |
| June 20, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | July 9, 2024 |
| May 10, 2023 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | May 11, 2023 |
| May 10, 2023 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | May 11, 2023 |
| May 10, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | May 11, 2023 |
| May 10, 2023 | Health | F 0642 | Resident Assessment and Care Planning Deficiencies | Ensure a qualified health professional conducts resident assessments. | D | No | Deficient, Provider has date of correction | May 11, 2023 |
| May 10, 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 | May 11, 2023 |
| May 10, 2023 | 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 | May 11, 2023 |
| May 10, 2023 | 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 | May 11, 2023 |
| May 10, 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | May 11, 2023 |
| May 10, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | May 11, 2023 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 17, 2026 | Fine | $44,148 | 138802 | ||
| December 13, 2024 | Fine | $14,659 | 113468 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | WEST WHARTON COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2009-08-13 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Hopkins |
| Telephone Number | 9034390107 |
| Chain Name | CREATIVE SOLUTIONS IN HEALTHCARE |
| Chain ID | 169 |
| 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 | 99.4 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676235.