Velarion Records

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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

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 April 2024 to 31 March 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 15 September 2025.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$7,782,714CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$328,037CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,454,677CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,477,504CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$22,827CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$532,528CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$509,701CMS-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 204,018 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 2025
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,800CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,659CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days18,028CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days8,578CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components29,265CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges69CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges124CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges162CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components355CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days145.39CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days82.44CMS-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 31 March 2024

Cost report for 1 April 2023 to 31 March 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 January 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$7,056,188CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$633,936CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,422,252CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,269,006CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$846,754CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$541,169CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$305,585CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,464CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components196CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days348.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days135.02CMS-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 31 March 2023

Cost report for 1 October 2022 to 31 March 2023 — a reporting period of 181 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 5 December 2023.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$2,626,724CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$412,430CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,214,294CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,976,874CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$762,580CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$381,922CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$380,658CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,538CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components99CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days246.7CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days96.34CMS-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 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 May 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$4,716,195CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$543,054CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,173,141CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,197,143CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,024,002CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$308,748CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$715,254CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,054CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components180CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days250.47CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days94.74CMS-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 30 September 2021

Cost report for 1 July 2021 to 30 September 2021 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 27 May 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$1,169,206CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$82,485CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,086,721CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,353,468CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$266,747CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$56,907CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$209,840CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components4,389CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components44CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days73.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days226.27CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days99.75CMS-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 31 December 2020

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 20 October 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,263,582CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$556,504CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,707,078CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,382,740CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$324,338CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$932,537CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,256,875CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,965CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components161CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days58.16CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days384.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days148.85CMS-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 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 December 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,033,660CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$24,849CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,008,811CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,175,056CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$166,245CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,457CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$159,788CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,225CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components117CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days70.24CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days555.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days232.69CMS-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 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 May 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$6,143,869CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$184,832CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,328,701CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,337,953CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$9,252CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,194CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$4,058CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,314CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components229CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days276.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days128.01CMS-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 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$10,509,861CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,673,749CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,836,112CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,013,815CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$177,703CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$177,703CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,421CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components185CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.12CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days330.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days94.17CMS-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 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$7,698,256CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,362,086CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,336,170CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,268,642CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$67,528CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$67,528CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,296CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components186CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days459.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days152.13CMS-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 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 July 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$5,231,877CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$355,546CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,587,423CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,501,032CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$86,391CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,247CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$90,638CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,113CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components155CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,198.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days162.02CMS-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 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 February 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$5,692,024CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$487,299CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,179,323CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,217,046CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$37,723CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,930CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$35,793CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,159CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components173CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.98CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days921.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days168.55CMS-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 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 June 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$5,506,231CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$836,096CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,342,327CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,068,350CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$273,977CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,269CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$275,246CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,929CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components167CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days827.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days179.22CMS-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 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 7 May 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$5,265,654CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$768,303CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,033,957CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,499,133CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$534,824CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,388CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$536,212CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,904CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components273CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days232.84CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days120.53CMS-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 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 January 2014.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$6,524,865CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,514,909CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,009,956CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,579,667CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$569,711CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$59,221CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$510,490CMS-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 204,018 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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,921CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components179CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days652CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days161.57CMS-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 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 July 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$4,154,021CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,318,648CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,164,627CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,325CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$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.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,116CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components157CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.72CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days589.67CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days147.24CMS-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 31 December 2009

Cost report for 13 August 2009 to 31 December 2009 — a reporting period of 140 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 25 June 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$848,804CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,761,232CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$912,428CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$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.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components3,653CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components41CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days249.29CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days89.1CMS-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.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
HUGGINS, LINDACORPORATE DIRECTORIndividualNOT APPLICABLEsince 09/01/2022
MAK, DAVIDCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/17/2021
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2022
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2022
SULPHUR SPRINGS II ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 09/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20221011002160).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
WEST WHARTON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1009/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
LINDA F HUGGINSIndividualCORPORATE DIRECTORCMS 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.9/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID MAKIndividualCORPORATE OFFICERCMS 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.5/17/2021
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.
GARY R BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROL509/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MALISA A BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROL509/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SULPHUR SPRINGS II ENTERPRISES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1009/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
HONOR X ENTERPRISES, LLCOrganizationOTHER1009/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
114 August 202514 August 202575
220 June 202420 June 2024221
310 May 202310 May 202390

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

Deficiencies cited

38 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
25 June 2026HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.DYesDeficient, Provider has date of correction26 June 2026
25 June 2026HealthF 0838Administration DeficienciesConduct 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.DYesDeficient, Provider has date of correction26 June 2026
17 April 2026HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.KYesDeficient, Provider has date of correction18 April 2026
5 March 2026HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction6 March 2026
5 March 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction6 March 2026
24 November 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction25 November 2025
14 August 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction15 August 2025
13 December 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesPast Non-Compliance11 December 2024
23 October 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction24 October 2024
5 September 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDYesDeficient, Provider has date of correction6 September 2024
5 September 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction6 September 2024
20 June 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0585Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DNoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0688Quality of Life and Care DeficienciesProvide 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.DNoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DNoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.ENoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DNoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure 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.BNoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.ENoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction21 June 2024
20 June 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction9 July 2024
10 May 2023HealthF 0638Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.DNoDeficient, Provider has date of correction11 May 2023
10 May 2023HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DNoDeficient, Provider has date of correction11 May 2023
10 May 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction11 May 2023
10 May 2023HealthF 0642Resident Assessment and Care Planning DeficienciesEnsure a qualified health professional conducts resident assessments.DNoDeficient, Provider has date of correction11 May 2023
10 May 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction11 May 2023
10 May 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction11 May 2023
10 May 2023HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correction11 May 2023
10 May 2023HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction11 May 2023
10 May 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction11 May 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
17 April 2026Fine$44,148138802
13 December 2024Fine$14,659113468

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameWEST WHARTON COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2009-08-13
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishHopkins
Telephone Number9034390107
Chain NameCREATIVE SOLUTIONS IN HEALTHCARE
Chain ID169
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day99.4
Overall Rating1
Health Inspection Rating2
QM Rating3
Long-Stay QM Rating3
Short-Stay QM Rating4
Processing Date2026-08-01

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

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On 1 July 2026: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.

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