Velarion Records
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Skilled nursing facility · CMS certification number 676239

VILLA TOSCANA AT CYPRESS WOODS

HOUSTON, 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: 4 · Fines: 3 · Fines, total amount: $41,204.00 · Payment denials: 1. The most recent penalty on file: September 4, 2026, Fine, $16,350. 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, settled, processed by CMS on October 10, 2025.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$7,615,714CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$250,013CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,365,701CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,632,155CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$266,454CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$491,211CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$224,757CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $224,757 (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%).

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 days869CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days24,502CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days5,726CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components31,097CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges33CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges140CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges141CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components314CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days175.01CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days99.04CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440580, 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 November 17, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$6,452,263CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$311,335CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,140,928CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,644,339CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,503,411CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,110,409CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$393,002CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$393,002 (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%).

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 components26,452CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components210CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days207.64CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days125.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1442552, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended March 31, 2023

Cost report for September 1, 2022 to March 31, 2023 — a reporting period of 211 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 24, 2023.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$3,920,575CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$900,310CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,020,265CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,348,755CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,328,490CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,170,829CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$157,661CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$157,661 (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%).

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 components16,467CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components159CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days183.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days103.57CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1367079, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended August 31, 2022

Cost report for October 1, 2021 to August 31, 2022 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on August 4, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,479,786CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$869,748CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,610,038CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,542,605CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$932,567CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$836,043CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$96,524CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$96,524 (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%).

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 components26,636CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components228CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days66.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days182CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days116.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361175, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended September 30, 2021

Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 22, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,365,075CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$418,726CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,946,349CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,134,806CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,188,457CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$636,999CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$551,458CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$551,458 (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%).

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 components26,446CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components258CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.26CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days188.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days102.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314655, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended September 30, 2020

Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,279,700CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,326,512CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,953,188CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,080,939CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,127,751CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$940,007CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,187,744CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,187,744 (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%).

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 components34,425CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components332CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.56CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days178.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days103.69CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328515, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended September 30, 2019

Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 27, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$8,919,032CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,623,657CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,295,375CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,959,690CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,664,315CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$408,044CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,256,271CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,256,271 (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%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,295CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components454CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.44CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days138.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days73.34CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1253392, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended September 30, 2018

Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 25, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$9,828,482CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,084,415CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,744,067CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,968,053CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,223,986CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$315,047CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,908,939CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,908,939 (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%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,372CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components466CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days152.7CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days73.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1221825, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended September 30, 2017

Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 31, 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$9,546,106CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,207,884CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,338,222CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,339,001CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$779CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$7,625CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$8,404CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$8,404 (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%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,890CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components278CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days359.4CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days118.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1218827, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended September 30, 2016

Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 1, 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$9,806,980CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,481,414CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,325,566CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,388,257CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,062,691CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,724,945CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$662,254CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $662,252 (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%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,175CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components483CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days202.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days70.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1183267, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended September 30, 2015

Cost report for February 27, 2015 to September 30, 2015 — a reporting period of 215 days, not a full year, on form CMS-2540-10, settled, processed by CMS on February 22, 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$6,115,860CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,382,722CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,733,138CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,510,831CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$777,693CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,950CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$771,743CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$771,743 (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%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,488CMS-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 days35.89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days528.09CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days99.94CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1153271, 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 December 12, 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$13,199,051CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,530,218CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,668,833CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,151,530CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$482,697CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,208CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$476,489CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$476,490 (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%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,821CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components607CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days271.35CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days60.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1148377, 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 December 14, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$14,537,728CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,742,602CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,795,126CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,629,147CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$834,021CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,534CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$828,487CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$828,488 (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%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,153CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components581CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days255.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days65.67CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1114922, 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, settled, processed by CMS on December 3, 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$17,300,107CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,973,321CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,326,786CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,082,341CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$755,555CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,628CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$749,927CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$749,927 (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%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,777CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components635CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days438.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days59.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1081464, 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 December 9, 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$15,515,050CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,807,929CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,707,121CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,577,068CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$869,947CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,251CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$859,696CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$859,697 (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%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,664CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components548CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days542.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days59.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1051770, 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 September 14, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$7,883,323CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,129,116CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,245,793CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,197CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,243,596 (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 components132CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,543CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components457CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.17CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days259CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days53.7CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 417739, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for November 4, 2009 to December 31, 2009 — a reporting period of 57 days, not a full year, on form CMS-2540-96, settled, processed by CMS on July 27, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$350,439CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,630,599CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,280,160CMS-2540-96 worksheet G300000 line 500 column 100
Total other expenses$1CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$1,280,161 (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 components132CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components1,103CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components16CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days173CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days68.94CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 384173, read from the public cost report file SNFFY2010.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 October 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
BLAKE, GARYADP OF THE SNFIndividualNOT APPLICABLEsince 09/01/2022
GUERRERO, TERESAADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
HOUSTON I ENTERPRISES, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/20/2026
TRULLIA, MARKADP OF THE SNFIndividualNOT APPLICABLEsince 04/20/2026
THOMPSON, JOHNNYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2024
WILLIG, ZACHARYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/01/2026
BOWERS, SEANMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 07/01/2024
CISNEROS, ALFREDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/18/2008
COBB, TRAVISMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/05/2022
COOPER, STEPHENMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/11/2022
HARDIN, SHERRIEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 09/04/2024
KERZEE, RICHARDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 09/24/2007
KORENEK, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/05/2018
SOECHTING, PAULMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/22/2024
STRACK, JOEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/11/2022
THOMPSON, JOHNNYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2024
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2022
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2022
HOUSTON I ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 09/01/2022

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20230110000410).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
WEST WHARTON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100.0009/01/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
GARY R BLAKEIndividualADP OF THE SNFNot stated in the filing09/01/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
HOUSTON I ENTERPRISES, LLCOrganizationADP OF THE SNFNot stated in the filing04/20/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
MARK TRULLIAIndividualADP OF THE SNFNot stated in the filing04/20/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TERESA GUERREROIndividualADP OF THE SNFNot stated in the filing01/01/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHNNY THOMPSONIndividualCORPORATE DIRECTOR100.0001/01/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ZACHARY WILLIGIndividualCORPORATE DIRECTOR0.0004/01/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ALFRED CISNEROSIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing02/18/2008
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOE STRACKIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing02/11/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHNNY THOMPSONIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing01/01/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PATRICIA A KORENEKIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing05/05/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PAUL SOECHTINGIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing11/22/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RICHARD KERZEEIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing09/24/2007
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SEAN BOWERSIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing07/01/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHERRIE HARDINIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing09/04/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHEN COOPERIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing11/11/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TRAVIS COBBIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/05/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GARY R BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROL50.0009/01/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
HOUSTON I ENTERPRISES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL100.0009/01/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
MALISA A BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROL50.0009/01/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1May 6, 2026May 6, 2026113
2February 28, 2025February 28, 2025103
3December 1, 2023December 1, 2023163

From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.

Deficiencies cited

40 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
July 8, 2026HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FYesDeficient, Provider has date of correctionJuly 9, 2026
May 6, 2026HealthF 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 correctionMay 8, 2026
May 6, 2026HealthF 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 correctionMay 8, 2026
March 19, 2026HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DYesDeficient, Provider has date of correctionMarch 20, 2026
March 19, 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 correctionMarch 20, 2026
March 19, 2026HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.EYesDeficient, Provider has date of correctionMarch 20, 2026
November 14, 2025HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DYesDeficient, Provider has date of correctionNovember 15, 2025
November 14, 2025HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DYesDeficient, Provider has date of correctionNovember 15, 2025
November 14, 2025HealthF 0687Quality of Life and Care DeficienciesProvide appropriate foot care.DYesDeficient, Provider has date of correctionNovember 15, 2025
November 14, 2025HealthF 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 correctionNovember 15, 2025
November 14, 2025HealthF 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.DYesDeficient, Provider has date of correctionNovember 15, 2025
February 28, 2025HealthF 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 correctionMarch 1, 2025
February 28, 2025HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correctionMarch 1, 2025
February 28, 2025HealthF 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.ENoDeficient, Provider has date of correctionMarch 1, 2025
February 28, 2025HealthF 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 correctionMarch 1, 2025
February 7, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EYesDeficient, Provider has date of correctionFebruary 9, 2025
February 7, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correctionFebruary 9, 2025
January 28, 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.EYesDeficient, Provider has date of correctionJanuary 29, 2025
January 28, 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correctionJanuary 29, 2025
October 1, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesDeficient, Provider has date of correctionOctober 2, 2024
October 1, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionDecember 23, 2024
September 12, 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EYesDeficient, Provider has date of correctionSeptember 13, 2024
September 12, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionSeptember 13, 2024
August 9, 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-ComplianceApril 30, 2024
December 1, 2023HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.ENoDeficient, Provider has date of correctionDecember 4, 2023
December 1, 2023HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.FNoDeficient, Provider has date of correctionDecember 4, 2023
December 1, 2023HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionDecember 4, 2023
December 1, 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.EYesDeficient, Provider has date of correctionDecember 4, 2023
December 1, 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correctionDecember 4, 2023
December 1, 2023HealthF 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.DYesDeficient, Provider has date of correctionDecember 4, 2023
December 1, 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.EYesDeficient, Provider has date of correctionDecember 4, 2023
December 1, 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correctionDecember 4, 2023
December 1, 2023HealthF 0700Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EYesDeficient, Provider has date of correctionDecember 4, 2023
December 1, 2023HealthF 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 correctionDecember 4, 2023
December 1, 2023HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DYesDeficient, Provider has date of correctionDecember 4, 2023
December 1, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correctionDecember 4, 2023
December 1, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correctionDecember 4, 2023
August 30, 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JYesDeficient, Provider has date of correctionAugust 31, 2023
August 30, 2023HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionAugust 31, 2023
August 30, 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.JYesDeficient, Provider has date of correctionAugust 31, 2023

From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
September 4, 2026Fine$16,350146502
September 12, 2024Fine$15,886113293
September 12, 2024Payment DenialDecember 12, 202411
August 9, 2024Fine$8,968113111
August 30, 2023Fine$12,973111251

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameWEST WHARTON COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2009-11-04
Provider Resides in HospitalY
Continuing Care Retirement CommunityN
UrbanY
County/ParishHarris
Telephone Number2815866088
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 Day104.5
Overall Rating2
Health Inspection Rating2
QM Rating2
Long-Stay QM Rating4
Short-Stay QM Rating1
Processing Date2026-10-01

From the Care Compare Provider Information file NH_ProviderInfo_Oct2026.csv, processed on October 1, 2026.

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On October 1, 2026: provider_name: Villa Toscana at Cypress Woods (capital letters changed). That is one line of the alert.

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What this page shows

This page covers VILLA TOSCANA AT CYPRESS WOODS, a Medicare-certified nursing facility in HOUSTON, TX, with CMS certification number 676239. It lists 120 certified beds and For profit - Limited Liability company ownership.