Skilled nursing facility · CMS certification number 676240
CIBOLO CREEK
BOERNE, 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 October 2024 to 31 August 2025 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on 12 February 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,828,905 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,214,443 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,614,462 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,531,203 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$916,741 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,033,792 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $117,051 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $117,051 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 40,200 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,926 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,627 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,345 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 27,898 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 84 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 57 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 217 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 358 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 291.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1447734, read from the public cost report file SNF10FY2025.zip.
Fiscal year 2024, ended 30 September 2024
Cost report for 1 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 13 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,454,223 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $752,864 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,701,359 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,340,008 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$638,649 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $485,405 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$153,244 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$153,244 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,038 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 348 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 289.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405238, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 March 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,662,208 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $446,426 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,215,782 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,467,338 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$251,556 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $440,241 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $188,685 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $188,685 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,557 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 290 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 324.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375501, 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 17 March 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,851,082 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $419,200 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,431,882 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,622,622 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $809,260 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $554,144 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,363,404 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,363,404 (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 204,018 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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,256 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 426.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344577, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 30 September 2021
Cost report for 1 May 2021 to 30 September 2021 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 May 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,287,056 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $62,670 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,224,386 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,352,937 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$128,551 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,237 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$104,314 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$104,314 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,821 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 324.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 197.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1317041, 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 15 July 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,188,625 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$284,301 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,472,926 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,355,678 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$882,752 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $757,093 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$125,659 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$125,659 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,720 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 182 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 567.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 218.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1289051, 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 9 September 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,976,626 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $340,010 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,636,616 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,093,930 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $542,686 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $64,156 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $606,842 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $606,842 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,799 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 340 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 420.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1266363, 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 17 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,635,383 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $865,064 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,770,319 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,292,147 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $478,172 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,633 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $510,805 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $510,805 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,354 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 354 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 369.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237334, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,271,094 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,299,799 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,971,295 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,738,699 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $232,596 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,715 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $253,311 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $253,311 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,856 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 358 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 643.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207076, 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 9 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,258,133 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,480,468 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,777,665 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,250,472 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $527,193 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,862 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $532,055 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $532,055 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,871 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 408 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 340.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172532, 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 26 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,618,362 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,017,309 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,601,053 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,399,858 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $201,195 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$327 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $200,868 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $200,868 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,518 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 333 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 153.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138148, 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 17 March 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,811,445 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,127,267 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,684,178 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,196,606 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $487,572 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,096 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $505,668 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $505,668 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,146 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 301 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 606.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1120749, 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 15 October 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,181,667 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,603,704 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,577,963 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,999,103 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$421,140 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $365 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$420,775 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$420,780 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,192 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 428.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111043, 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, settled, processed by CMS on 23 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,002,492 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $893,572 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,108,920 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,636,853 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$527,933 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $118,760 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$409,173 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$409,173 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,810 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 225 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 293.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1041566, 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 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,092,668 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $519,507 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,573,161 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,288,094 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$714,933 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60,030 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$654,903 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$654,903 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,097 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 176 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 293.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 188.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1015550, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 2 December 2009 to 31 December 2010 — a reporting period of 394 days, on form CMS-2540-96, settled, processed by CMS on 16 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,053,988 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,842,850 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,788,862 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,509 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,769,353 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,131 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 291.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 172.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434643, 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.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/01/2021 |
| BOERNE HC LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2021 |
| COLLIER, TAYLOR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/22/2023 |
| HANEY, RONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2021 |
| SORRELLS, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2021 |
| BELL, BILLIE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/03/2023 |
| DORROW, MARJORIE | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/17/2025 |
| HANEY, MAX | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/17/2025 |
| CASCADE-KENDALL HEALTH SERVICES, LTD | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2021 |
| HANEY, RONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2021 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MEDINA COUNTY HOSPITAL DISTRICT (enrollment ID O20210707003557).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| BOERNE HC LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN TRENTON SORRELLS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2021 | 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. |
| RONALD M HANEY | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2021 | 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. |
| TAYLOR COLLIER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/22/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BILLIE BELL | Individual | CORPORATE OFFICER | 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. | 6/3/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CASCADE-KENDALL HEALTH SERVICES, LTD | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 5/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD M HANEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 5/1/2021 | 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. |
Changes in ownership
- 1 July 2026: JOHN TRENTON SORRELLS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CASCADE-KENDALL HEALTH SERVICES, LTD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CASCADE-KENDALL HEALTH SERVICES, LTD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN TRENTON SORRELLS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 January 2026: BILLIE BELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: BILLIE BELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: TIMOTHY S HARDT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: WILLIAM T BAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MAX HANEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KEVIN FROSCH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KEVIN FROSCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KEVIN FROSCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: CASCADE HEALTH SERVICES, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DIANA TRUAX no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DIANA TRUAX no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: TONY B JOHNSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: CARLTON E YOUNG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ZACHARY ROBERT WINDROW no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LORI CARTER KRIEGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JUDY N WINKLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: TAYLOR COLLIER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: BOERNE HC LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RONALD M HANEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JOHN TRENTON SORRELLS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 August 2023: JANICE SIMONS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: BILLIE BELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: BILLIE BELL appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: BILLIE BELL appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: KEVIN FROSCH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: KEVIN FROSCH appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: KEVIN FROSCH appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
Recent changes on this record
- 1 July 2026: JOHN TRENTON SORRELLS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CASCADE-KENDALL HEALTH SERVICES, LTD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CASCADE-KENDALL HEALTH SERVICES, LTD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN TRENTON SORRELLS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 12 February 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
- 1 January 2026: BILLIE BELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: BILLIE BELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: TIMOTHY S HARDT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: WILLIAM T BAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MAX HANEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KEVIN FROSCH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KEVIN FROSCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KEVIN FROSCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: CASCADE HEALTH SERVICES, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DIANA TRUAX no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DIANA TRUAX no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: TONY B JOHNSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: CARLTON E YOUNG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ZACHARY ROBERT WINDROW no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LORI CARTER KRIEGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JUDY N WINKLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: TAYLOR COLLIER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: BOERNE HC LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RONALD M HANEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JOHN TRENTON SORRELLS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 13 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 22 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 August 2023: JANICE SIMONS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: BILLIE BELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: BILLIE BELL appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: BILLIE BELL appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: KEVIN FROSCH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: KEVIN FROSCH appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: KEVIN FROSCH appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 17 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 25 May 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 25 October 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 15 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 9 September 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 17 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 5 September 2025 | 5 September 2025 | 6 | 6 |
| 2 | 2 August 2024 | 2 August 2024 | 11 | 0 |
| 3 | 26 May 2023 | 26 May 2023 | 9 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
26 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 5 September 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | 25 September 2025 |
| 5 September 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 25 September 2025 |
| 5 September 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | No | Deficient, Provider has date of correction | 6 September 2025 |
| 5 September 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 25 September 2025 |
| 5 September 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | No | Deficient, Provider has date of correction | 25 September 2025 |
| 5 September 2025 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | E | No | Deficient, Provider has date of correction | 25 September 2025 |
| 23 November 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Yes | Past Non-Compliance | 19 November 2024 |
| 23 November 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 24 November 2024 |
| 23 November 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Past Non-Compliance | 19 November 2024 |
| 23 November 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | 24 November 2024 |
| 23 November 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has date of correction | 24 November 2024 |
| 23 November 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | 24 November 2024 |
| 2 August 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | 3 August 2024 |
| 2 August 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 3 August 2024 |
| 2 August 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 3 August 2024 |
| 2 August 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 3 August 2024 |
| 2 August 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 3 August 2024 |
| 29 December 2023 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Past Non-Compliance | 2 October 2023 |
| 29 December 2023 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Past Non-Compliance | 28 August 2023 |
| 29 December 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Past Non-Compliance | 7 October 2023 |
| 26 May 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 27 May 2023 |
| 26 May 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has date of correction | 27 May 2023 |
| 26 May 2023 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | No | Deficient, Provider has date of correction | 27 May 2023 |
| 26 May 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | 27 May 2023 |
| 26 May 2023 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | No | Deficient, Provider has date of correction | 27 May 2023 |
| 26 May 2023 | Health | F 0848 | Administration Deficiencies | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | D | No | Deficient, Provider has date of correction | 27 May 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 5 September 2025 | Payment Denial | 4 October 2025 | 11 | ||
| 23 November 2024 | Fine | $13,627 | 113415 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - Hospital district |
| Legal Business Name | MEDINA COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2009-12-02 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Kendall |
| Telephone Number | 8308165095 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 88.5 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on CIBOLO CREEK: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: JOHN TRENTON SORRELLS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for CIBOLO CREEK
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676240.