Skilled nursing facility · CMS certification number 676250
PECAN VALLEY REHABILITATION AND HEALTHCARE
SAN ANTONIO, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 124
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 May 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,126,983 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,328,483 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,798,500 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,057,366 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $741,134 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,984 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $744,118 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $743,729 (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 | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 45,384 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,965 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 25,594 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,400 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 35,959 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 60 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 71 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 218 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 349 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 360.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1423135, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 May 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,499,666 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,613,303 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,886,363 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,527,149 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $359,214 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,978 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $363,192 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $362,824 (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 | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,419 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 400 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 510.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1379570, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,249,497 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,898,924 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,350,573 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,370,037 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $980,536 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $440 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $980,976 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $980,976 (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 | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,771 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 373 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 560.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358564, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,833,746 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,457,137 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,376,609 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,994,852 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,381,757 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $596 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,382,353 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,382,353 (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 | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,940 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 250 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 865.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1325694, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 November 2019 to 31 December 2020 — a reporting period of 426 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,271,373 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,000,728 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,270,645 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,936,588 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,334,057 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $968 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,335,025 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,335,025 (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 | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,993 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 185 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,137.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 210.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1289732, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 October 2019
Cost report for 1 January 2019 to 31 October 2019 — a reporting period of 303 days, on form CMS-2540-10, settled, processed by CMS on 14 May 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,131,398 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,749,520 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,381,878 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,706,012 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$324,134 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,050 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$316,084 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$316,084 (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 | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,453 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 288 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 276.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1255550, 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 15 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,754,354 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,128,919 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,625,435 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,054,097 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$428,662 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,551 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$422,111 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$422,111 (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 | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,805 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 350 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 469.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1276278, 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 | $7,599,468 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $116,417 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,483,051 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,972,526 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$489,475 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,389 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$482,086 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$482,086 (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 | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,900 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 303 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 578.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209277, 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 23 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,667,325 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,025,076 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,642,249 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,113,931 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$471,682 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,649 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$433,033 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$433,033 (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 | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,393 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 365 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 239.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174630, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 July 2015 to 31 December 2015 — a reporting period of 183 days, not a full year, on form CMS-2540-10, reopened, processed by CMS on 29 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,080,606 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,631,537 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,449,069 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,692,923 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$243,854 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,233 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$238,621 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$238,621 (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 | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,964 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 395 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 48.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223468, 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 19 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,263,504 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,058,745 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,204,759 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,537,847 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $666,912 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $46,335 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $713,247 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $682,664 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,405 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 436 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 323.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1149433, 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 10 November 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,020,448 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,095,115 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,925,333 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,333,845 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $591,488 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,065 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $594,553 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $546,043 (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 | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,184 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 442 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 225.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1112521, 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 7 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,516,131 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,140,398 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,375,733 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,429,395 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $946,338 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,714 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $950,052 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $950,052 (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 | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,113 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 471 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 255.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1045889, 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 | $9,705,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,705,873 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,068,222 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $637,651 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $95,833 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $733,484 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $733,484 (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 | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,519 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 509 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 170.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1014958, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 14 April 2010 to 31 December 2010 — a reporting period of 261 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 24 June 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,946,838 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,205,146 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$258,308 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,628 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$254,680 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,404 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 305 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 127.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 63.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 407675, 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 |
|---|---|---|---|---|
| AZIZ, WESAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/14/2025 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2019 |
| OLMSTEAD HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| STANDARD BEARER HEALTHCARE OP, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| THE ENSIGN GROUP INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| WINTERS, TESHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/14/2025 |
| ABBOTT, SWATI | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2020 |
| AGWUNOBI, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2023 |
| BLOUIN, ANN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/28/2018 |
| CHRISTENSEN, CHRISTOPHER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/01/2014 |
| PARKINSON, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| SHAW, DAREN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2012 |
| SMITH, BARRY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2014 |
| ASHTON, ANDREW | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/19/2019 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/19/2019 |
| BURTON, SPENCER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/30/2015 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2019 |
| PORT, BARRY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2019 |
| SNAPPER, SUZANNE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/07/1973 |
| WITTEKIND, BEVERLY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/29/2008 |
| AZIZ, WESAM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/09/2023 |
| BURNAM, SOON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/19/2019 |
| WINTERS, TESHA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/01/2019 |
| WINTERS, TESHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2019 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CALAVARAS CREEK HEALTHCARE LLC (enrollment ID O20191122000717).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| KEYSTONE CARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/19/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 8/19/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| OLMSTEAD HEALTH HOLDINGS 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. | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| STANDARD BEARER HEALTHCARE OP, LP | 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. | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| TESHA WINTERS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/14/2025 | 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. |
| THE ENSIGN GROUP INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| WESAM SABRI AZIZ | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/14/2025 | 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. |
| ANN SCOTT BLOUIN | Individual | CORPORATE DIRECTOR | 0 | 11/28/2018 | 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. |
| BARRY M SMITH | Individual | CORPORATE DIRECTOR | 0 | 6/1/2014 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHRISTOPHER R CHRISTENSEN | Individual | CORPORATE DIRECTOR | 0 | 11/1/2014 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DAREN SHAW | Individual | CORPORATE DIRECTOR | 0 | 3/1/2012 | 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. |
| JOHN O AGWUNOBI | Individual | CORPORATE DIRECTOR | 0 | 1/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK V PARKINSON | Individual | CORPORATE DIRECTOR | 0 | 10/1/2024 | 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. |
| SWATI ABBOTT | Individual | CORPORATE DIRECTOR | 0 | 1/1/2020 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ANDREW ASHTON | Individual | CORPORATE OFFICER | 0 | 8/19/2019 | 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. |
| BARRY PORT | Individual | CORPORATE OFFICER | 0 | 11/1/2019 | 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. |
| BEVERLY B WITTEKIND | Individual | CORPORATE OFFICER | 0 | 9/29/2008 | 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. |
| CHAD KEETCH | Individual | CORPORATE OFFICER | 0 | 11/1/2019 | 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. |
| SOON BURNAM | Individual | CORPORATE OFFICER | 0 | 8/19/2019 | 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. |
| SPENCER W BURTON | Individual | CORPORATE OFFICER | 0 | 5/30/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SUZANNE D SNAPPER | Individual | CORPORATE OFFICER | 0 | 9/7/1973 | 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. |
| SOON BURNAM | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 8/19/2019 | 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. |
| TESHA WINTERS | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2019 | 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. |
| WESAM SABRI AZIZ | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 10/9/2023 | 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. |
| TESHA WINTERS | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2019 | 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: BARRY M SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KEYSTONE CARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BARRY M SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KEYSTONE CARE LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 June 2025: CRAIG FITCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TESHA WINTERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: SOON BURNAM appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: BEVERLY B WITTEKIND appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: SPENCER W BURTON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: WESAM SABRI AZIZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: WESAM SABRI AZIZ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: SUZANNE D SNAPPER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: STANDARD BEARER HEALTHCARE OP, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: SWATI ABBOTT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: OLMSTEAD HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DAREN SHAW appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MARK V PARKINSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: CHRISTOPHER R CHRISTENSEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ENSIGN SERVICES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: JOHN O AGWUNOBI appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: BARRY PORT appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ANN SCOTT BLOUIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TESHA WINTERS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TESHA WINTERS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: BARRY M SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
Recent changes on this record
- 1 July 2026: BARRY M SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KEYSTONE CARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BARRY M SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KEYSTONE CARE LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 June 2025: CRAIG FITCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TESHA WINTERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: SOON BURNAM appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: BEVERLY B WITTEKIND appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: SPENCER W BURTON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: WESAM SABRI AZIZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: WESAM SABRI AZIZ appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: SUZANNE D SNAPPER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: STANDARD BEARER HEALTHCARE OP, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: SWATI ABBOTT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: OLMSTEAD HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: DAREN SHAW appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MARK V PARKINSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: CHRISTOPHER R CHRISTENSEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ENSIGN SERVICES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: JOHN O AGWUNOBI appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: BARRY PORT appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ANN SCOTT BLOUIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TESHA WINTERS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: TESHA WINTERS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: BARRY M SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 19 May 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 28 May 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 14 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 22 July 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 19 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 15 December 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 14 May 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 29 April 2019: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 23 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 22 May 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 19 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 10 November 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 30 January 2026 | 30 January 2026 | 7 | 2 |
| 2 | 31 October 2024 | 31 October 2024 | 13 | 1 |
| 3 | 15 September 2023 | 15 September 2023 | 5 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
25 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 29 April 2026 | 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 | 30 April 2026 |
| 29 April 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Yes | Deficient, Provider has date of correction | 30 April 2026 |
| 30 January 2026 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | 3 February 2026 |
| 30 January 2026 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | 3 February 2026 |
| 30 January 2026 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | 3 February 2026 |
| 30 January 2026 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | No | Deficient, Provider has date of correction | 3 February 2026 |
| 24 November 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Yes | Deficient, Provider has date of correction | 25 November 2025 |
| 7 July 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 | Yes | Past Non-Compliance | 7 July 2025 |
| 9 May 2025 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Yes | Deficient, Provider has date of correction | 4 June 2025 |
| 9 May 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 4 June 2025 |
| 15 February 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. | D | Yes | Deficient, Provider has date of correction | 7 March 2025 |
| 31 October 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 22 November 2024 |
| 31 October 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | 22 November 2024 |
| 31 October 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | 22 November 2024 |
| 31 October 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 22 November 2024 |
| 31 October 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. | D | Yes | Deficient, Provider has date of correction | 22 November 2024 |
| 31 October 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | C | Yes | Deficient, Provider has date of correction | 22 November 2024 |
| 31 October 2024 | Health | F 0837 | Administration Deficiencies | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Yes | Deficient, Provider has date of correction | 22 November 2024 |
| 31 October 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. | E | Yes | Deficient, Provider has date of correction | 22 November 2024 |
| 31 October 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 22 November 2024 |
| 15 September 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 22 September 2023 |
| 15 September 2023 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | 22 September 2023 |
| 15 September 2023 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | No | Deficient, Provider has date of correction | 22 September 2023 |
| 15 September 2023 | Health | F 0770 | Administration Deficiencies | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | No | Deficient, Provider has date of correction | 22 September 2023 |
| 15 September 2023 | 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 | No | Deficient, Provider has date of correction | 22 September 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | CALAVARAS CREEK HEALTHCARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2010-04-14 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Bexar |
| Telephone Number | 2105812273 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| 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 | 124 |
| Average Number of Residents per Day | 104.3 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 1 July 2026: BARRY M SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.
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