Skilled nursing facility · CMS certification number 676251
Misty Willow Healthcare and Rehabilitation Center
Houston, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 124
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 3 · Fines: 3 · Fines, total amount: $64,093.00 · Payment denials: 0. The most recent penalty on file: March 9, 2026, Fine, $28,451. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 13, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,551,998 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,981,010 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,570,988 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,559,008 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,011,980 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,406 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,014,386 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,014,330 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 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 | 1,365 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 24,699 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,249 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 34,313 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 40 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 59 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 350 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 449 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 418.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402188, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 18, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,408,071 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,867,234 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,540,837 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,636,915 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $903,922 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,201 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $906,123 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $906,123 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,022 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 434 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,097.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375181, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 16, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,919,995 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,383,064 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,536,931 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,117,064 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $419,867 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,274 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $435,141 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $435,141 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,643 | 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 | 46.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 512.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344483, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,972,962 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,111,206 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,861,756 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,068,018 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$206,262 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,830 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$204,432 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$204,432 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,588 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 201 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 689.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313996, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 26, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,931,560 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $695,584 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,235,976 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,121,659 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$885,683 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,124 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$884,559 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$885,803 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,816 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 147 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 693.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281779, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 12, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,216,938 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,123,040 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,093,898 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,286,340 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,192,442 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,069 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,191,373 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,191,373 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,016 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 213 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 456.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252386, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 21, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,441,596 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $744,231 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,697,365 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,982,865 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,285,500 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,454 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,275,046 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,275,046 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,575 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 316 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 574.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221647, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for April 1, 2017 to September 30, 2017 — a reporting period of 182 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 29, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,347,034 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $276,639 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,070,395 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,413,192 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$342,797 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $387 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$342,410 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$342,410 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,584 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 351 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,632.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1211037, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended April 30, 2016
Cost report for January 1, 2016 to April 30, 2016 — a reporting period of 120 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,050,959 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,269,849 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,781,110 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,810,287 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$29,177 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,423,732 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,394,555 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,387,445 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,403 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 258.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189134, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 7, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,183,601 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,626,076 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,557,525 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,867,651 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $689,874 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,667 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $693,541 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $682,446 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,272 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 503 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 203.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178014, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 16, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,199,684 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,272,370 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,927,314 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,440,151 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $487,163 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$70,446 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $416,717 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $416,717 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,086 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 401 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 599.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1149282, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 15, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,903,829 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,432,691 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,471,138 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,972,804 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $498,334 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,125 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $499,459 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $490,342 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,876 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 606 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 249.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111200, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 11, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,428,484 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,116,431 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,312,053 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,972,047 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $340,006 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,848 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $342,854 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $329,279 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,742 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 562 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 172.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 60.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080059, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,917,165 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,485,264 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,431,901 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,219,512 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,212,389 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,457 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,213,846 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,196,905 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,266 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 518 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 142.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1053701, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for April 21, 2010 to December 31, 2010 — a reporting period of 254 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,670,815 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,077,959 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$407,144 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $904 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,266 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$417,506 (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 | 13,420 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 226 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 112.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 59.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415477, 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 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO 1 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/01/2017 |
| ALI, NIDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/18/2024 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2016 |
| FITZGERALD, TAMI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2017 |
| MISTY WILLOW HEALTHCARE, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/03/2025 |
| NATIONAL HEALTH INVESTORS, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| TEXAS NHI INVESTORS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| STRATTON, CHARLES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/07/2005 |
| ALI, NIDA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/18/2024 |
| FITZGERALD, TAMI | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 04/01/2017 |
| ALI, NIDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/18/2024 |
| FITZGERALD, TAMI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2017 |
| MISTY WILLOW HEALTHCARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2017 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (enrollment ID O20170619002211).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO 1 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 05/01/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| MISTY WILLOW HEALTHCARE, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 11/03/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| NATIONAL HEALTH INVESTORS, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 04/01/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| NIDA FATEMA ALI | Individual | ADP OF THE SNF | Not stated in the filing | 09/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TAMI FITZGERALD | Individual | ADP OF THE SNF | Not stated in the filing | 04/01/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TEXAS NHI INVESTORS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 04/01/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAD KEETCH | Individual | CORPORATE OFFICER | Not stated in the filing | 03/01/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES BRUCE STRATTON | Individual | CORPORATE OFFICER | Not stated in the filing | 02/07/2005 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | CORPORATE OFFICER | Not stated in the filing | 04/01/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NIDA FATEMA ALI | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 09/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TAMI FITZGERALD | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 04/01/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MISTY WILLOW HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100.00 | 04/01/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| NIDA FATEMA ALI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 09/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TAMI FITZGERALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100.00 | 04/01/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MISTY WILLOW HEALTHCARE, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NIDA FATEMA ALI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NIDA FATEMA ALI (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NIDA FATEMA ALI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TAMI FITZGERALD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TAMI FITZGERALD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TEXAS NHI INVESTORS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NATIONAL HEALTH INVESTORS, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- October 31, 2022: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- October 1, 2026: special_focus_status withdrawn (was SFF Candidate). NH_ProviderInfo_Oct2026.csv
- March 1, 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MISTY WILLOW HEALTHCARE, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NIDA FATEMA ALI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NIDA FATEMA ALI (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NIDA FATEMA ALI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TAMI FITZGERALD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TAMI FITZGERALD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TEXAS NHI INVESTORS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NATIONAL HEALTH INVESTORS, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- January 13, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 18, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 16, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- October 31, 2022: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- April 21, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- March 26, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- March 12, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- March 21, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 29, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- May 2, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- May 2, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- December 13, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- November 7, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- December 16, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- October 15, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- November 11, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- January 27, 2014: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- August 17, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 4, 2025 | December 4, 2025 | 9 | 2 |
| 2 | August 30, 2024 | August 30, 2024 | 14 | 0 |
| 3 | June 16, 2023 | June 16, 2023 | 7 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
30 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 9, 2026 | 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 | March 11, 2026 |
| March 9, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | March 11, 2026 |
| December 4, 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. | D | No | Deficient, Provider has date of correction | December 6, 2025 |
| December 4, 2025 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | December 6, 2025 |
| December 4, 2025 | 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 | No | Deficient, Provider has date of correction | December 6, 2025 |
| December 4, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | December 6, 2025 |
| December 4, 2025 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | No | Deficient, Provider has date of correction | December 6, 2025 |
| December 4, 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. | F | No | Deficient, Provider has date of correction | December 6, 2025 |
| December 4, 2025 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | No | Deficient, Provider has date of correction | December 6, 2025 |
| September 24, 2025 | Health | F 0564 | Resident Rights Deficiencies | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | D | Yes | Deficient, Provider has date of correction | October 16, 2025 |
| September 24, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Yes | Deficient, Provider has date of correction | October 16, 2025 |
| September 24, 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Yes | Deficient, Provider has date of correction | October 16, 2025 |
| September 24, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | K | Yes | Deficient, Provider has date of correction | October 16, 2025 |
| September 24, 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. | K | Yes | Deficient, Provider has date of correction | October 16, 2025 |
| March 29, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Yes | Deficient, Provider has date of correction | March 31, 2025 |
| March 29, 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. | K | Yes | Deficient, Provider has date of correction | March 31, 2025 |
| March 29, 2025 | 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. | J | Yes | Deficient, Provider has date of correction | March 31, 2025 |
| August 30, 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | September 3, 2024 |
| August 30, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | September 3, 2024 |
| August 30, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | September 3, 2024 |
| August 30, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | September 3, 2024 |
| August 30, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | September 3, 2024 |
| August 30, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | September 3, 2024 |
| June 16, 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| June 16, 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 | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| June 16, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| June 16, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| June 16, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| June 16, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| June 16, 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | July 14, 2023 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| March 9, 2026 | Fine | $28,451 | 137947 | ||
| September 24, 2025 | Fine | $20,495 | 136625 | ||
| March 29, 2025 | Fine | $15,147 | 113912 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | LIBERTY COUNTY HOSPITAL DISTRICT NO 1 |
| Date First Approved to Provide Medicare and Medicaid Services | 2010-04-21 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Harris |
| Telephone Number | 2814697881 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 124 |
| Average Number of Residents per Day | 78.0 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-10-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Oct2026.csv, processed on October 1, 2026.
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The citable document for Misty Willow Healthcare and Rehabilitation Center
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.
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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 676251.