Skilled nursing facility · CMS certification number 676257
TRUCARE LIVING CENTERS
PALESTINE, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. 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 September 1, 2024 to August 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 6, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,889,012 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$38,681 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,927,693 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,145,462 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$217,769 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $217,769 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,800 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,716 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 17,592 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,614 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 29,922 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 69 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 31 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 152 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 252 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 567.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445968, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended August 31, 2024
Cost report for September 1, 2023 to August 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 7, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,850,095 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$682,582 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,532,677 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,217,100 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,315,577 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,368 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,317,945 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,317,945 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,740 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 224 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 619.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403425, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended August 31, 2023
Cost report for September 1, 2022 to August 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 31, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,036,193 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$914,190 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,950,383 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,047,564 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $902,819 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,096,564 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,999,383 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,999,383 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,850 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 225 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 416.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372770, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended August 31, 2022
Cost report for September 1, 2021 to August 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,820,301 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$835,237 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,655,538 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,099,135 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $556,403 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $492,730 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,049,133 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,049,133 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,076 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 231 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 358.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340875, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended August 31, 2021
Cost report for January 1, 2021 to August 31, 2021 — a reporting period of 242 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 11, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,370,798 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$418,274 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,789,072 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,376,770 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $412,302 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $566,631 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $978,933 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $978,933 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,752 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1311947, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 24, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,876,537 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$710,761 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,587,298 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,027,052 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $560,246 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $237 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $560,483 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $560,483 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,369 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 223.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1287191, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 6, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,789,836 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $58,030 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,731,806 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,713,218 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $18,588 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,297 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $26,885 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $26,885 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,610 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 212 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 396.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1262473, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for April 1, 2018 to December 31, 2018 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 18, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,953,890 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$7,193 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,961,083 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,118,926 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$157,843 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,510 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$151,333 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$151,333 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,840 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 331.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237605, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 12, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,666,157 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,666,157 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,413,678 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $252,479 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,437 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $259,916 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $259,916 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,867 | 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 | 34.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 313.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1247747, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,305,376 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,305,376 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,270,935 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $34,441 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,555 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $38,996 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $38,996 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,818 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 255 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 389.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173909, 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 July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,579,544 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,579,544 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,375,688 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $203,856 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,168 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $210,024 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $210,024 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,907 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 281 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 312.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1137688, 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 March 17, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,616,667 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,616,667 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,993,323 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $623,344 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,954 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $631,298 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $631,298 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,682 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 265 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 340.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1120750, 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 August 13, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,611,920 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,611,920 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,952,178 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $659,742 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,730 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $668,472 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $668,472 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,107 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 246 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 338.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1075804, 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 August 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,105,792 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,105,792 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,577,065 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $528,727 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,476 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $549,203 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $549,203 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,562 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 307 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 221.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1045348, 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 April 18, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,594,299 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,594,299 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,685,219 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$90,920 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,580 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$76,340 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$76,340 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,881 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 272.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058418, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for July 22, 2010 to December 31, 2010 — a reporting period of 162 days, not a full year, on form CMS-2540-96, settled, processed by CMS on July 26, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $390,447 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $721,784 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$331,337 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $264 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$331,073 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 5,330 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 173.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 413048, 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 September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/01/2026 |
| BYRUM, JOE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2026 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/13/2026 |
| PETERSON, MARCO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2018 |
| SANDSTONE CREST HEALTHCARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/15/2026 |
| STANDARD BEARER HEALTHCARE OP, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2026 |
| SYCAMORE STREET HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2026 |
| THE ENSIGN GROUP INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2026 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| SANDERSON, CLARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2026 |
| BYRUM, JOE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2026 |
| PETERSON, MARCO | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2026 |
| BURNAM, SOON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2026 |
| BYRUM, JOE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2026 |
| PETERSON, MARCO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2026 |
| SANDSTONE CREST HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2026 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FANNIN COUNTY HOSPITAL AUTHORITY (enrollment ID O20180404001748).
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 |
|---|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2026 | 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 | 2/13/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOE BYRUM | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARCO ANTONIO PETERSON | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SANDSTONE CREST HEALTHCARE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/15/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| STANDARD BEARER HEALTHCARE OP, LP | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| SYCAMORE STREET HEALTH HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE ENSIGN GROUP INC | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAD KEETCH | Individual | CORPORATE OFFICER | Not stated in the filing | 3/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLARK R SANDERSON | Individual | CORPORATE OFFICER | 0 | 5/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOE BYRUM | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARCO ANTONIO PETERSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOE BYRUM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARCO ANTONIO PETERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SANDSTONE CREST HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| SOON BURNAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: ROBERT A RYE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERT A RYE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERT A RYE no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PALESTINE DEVELOPMENT GROUP LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PALESTINE DEVELOPMENT GROUP LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PALESTINE DEVELOPMENT GROUP LLC no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: WANDA LAMBRIGHT no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES M STEIN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES M STEIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES M STEIN no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAUL M STEIN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAUL M STEIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAUL M STEIN no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SOON BURNAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STANDARD BEARER HEALTHCARE OP, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHAD KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SANDSTONE CREST HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 15, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SANDSTONE CREST HEALTHCARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SYCAMORE STREET HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOE BYRUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOE BYRUM appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOE BYRUM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 13, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARCO ANTONIO PETERSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- August 1, 2025: CLARK R SANDERSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DION TANKERSLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROBERT A RYE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROBERT A RYE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROBERT A RYE (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PALESTINE DEVELOPMENT GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PALESTINE DEVELOPMENT GROUP LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WANDA LAMBRIGHT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JAMES M STEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JAMES M STEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JAMES M STEIN (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CLARK R SANDERSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PAUL M STEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PAUL M STEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PAUL M STEIN (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MARCO ANTONIO PETERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MARCO ANTONIO PETERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- July 1, 2026: ROBERT A RYE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERT A RYE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERT A RYE no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PALESTINE DEVELOPMENT GROUP LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PALESTINE DEVELOPMENT GROUP LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PALESTINE DEVELOPMENT GROUP LLC no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: WANDA LAMBRIGHT no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES M STEIN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES M STEIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES M STEIN no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAUL M STEIN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAUL M STEIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAUL M STEIN no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SOON BURNAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STANDARD BEARER HEALTHCARE OP, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHAD KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SANDSTONE CREST HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 15, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SANDSTONE CREST HEALTHCARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SYCAMORE STREET HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOE BYRUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOE BYRUM appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOE BYRUM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 13, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARCO ANTONIO PETERSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- January 6, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2025: CLARK R SANDERSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DION TANKERSLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROBERT A RYE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROBERT A RYE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROBERT A RYE (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PALESTINE DEVELOPMENT GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PALESTINE DEVELOPMENT GROUP LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WANDA LAMBRIGHT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JAMES M STEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JAMES M STEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JAMES M STEIN (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CLARK R SANDERSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PAUL M STEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 17, 2025 | December 17, 2025 | 3 | 0 |
| 2 | September 18, 2024 | September 18, 2024 | 6 | 0 |
| 3 | August 16, 2023 | August 16, 2023 | 1 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
10 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| December 17, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | January 6, 2026 |
| December 17, 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 | January 6, 2026 |
| December 17, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | January 6, 2026 |
| September 18, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | October 2, 2024 |
| September 18, 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | October 2, 2024 |
| September 18, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | October 2, 2024 |
| September 18, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | October 2, 2024 |
| September 18, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | No | Deficient, Provider has date of correction | October 2, 2024 |
| September 18, 2024 | 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 | October 2, 2024 |
| August 16, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | August 21, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - Hospital district |
| Legal Business Name | FANNIN COUNTY HOSPITAL AUTHORITY |
| Date First Approved to Provide Medicare and Medicaid Services | 2010-07-22 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Anderson |
| Telephone Number | 9037232592 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 81.0 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The citable document for TRUCARE LIVING CENTERS
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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