Skilled nursing facility · CMS certification number 676274

River Bend Healthcare

SEGUIN, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 115

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 March 2024 to 31 March 2025 — a reporting period of 395 days, on form CMS-2540-10, settled, processed by CMS on 15 October 2025.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$6,431,049	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$679,356	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,751,693	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,316,549	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$564,856	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,632	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$561,224	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$561,224 (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%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	45,540	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,932	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	14,448	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	10,625	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	27,005	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	34	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	12	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	79	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	125	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,204	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	216.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440964, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended 29 February 2024

Cost report for 1 January 2024 to 29 February 2024 — a reporting period of 59 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 27 September 2024.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$1,076,229	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$165,771	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$910,458	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,069,722	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$159,264	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$161	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$159,103	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$159,103 (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%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	4,179	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	17	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	90	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	362	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	245.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396207, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 July 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$7,370,885	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,193,543	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,177,342	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,760,859	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$583,517	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$39,131	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$622,648	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$622,648 (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%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,265	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	112	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	101.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	367.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	225.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390756, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 October 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$7,156,674	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,297,561	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,859,113	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,492,260	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$633,147	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$371,163	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$261,984	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$261,984 (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%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,789	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	178	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	365.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	144.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1397854, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 August 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$8,698,049	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,823,323	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,874,726	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,452,713	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$422,013	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$422,013	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $422,013 (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%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,808	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	130	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	100.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	368.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	190.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328817, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$8,523,490	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,949,295	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,574,195	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,474,564	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$99,631	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$805,149	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$904,780	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $904,780 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,876	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	138	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	92.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	363.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	180.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1325047, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 November 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$8,276,483	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$201,022	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,075,461	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,496,144	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,579,317	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$1,579,317	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,579,317 (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%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,644	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	160	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61.01	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	362.22	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	166.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305749, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 December 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$10,191,852	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,903,250	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,288,602	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,445,084	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$156,482	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$156,482	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$156,482 (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%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	6,205	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	138	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	44.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1277416, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$10,902,650	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,001,568	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,901,082	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,183,706	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$717,376	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$717,376	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $717,376 (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%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,977	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	99.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	363.58	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	208.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1199381, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$10,687,762	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,333,841	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,353,921	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,319,088	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$34,833	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$34,833	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $34,833 (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%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,026	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	297	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	303.51	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	104.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174480, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$10,988,015	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,564,303	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,423,712	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,564,268	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$140,556	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$140,556	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$140,556 (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%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,912	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	335	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	336.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	95.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1136202, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 August 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$10,047,399	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,324,901	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,722,498	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,899,880	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$177,382	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$177,382	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$177,382 (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%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,074	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	439	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	184.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	73.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1106592, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 November 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$8,029,222	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,013,974	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,015,248	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,116,022	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$100,774	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$100,774	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$100,774 (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%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,082	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	247	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	852.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	133.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1112428, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$9,986,891	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,656,672	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,330,219	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,177,611	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$152,608	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$152,608	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $152,609 (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%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,116	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	300	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	380.03	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	87.05	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044096, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 2 March 2011 to 31 December 2011 — a reporting period of 304 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$5,098,887	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,756,628	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,342,259	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,528,855	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,186,596	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,000	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,183,596	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,183,596 (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%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,767	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	189	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	154.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	62.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1014960, read from the public cost report file SNF10FY2011.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Ownership Data Not Available	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20240417000770).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
WEST WHARTON COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	3/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
CHRISTOPHER R LOCKHART	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN JASS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KILGORE FAMILY TRUST-2012	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
KRS SEGUIN, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
KTFW-TX LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
RIVER BEND OPCO LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/20/2025	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/30/2025	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/30/2025	Private equity company: No Real estate investment trust: No Holding company: No
JOHNNY THOMPSON	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHRISTOPHER MARTIN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/16/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHRISTOPHER R LOCKHART	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEREK D RANKIN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RIVER BEND OPCO LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/20/2025	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: JOHNNY THOMPSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KRS SEGUIN, LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTOPHER MARTIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHNNY THOMPSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KRS SEGUIN, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTOPHER MARTIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 August 2025: DEREK D RANKIN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOHN JASS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KILGORE FAMILY TRUST-2012 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: WEST WHARTON COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KTFW-TX LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KRS SEGUIN, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 May 2025: REMARKABLE HEALTHCARE OF SEGUIN LP no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JON E MCPIKE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RIVER BEND OPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RIVER BEND OPCO LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: DEREK D RANKIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: DEREK D RANKIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHRISTOPHER R LOCKHART appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHRISTOPHER R LOCKHART appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JOHN JASS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JOHN JASS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JOHNNY THOMPSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHRISTOPHER MARTIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 July 2024: REMARKABLE HEALTHCARE, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: ANNE OLSEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: REMARKABLE DUO, LLC no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: REMARKABLE DUO, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: NANCY KISNER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: JON E MCPIKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: JON E MCPIKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: ROBERT ENGLISH no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: LBJM, LLC no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: LAURIE MCPIKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: REMARKABLE PARTNERS, LP no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: REMARKABLE PARTNERS, LP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: PAUL STUMBO no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: REMARKABLE HEALTHCARE OF SEGUIN LP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: JON E MCPIKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: DAVID MAK appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv

Recent changes on this record

1 July 2026: JOHNNY THOMPSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KRS SEGUIN, LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTOPHER MARTIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHNNY THOMPSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KRS SEGUIN, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTOPHER MARTIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
15 October 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
1 August 2025: DEREK D RANKIN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOHN JASS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KILGORE FAMILY TRUST-2012 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: WEST WHARTON COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KTFW-TX LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KRS SEGUIN, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 May 2025: REMARKABLE HEALTHCARE OF SEGUIN LP no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JON E MCPIKE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RIVER BEND OPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RIVER BEND OPCO LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: DEREK D RANKIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: DEREK D RANKIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHRISTOPHER R LOCKHART appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHRISTOPHER R LOCKHART appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JOHN JASS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JOHN JASS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JOHNNY THOMPSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHRISTOPHER MARTIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
23 October 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
27 September 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
31 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 July 2024: REMARKABLE HEALTHCARE, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: ANNE OLSEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: REMARKABLE DUO, LLC no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: REMARKABLE DUO, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: NANCY KISNER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: JON E MCPIKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: JON E MCPIKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: ROBERT ENGLISH no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: LBJM, LLC no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: LAURIE MCPIKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	13 February 2026	13 February 2026	12	7
2	4 December 2024	4 December 2024	15	8
3	27 October 2023	27 October 2023	22	0

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

49 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
13 February 2026	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	15 March 2026
13 February 2026	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	15 March 2026
13 February 2026	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	15 March 2026
13 February 2026	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	15 March 2026
13 February 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	No	Deficient, Provider has date of correction	15 March 2026
13 February 2026	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	D	No	Deficient, Provider has date of correction	15 March 2026
13 February 2026	Health	F 0839	Administration Deficiencies	Employ staff that are licensed, certified, or registered in accordance with state laws.	E	No	Deficient, Provider has date of correction	15 March 2026
13 February 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	15 March 2026
25 November 2025	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	Yes	Deficient, Provider has date of correction	22 December 2025
25 November 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	22 December 2025
24 October 2025	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	21 November 2025
24 October 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.	G	Yes	Past Non-Compliance	30 December 2024
4 December 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	Yes	Deficient, Provider has date of correction	30 December 2024
4 December 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	30 December 2024
4 December 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	30 December 2024
4 December 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	No	Deficient, Provider has date of correction	30 December 2024
4 December 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	30 December 2024
4 December 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	30 December 2024
4 December 2024	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	30 December 2024
4 December 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	30 December 2024
4 December 2024	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	30 December 2024
4 December 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	30 December 2024
4 December 2024	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	No	Deficient, Provider has date of correction	30 December 2024
4 December 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	30 December 2024
4 December 2024	Health	F 0944	Administration Deficiencies	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.	E	No	Deficient, Provider has date of correction	30 December 2024
4 December 2024	Health	F 0946	Administration Deficiencies	Provide training in compliance and ethics.	E	No	Deficient, Provider has date of correction	30 December 2024
13 November 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	Yes	Past Non-Compliance	3 October 2024
3 July 2024	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Deficient, Provider has date of correction	20 July 2024
3 July 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	Yes	Deficient, Provider has date of correction	20 July 2024
1 May 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	5 May 2024
1 May 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	Yes	Deficient, Provider has date of correction	5 May 2024
1 May 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.	G	Yes	Deficient, Provider has date of correction	5 May 2024
15 February 2024	Health	F 0808	Nutrition and Dietary Deficiencies	Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.	D	Yes	Deficient, Provider has date of correction	1 March 2024
15 February 2024	Health	F 0810	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	D	Yes	Deficient, Provider has date of correction	1 March 2024
6 January 2024	Health	F 0910	Environmental Deficiencies	Ensure resident rooms meet each resident's needs.	E	Yes	Deficient, Provider has date of correction	1 February 2024
27 October 2023	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.	E	No	Deficient, Provider has date of correction	15 November 2023
27 October 2023	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D	No	Deficient, Provider has date of correction	30 November 2023
27 October 2023	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	30 November 2023
27 October 2023	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	No	Deficient, Provider has date of correction	30 November 2023
27 October 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	15 November 2023
27 October 2023	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	31 December 2023
27 October 2023	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	17 November 2023
27 October 2023	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	15 December 2023
27 October 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	30 November 2023
27 October 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	15 November 2023
27 October 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	30 November 2023
27 October 2023	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	31 December 2023
6 October 2023	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	Yes	Deficient, Provider has date of correction	13 October 2023
6 October 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	Yes	Deficient, Provider has date of correction	13 October 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
24 October 2025	Fine	$9,246			136566
1 May 2024	Fine	$8,979			112781

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Government - Hospital district
Legal Business Name	Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid Services	2011-03-02
Provider Resides in Hospital	Y
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Guadalupe
Telephone Number	8303793900
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	115
Average Number of Residents per Day	69.6
Overall Rating	1
Health Inspection Rating	2
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	2
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 July 2026: JOHNNY THOMPSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for River Bend Healthcare

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