Velarion Records

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Skilled nursing facility · CMS certification number 676308

San Gabriel Rehabilitation and Care Center

Round Rock, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 142

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 June 2024 to 31 May 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 June 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$13,918,152CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,073,060CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,845,092CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,339,767CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$494,675CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$611,808CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$117,133CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $117,133 (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%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components51,830CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,920CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days18,692CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days13,024CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components34,636CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges73CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges26CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges235CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components334CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days718.92CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days103.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1450580, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended 31 May 2024

Cost report for 1 June 2023 to 31 May 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 November 2024.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$11,678,123CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,800,242CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,877,881CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,852,246CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$974,365CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$781,733CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$192,632CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$192,632 (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
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,950CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components266CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days633.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days127.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1399635, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended 31 May 2023

Cost report for 1 June 2022 to 31 May 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 October 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$9,410,270CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,993,828CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,416,442CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,317,001CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,900,559CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,301,058CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$599,501CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$599,501 (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
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,567CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components265CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days327.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.89CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1397855, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended 31 May 2022

Cost report for 1 June 2021 to 31 May 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 December 2022.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$9,032,972CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,044,152CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,988,820CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,107,927CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,119,107CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,854,035CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$734,928CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $734,928 (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
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,245CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components286CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days304.77CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days109.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1338146, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended 31 May 2021

Cost report for 1 June 2020 to 31 May 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 December 2021.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$8,057,568CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$974,206CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,083,362CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,379,547CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,296,185CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,815,933CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$480,252CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$480,252 (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
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,237CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components207CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.42CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days324.29CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days131.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1307462, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 31 May 2020

Cost report for 1 June 2019 to 31 May 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 September 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$10,360,233CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,013,258CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,346,975CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,791,810CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$444,835CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$365,528CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$79,307CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$79,307 (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
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,809CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components258CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days373.54CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days134.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1301445, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended 31 May 2019

Cost report for 1 June 2018 to 31 May 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 November 2019.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$11,142,034CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,588,183CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,553,851CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,935,896CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$382,045CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$194,924CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$187,121CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$187,121 (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
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,484CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components226CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days447.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days161.43CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1245699, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended 31 May 2018

Cost report for 1 June 2017 to 31 May 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 December 2018.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$11,310,845CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,992,270CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,318,575CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,169,384CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$850,809CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$137,002CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$713,807CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$713,807 (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
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,839CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components259CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days427.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days142.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1216312, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended 31 March 2017

Cost report for 1 June 2016 to 31 March 2017 — a reporting period of 303 days, on form CMS-2540-10, settled, processed by CMS on 11 March 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$9,487,158CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,522,288CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,964,870CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,397,976CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$433,106CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,793CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$426,313CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$426,313 (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
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,027CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components243CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days449.89CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days119.45CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1220946, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended 31 May 2016

Cost report for 1 June 2015 to 31 May 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$10,454,461CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,505,609CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,948,852CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,398,634CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$449,782CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,113CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$440,669CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$440,669 (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
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,569CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components193CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days67.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days407.57CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days173.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1150718, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended 31 May 2015

Cost report for 1 May 2014 to 31 May 2015 — a reporting period of 395 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$10,101,162CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,449,205CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,651,957CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,391,622CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$739,665CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,878CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$736,787CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$736,787 (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
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,955CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components253CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days383.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days138.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1145090, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended 30 April 2014

Cost report for 1 January 2014 to 30 April 2014 — a reporting period of 119 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 20 October 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$3,360,335CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$962,886CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,397,449CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,061,809CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$664,360CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,344CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$651,016CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$651,017 (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
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,000CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components120CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days247.21CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days100CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1145195, 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 22 December 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$9,493,044CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,877,224CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,615,820CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,023,226CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,407,406CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,298CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,406,108CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,451,087 (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
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,274CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components367CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days213.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days74.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1116056, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 8 February 2012 to 31 December 2012 — a reporting period of 327 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$5,234,378CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$456,682CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,777,696CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,352,196CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,574,500CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$700CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,575,200CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,575,196 (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
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,009CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components296CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days140.73CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days54.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044245, read from the public cost report file SNF10FY2012.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 managerRoleTypeOwnership percentageAssociation
SOUTH LIMESTONE HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 04/01/2017
ARREDONDO, MARYADP OF THE SNFIndividualNOT APPLICABLEsince 12/09/2024
FUNDAMENTAL ADMINISTRATIVE SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2017
FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2017
RATHI, ANILADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2021
PRICE, LARRYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/01/2017
FORMAN, MURRAYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 11/30/2025
ARREDONDO, MARYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/09/2024
CARE INN OF SEGUIN LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/01/2017

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SOUTH LIMESTONE HOSPITAL DISTRICT (enrollment ID O20170707002326).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
SOUTH LIMESTONE HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1004/1/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
ANIL RATHIIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FUNDAMENTAL ADMINISTRATIVE SERVICES LLCOrganizationADP OF THE SNFCMS 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.4/1/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLCOrganizationADP OF THE SNFCMS 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.4/1/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
MARY ARREDONDOIndividualADP OF THE SNFCMS 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.12/9/2024
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.
LARRY N PRICEIndividualCORPORATE DIRECTORCMS 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.4/1/2017
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.
CARE INN OF SEGUIN LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS 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.4/1/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
MARY ARREDONDOIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.12/9/2024
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.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
117 July 202517 July 2025130
230 May 202430 May 2024111
35 April 20235 April 202380

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

Deficiencies cited

32 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
30 April 2026HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EYesDeficient, Provider has date of correction6 May 2026
30 April 2026HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.EYesDeficient, Provider has date of correction6 May 2026
23 December 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction30 December 2025
12 September 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesDeficient, Provider has date of correction13 September 2025
12 September 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.JYesDeficient, Provider has date of correction13 September 2025
17 July 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction7 August 2025
17 July 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.ENoDeficient, Provider has date of correction7 August 2025
17 July 2025HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.ENoDeficient, Provider has date of correction7 August 2025
17 July 2025HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction7 August 2025
17 July 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction7 August 2025
17 July 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.ENoDeficient, Provider has date of correction7 August 2025
17 July 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction7 August 2025
17 July 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction7 August 2025
14 April 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.EYesDeficient, Provider has date of correction29 April 2025
18 March 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesDeficient, Provider has date of correction19 March 2025
22 January 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correction10 February 2025
25 September 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesPast Non-Compliance21 August 2024
25 September 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesPast Non-Compliance14 August 2024
20 June 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction30 June 2024
30 May 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction25 June 2024
30 May 2024HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DNoDeficient, Provider has date of correction25 June 2024
30 May 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction25 June 2024
30 May 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction25 June 2024
30 May 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction25 June 2024
30 May 2024HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.DNoDeficient, Provider has date of correction25 June 2024
21 March 2024HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.DYesDeficient, Provider has date of correction10 April 2024
21 August 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction25 August 2023
5 April 2023HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DNoDeficient, Provider has date of correction15 April 2023
5 April 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction15 April 2023
5 April 2023HealthF 0803Nutrition and Dietary DeficienciesEnsure 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.ENoDeficient, Provider has date of correction15 April 2023
5 April 2023HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DNoDeficient, Provider has date of correction15 April 2023
5 April 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction15 April 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
12 September 2025Fine$11,112135296
18 March 2025Fine$8,281113691

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameSOUTH LIMESTONE HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2012-02-08
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishWilliamson
Telephone Number5123348000
Chain NameFUNDAMENTAL HEALTHCARE
Chain ID231
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds142
Average Number of Residents per Day87.2
Overall Rating1
Health Inspection Rating1
QM Rating3
Long-Stay QM Rating4
Short-Stay QM Rating2
Processing Date2026-08-01

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

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On 1 July 2026: ANIL RATHI no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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