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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,918,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,073,060 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,845,092 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,339,767 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$494,675 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $611,808 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $117,133 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 51,830 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,920 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 18,692 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 13,024 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 34,636 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 73 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 26 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 235 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 334 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 718.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.7 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,678,123 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,800,242 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,877,881 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,852,246 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$974,365 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $781,733 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$192,632 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,950 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 266 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 633.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.63 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,410,270 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,993,828 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,416,442 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,317,001 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,900,559 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,301,058 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$599,501 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,567 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 265 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 327.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.89 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,032,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,044,152 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,988,820 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,107,927 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,119,107 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,854,035 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $734,928 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,245 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 286 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 304.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.25 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,057,568 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $974,206 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,083,362 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,379,547 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,296,185 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,815,933 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$480,252 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,237 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 324.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.58 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,360,233 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,013,258 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,346,975 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,791,810 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$444,835 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $365,528 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$79,307 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,809 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 258 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 373.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.92 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,142,034 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,588,183 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,553,851 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,935,896 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$382,045 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $194,924 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$187,121 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,484 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 226 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 447.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.43 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,310,845 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,992,270 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,318,575 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,169,384 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$850,809 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $137,002 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$713,807 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,839 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 259 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 427.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 142.24 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,487,158 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,522,288 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,964,870 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,397,976 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$433,106 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,793 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$426,313 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,027 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 243 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 449.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.45 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,454,461 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,505,609 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,948,852 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,398,634 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$449,782 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,113 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$440,669 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,569 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 193 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 407.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 173.93 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,101,162 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,449,205 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,651,957 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,391,622 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$739,665 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,878 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$736,787 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,955 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 253 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 383.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.16 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,360,335 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $962,886 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,397,449 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,061,809 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$664,360 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,344 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$651,016 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,000 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 247.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,493,044 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,877,224 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,615,820 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,023,226 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,407,406 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,298 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,406,108 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,274 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 367 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.32 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,234,378 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $456,682 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,777,696 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,352,196 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,574,500 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$700 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,575,200 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,009 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 296 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 140.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.08 | CMS-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.
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 |
|---|---|---|---|---|
| SOUTH LIMESTONE HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/01/2017 |
| ARREDONDO, MARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/09/2024 |
| FUNDAMENTAL ADMINISTRATIVE SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| RATHI, ANIL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2021 |
| PRICE, LARRY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2017 |
| FORMAN, MURRAY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/30/2025 |
| ARREDONDO, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/09/2024 |
| CARE INN OF SEGUIN LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 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).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| SOUTH LIMESTONE HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANIL RATHI | 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. | 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 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. | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, 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. | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARY ARREDONDO | 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. | 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 PRICE | 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. | 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 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. | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARY ARREDONDO | 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. | 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
- 1 July 2026: ANIL RATHI 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: ANIL RATHI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 January 2026: SOUTH LIMESTONE HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LEAH GAGE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LEAH GAGE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LARRY N PRICE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: SOUTH LIMESTONE HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: FUNDAMENTAL ADMINISTRATIVE SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARY ARREDONDO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARY ARREDONDO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ANIL RATHI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
Recent changes on this record
- 1 July 2026: ANIL RATHI 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: ANIL RATHI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 24 June 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 1 January 2026: SOUTH LIMESTONE HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LEAH GAGE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LEAH GAGE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LARRY N PRICE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: SOUTH LIMESTONE HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: FUNDAMENTAL ADMINISTRATIVE SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARY ARREDONDO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MARY ARREDONDO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ANIL RATHI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 27 November 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 23 October 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 13 December 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 16 December 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 29 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 14 November 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 11 March 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 18 December 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 17 January 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 20 October 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 20 October 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 22 December 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 29 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 17 July 2025 | 17 July 2025 | 13 | 0 |
| 2 | 30 May 2024 | 30 May 2024 | 11 | 1 |
| 3 | 5 April 2023 | 5 April 2023 | 8 | 0 |
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 date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 30 April 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Yes | Deficient, Provider has date of correction | 6 May 2026 |
| 30 April 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | Yes | Deficient, Provider has date of correction | 6 May 2026 |
| 23 December 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 30 December 2025 |
| 12 September 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | 13 September 2025 |
| 12 September 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | J | Yes | Deficient, Provider has date of correction | 13 September 2025 |
| 17 July 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 7 August 2025 |
| 17 July 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor 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. | E | No | Deficient, Provider has date of correction | 7 August 2025 |
| 17 July 2025 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | No | Deficient, Provider has date of correction | 7 August 2025 |
| 17 July 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | 7 August 2025 |
| 17 July 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 7 August 2025 |
| 17 July 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | 7 August 2025 |
| 17 July 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 7 August 2025 |
| 17 July 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 7 August 2025 |
| 14 April 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | Yes | Deficient, Provider has date of correction | 29 April 2025 |
| 18 March 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | 19 March 2025 |
| 22 January 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | 10 February 2025 |
| 25 September 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | 21 August 2024 |
| 25 September 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. | D | Yes | Past Non-Compliance | 14 August 2024 |
| 20 June 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 30 June 2024 |
| 30 May 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 25 June 2024 |
| 30 May 2024 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | 25 June 2024 |
| 30 May 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 | 25 June 2024 |
| 30 May 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 25 June 2024 |
| 30 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. | D | No | Deficient, Provider has date of correction | 25 June 2024 |
| 30 May 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | 25 June 2024 |
| 21 March 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Yes | Deficient, Provider has date of correction | 10 April 2024 |
| 21 August 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 25 August 2023 |
| 5 April 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 15 April 2023 |
| 5 April 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 15 April 2023 |
| 5 April 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | 15 April 2023 |
| 5 April 2023 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | 15 April 2023 |
| 5 April 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 15 April 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 |
|---|---|---|---|---|---|
| 12 September 2025 | Fine | $11,112 | 135296 | ||
| 18 March 2025 | Fine | $8,281 | 113691 |
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 | For profit - Limited Liability company |
| Legal Business Name | SOUTH LIMESTONE HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2012-02-08 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Williamson |
| Telephone Number | 5123348000 |
| Chain Name | FUNDAMENTAL HEALTHCARE |
| Chain ID | 231 |
| 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 | 142 |
| Average Number of Residents per Day | 87.2 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| 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.
Get an email when this record changes
One email a day naming what moved on San Gabriel Rehabilitation and Care Center: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
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.
What the alerts are, and what a day of them looks like, is on the alerts page.
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The citable document for San Gabriel Rehabilitation and Care Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676308.