Velarion Records

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Skilled nursing facility · CMS certification number 676325

LAKESIDE NURSING AND REHABILITATION CENTER

SAN ANTONIO, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 118

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 April 2024 to 31 March 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 September 2025.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$15,004,599CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,173,254CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,831,345CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,456,427CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,374,918CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,594CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,377,512CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,377,512 (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 components118CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,070CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,179CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days23,079CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days11,364CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components37,622CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges74CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges27CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges280CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components381CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days854.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days98.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439750, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended 31 March 2024

Cost report for 1 April 2023 to 31 March 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$14,956,233CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,284,134CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,672,099CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,520,292CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,151,807CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,257CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,153,064CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,153,064 (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 components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,475CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components240CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days64.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days986.7CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days151.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1397058, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended 31 March 2023

Cost report for 1 April 2022 to 31 March 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 October 2023.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,954,611CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,762,385CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,192,226CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,589,150CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$603,076CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$283CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$603,359CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $603,359 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,912CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components94CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,442CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days190.55CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366506, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended 31 March 2022

Cost report for 1 April 2021 to 31 March 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2022.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,732,876CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$6,732,876CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,063,204CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,330,328CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,884,830CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$554,502CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $554,502 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,218CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components301CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days257.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days110.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334720, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended 31 March 2021

Cost report for 1 April 2020 to 31 March 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2021.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$7,218,228CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$7,218,228CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,749,574CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,531,346CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,066,407CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$535,061CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $535,061 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,085CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components203CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days67.26CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days245.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days162.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302341, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 31 March 2020

Cost report for 1 April 2019 to 31 March 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 October 2020.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$7,141,848CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$7,141,848CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,361,599CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$219,751CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$394,714CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$174,963CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $174,963 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,656CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components282CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days244.55CMS-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 1270527, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended 31 March 2019

Cost report for 1 January 2019 to 31 March 2019 — a reporting period of 89 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 5 November 2019.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$2,210,053CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$372,627CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,837,426CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,860,067CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$22,641CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$994CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$21,647CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$21,647 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components8,344CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components74CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,078.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days112.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1245273, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$8,447,304CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,413,540CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,033,764CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,378,734CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$344,970CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,108CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$340,862CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$340,862 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,019CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components319CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days647.72CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days109.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239962, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$10,983,321CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,301,065CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,682,256CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,667,199CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$15,057CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,725CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$33,782CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $33,782 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,616CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components216CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,814.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days169.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209959, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$15,374,190CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$7,106,750CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,267,440CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,945,031CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$322,409CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$40,369CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$362,778CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $362,778 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,487CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components319CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days301.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days114.38CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1173917, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 August 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$14,478,980CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,490,477CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,988,503CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,624,460CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$364,043CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$31,328CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$395,371CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $395,371 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,713CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components338CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days363.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days102.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1140204, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 November 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$7,627,907CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,005,599CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,622,308CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,278,926CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$656,618CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$12,113CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$644,505CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$644,505 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,747CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components248CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days344.7CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days132.04CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1146085, 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 30 July 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$5,814,177CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,554,667CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,259,510CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,739,199CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,479,689CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,579CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,475,110CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,475,110 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,956CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components229CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.12CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days280.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days108.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1074267, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 12 October 2012 to 31 December 2012 — a reporting period of 80 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 July 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$869,869CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$155,774CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$714,095CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,551,745CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$837,650CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$98CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$837,552CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$837,552 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components2,645CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components32CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days427.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days82.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1043558, read from the public cost report file SNF10FY2013.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
ALONZO, CARLOSADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2022
ATIQUE, RASHIDADP OF THE SNFIndividualNOT APPLICABLEsince 03/06/2024
CRYSTAL LAKE HEALTHCARE, INC.ADP OF THE SNFOrganizationNOT APPLICABLEsince 10/16/2025
THE ENSIGN GROUP INCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/03/2021
BURNAM, SOONCORPORATE OFFICERIndividualNOT APPLICABLEsince 12/03/2021
KEETCH, CHADCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/01/2011
THOMPSON, JOHNNYCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/16/2024
ALONZO, CARLOSMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2022
ATIQUE, RASHIDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 03/06/2024
ALONZO, CARLOSOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2022
ATIQUE, RASHIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/06/2024
CRYSTAL LAKE HEALTHCARE, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20190417000829).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
WEST WHARTON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10010/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
CARLOS ARIEL ALONZOIndividualADP 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.10/1/2022
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.
CRYSTAL LAKE HEALTHCARE, INC.OrganizationADP 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.10/16/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
RASHID ATIQUEIndividualADP 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.3/6/2024
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.
THE ENSIGN GROUP INCOrganizationADP 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.12/3/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
CHAD KEETCHIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2011
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.
JOHNNY THOMPSONIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/16/2024
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.
SOON BURNAMIndividualCORPORATE OFFICER012/3/2021
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.
CARLOS ARIEL ALONZOIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.10/1/2022
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.
RASHID ATIQUEIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/6/2024
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.
CARLOS ARIEL ALONZOIndividualOPERATIONAL/MANAGERIAL CONTROL010/1/2022
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.
CRYSTAL LAKE HEALTHCARE, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL10010/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
RASHID ATIQUEIndividualOPERATIONAL/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.3/6/2024
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
131 July 202531 July 202561
221 June 202421 June 202490
326 April 202326 April 202380

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

Deficiencies cited

23 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
5 June 2026HealthF 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.DYesDeficient, Provider has date of correction18 June 2026
5 June 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction18 June 2026
31 July 2025HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DNoDeficient, Provider has date of correction21 August 2025
31 July 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction21 August 2025
31 July 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction21 August 2025
31 July 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction21 August 2025
21 June 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DYesDeficient, Provider has date of correction17 July 2024
21 June 2024HealthF 0559Resident Rights DeficienciesHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DNoDeficient, Provider has date of correction17 July 2024
21 June 2024HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.DNoDeficient, Provider has date of correction17 July 2024
21 June 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 correction17 July 2024
21 June 2024HealthF 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 correction17 July 2024
21 June 2024HealthF 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.DNoDeficient, Provider has date of correction17 July 2024
21 June 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.DNoDeficient, Provider has date of correction17 July 2024
21 June 2024HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DYesDeficient, Provider has date of correction17 July 2024
21 June 2024HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.DNoDeficient, Provider has date of correction17 July 2024
16 February 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.KYesPast Non-Compliance6 February 2024
16 February 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.KYesPast Non-Compliance6 February 2024
16 February 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.KYesPast Non-Compliance6 February 2024
13 September 2023HealthF 0551Resident Rights DeficienciesGive the resident's representative the ability to exercise the resident's rights.DYesDeficient, Provider has date of correction6 October 2023
26 April 2023HealthF 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 correction17 May 2023
26 April 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction17 May 2023
26 April 2023HealthF 0848Administration DeficienciesProvide a neutral and fair arbitration process and agree to arbitrator and venue.CNoDeficient, Provider has date of correction17 May 2023
26 April 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction17 May 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
16 February 2024Fine$14,611112367

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 TypeGovernment - Hospital district
Legal Business NameWEST WHARTON COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2012-10-12
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishBexar
Telephone Number2105103200
Chain NameTHE ENSIGN GROUP
Chain ID507
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds118
Average Number of Residents per Day112.3
Overall Rating5
Health Inspection Rating4
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating5
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: JOHNNY THOMPSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.

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