Skilled nursing facility · CMS certification number 676350

THE HEIGHTS OF TOMBALL

TOMBALL, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 131

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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 March 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$13,567,544	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,532,337	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,035,207	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,490,481	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$544,726	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,132,057	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,676,783	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,676,783 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	131	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	47,946	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	4,100	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	23,733	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	14,377	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	42,210	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	167	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	116	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	427	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	710	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	204.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	59.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405943, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 September 2023

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 March 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$13,123,763	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,040,801	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,082,962	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,849,072	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,233,890	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$659,094	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,892,984	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,892,984 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	131	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	40,423	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	771	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	145.49	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	52.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375185, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 March 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$12,176,650	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,729,492	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,447,158	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,863,748	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$583,410	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,014,038	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,597,448	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,597,448 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	131	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,327	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	574	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	160.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	63.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344484, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 September 2021

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 August 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$11,709,399	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,187,318	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,522,081	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,674,720	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$152,639	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,752,237	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,599,598	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,599,598 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	131	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,826	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	546	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	140.97	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	63.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360770, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 30 September 2020

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$11,792,096	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,611,693	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,180,403	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,221,991	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$958,412	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$394,029	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,352,441	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,352,441 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	131	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,622	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	760	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	107.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	46.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283011, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 September 2019

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$10,288,799	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$206,737	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,082,062	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,370,337	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$711,725	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,208	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$724,933	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $724,933 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	131	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,498	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	497	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	168.76	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	73.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1299034, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 30 September 2018

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 March 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$10,434,224	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$248,961	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,185,263	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,788,897	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$396,366	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,008	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$404,374	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $404,374 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	131	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,611	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	606	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	144.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	58.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1221831, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 30 September 2017

Cost report for 1 April 2017 to 30 September 2017 — a reporting period of 182 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 22 May 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,715,751	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$233,352	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,482,399	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,745,891	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$263,492	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$972	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$262,520	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$262,520 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	131	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,612	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	168	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	461.9	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	98.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1190088, 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 15 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$8,232,414	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$545,196	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,777,610	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,726,900	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$50,710	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,349	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$53,059	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$41,639 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	131	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,329	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	362	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	305.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	89.31	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1173227, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 September 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,598,345	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$354,226	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,244,119	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,480,871	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$236,752	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,576	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$234,176	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$234,176 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	131	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,959	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	334	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	640.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	86.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1176349, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 18 December 2013 to 31 December 2014 — a reporting period of 378 days, on form CMS-2540-10, settled, processed by CMS on 5 February 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$6,621,529	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$358,955	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,262,574	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,162,820	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$900,246	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$308	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$899,938	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$899,938 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	131	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,342	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	42.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	334.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	88.31	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118662, read from the public cost report file SNF10FY2014.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
LIBERTY COUNTY HOSPITAL DISTRICT NO 1	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 04/01/2017
KEYBANK NATIONAL ASSOCIATION	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 07/01/2021
AEGIS THERAPIES, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
BAIDOO, JOSEPH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2025
BOENING, CHRISTOPHER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/13/2020
CAMPBELL, LESLIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2020
CARVAJAL PHARMACY LTC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
CASTILLO, LYNNEA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2017
FELLBAUM, ERNEST	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2017
MAIRE, SANIKQA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/21/2024
NUTRITIOUS LIFESTYLES, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
PLANTE & MORAN PLLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
SEHLKE, BRYON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2017
STUDER, STANLEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2017
THE BRYON AND RENA SEHLKE LIVING TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2023
TOUCHSTONE COMMUNITIES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
TOUCHSTONE REALTY - TOMBALL LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
TOUCHSTONE STRATEGIES - TOMBALL LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/24/2025
TRIDENT HEALTH SERVICES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
ZUROVEC, DARRELL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2017
STRATTON, CHARLES	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/01/2005
BAIDOO, JOSEPH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2025
BOENING, CHRISTOPHER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/13/2020
CAMPBELL, LESLIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2020
CASTILLO, LYNNEA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2017
MAIRE, SANIKQA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/21/2024
SEHLKE, BRYON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2017
TOUCHSTONE STRATEGIES - TOMBALL LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/01/2017
ZUROVEC, DARRELL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2017

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (enrollment ID O20170605000264).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
LIBERTY COUNTY HOSPITAL DISTRICT NO 1	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
KEYBANK NATIONAL ASSOCIATION	Organization	5% OR GREATER MORTGAGE INTEREST	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.	7/1/2021	Private equity company: No Real estate investment trust: No Holding company: No
AEGIS THERAPIES, INC.	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
BRYON SEHLKE	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.	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.
CARVAJAL PHARMACY LTC	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
CHRISTOPHER BOENING	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.	1/13/2020	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.
DARRELL D ZUROVEC	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.	8/1/2017	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.
ERNEST C FELLBAUM	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.	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.
JOSEPH BAIDOO	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.	4/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LESLIE D CAMPBELL	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.	4/1/2020	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.
LYNNEA CASTILLO	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.	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.
NUTRITIOUS LIFESTYLES, INC.	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
PLANTE & MORAN PLLC	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
SANIKQA MAIRE	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.	5/21/2024	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.
STANLEY S STUDER	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.	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.
THE BRYON AND RENA SEHLKE LIVING TRUST	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
TOUCHSTONE COMMUNITIES INC	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
TOUCHSTONE REALTY - TOMBALL 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
TOUCHSTONE STRATEGIES - TOMBALL 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.	7/24/2025	Private equity company: No Real estate investment trust: No Holding company: No
TRIDENT HEALTH SERVICES INC	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
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/12/2025	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.	7/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHARLES BRUCE STRATTON	Individual	CORPORATE OFFICER	0	5/1/2005	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.
BRYON SEHLKE	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.	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.
CHRISTOPHER BOENING	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/13/2020	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.
DARRELL D ZUROVEC	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.	8/1/2017	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.
JOSEPH BAIDOO	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.	4/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LESLIE D CAMPBELL	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.	4/1/2020	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.
LYNNEA CASTILLO	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.	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.
SANIKQA MAIRE	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.	5/21/2024	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.
TOUCHSTONE STRATEGIES - TOMBALL 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

Changes in ownership

1 July 2026: CARVAJAL PHARMACY LTC 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: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CARVAJAL PHARMACY LTC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 November 2025: LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CHARLES BRUCE STRATTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: AMY WILLIAMS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TOUCHSTONE REALTY - TOMBALL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: STANLEY S STUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TRIDENT HEALTH SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ERNEST C FELLBAUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: KEYBANK NATIONAL ASSOCIATION appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: SANIKQA MAIRE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: SANIKQA MAIRE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LESLIE D CAMPBELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LESLIE D CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BRYON SEHLKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BRYON SEHLKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOSEPH BAIDOO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOSEPH BAIDOO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: AEGIS THERAPIES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TOUCHSTONE COMMUNITIES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DARRELL D ZUROVEC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DARRELL D ZUROVEC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CHRISTOPHER BOENING appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CHRISTOPHER BOENING appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TOUCHSTONE STRATEGIES - TOMBALL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CHARLES BRUCE STRATTON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: NUTRITIOUS LIFESTYLES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: PLANTE & MORAN PLLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: THE BRYON AND RENA SEHLKE LIVING TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LYNNEA CASTILLO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LYNNEA CASTILLO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CARVAJAL PHARMACY LTC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv

Recent changes on this record

1 July 2026: CARVAJAL PHARMACY LTC 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: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CARVAJAL PHARMACY LTC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 November 2025: LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CHARLES BRUCE STRATTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: AMY WILLIAMS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TOUCHSTONE REALTY - TOMBALL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: STANLEY S STUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TRIDENT HEALTH SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ERNEST C FELLBAUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: KEYBANK NATIONAL ASSOCIATION appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: SANIKQA MAIRE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: SANIKQA MAIRE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LESLIE D CAMPBELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LESLIE D CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BRYON SEHLKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BRYON SEHLKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOSEPH BAIDOO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOSEPH BAIDOO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: AEGIS THERAPIES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TOUCHSTONE COMMUNITIES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DARRELL D ZUROVEC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DARRELL D ZUROVEC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CHRISTOPHER BOENING appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CHRISTOPHER BOENING appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TOUCHSTONE STRATEGIES - TOMBALL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CHARLES BRUCE STRATTON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: NUTRITIOUS LIFESTYLES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: PLANTE & MORAN PLLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: THE BRYON AND RENA SEHLKE LIVING TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LYNNEA CASTILLO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LYNNEA CASTILLO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CARVAJAL PHARMACY LTC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
27 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
18 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
2 August 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
16 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	28 March 2024	28 March 2024	2	1
2	20 January 2023	20 January 2023	6	2
3	28 October 2021	28 October 2021	6	1

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

Deficiencies cited

14 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
12 May 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	J	Yes	Deficient, Provider has date of correction	10 June 2025
3 December 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.	K	Yes	Past Non-Compliance	21 November 2024
28 March 2024	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D	No	Deficient, Provider has date of correction	2 April 2024
28 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	No	Deficient, Provider has date of correction	2 April 2024
30 August 2023	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	30 September 2023
30 August 2023	Health	F 0694	Quality of Life and Care Deficiencies	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	D	Yes	Deficient, Provider has date of correction	30 September 2023
30 August 2023	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	D	Yes	Deficient, Provider has date of correction	30 September 2023
30 August 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	30 September 2023
20 January 2023	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	20 February 2023
20 January 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	20 February 2023
20 January 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	20 February 2023
20 January 2023	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	20 February 2023
28 October 2021	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	11 November 2021
28 October 2021	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	11 November 2021

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 May 2025	Fine	$8,281			113877
3 December 2024	Fine	$13,627			113449

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 - Corporation
Legal Business Name	LIBERTY COUNTY HOSPITAL DISTRICT NO 1
Date First Approved to Provide Medicare and Medicaid Services	2013-12-18
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Harris
Telephone Number	8328437700
Chain Name	TOUCHSTONE COMMUNITIES
Chain ID	521
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Both
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	131
Average Number of Residents per Day	120.5
Overall Rating	4
Health Inspection Rating	4
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	4
Processing Date	2026-08-01

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

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