Skilled nursing facility · CMS certification number 676367

BELTERRA HEALTH & REHAB

MCKINNEY, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 103

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 January 2025 to 30 April 2025 — a reporting period of 119 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 20 January 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$6,021,134	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,491,646	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,529,488	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,281,706	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$247,782	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$128,699	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$376,481	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $376,481 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	103	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	12,360	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,548	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	436	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	8,056	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	11,040	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	45	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	12	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	69	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	126	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	36.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	87.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1446772, read from the public cost report file SNF10FY2025.zip.

Fiscal year 2024, ended 31 December 2024

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 February 2026.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$18,323,504	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,388,924	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,934,580	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,787,897	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,146,683	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$370,333	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,517,016	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,517,016 (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	103	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,837	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	426	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	81.51	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	79.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1447568, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

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

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$14,734,794	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,403,975	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,330,819	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,927,547	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$403,272	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$618,029	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,021,301	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,021,301 (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	103	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,082	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	325	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	63.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	46.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	101.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390940, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$11,587,492	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$91,214	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,496,278	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,006,622	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$489,656	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$171,994	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$661,650	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $661,650 (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	103	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,129	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	290	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	68.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	351.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	107.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359994, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 August 2021

Cost report for 1 January 2021 to 31 August 2021 — a reporting period of 242 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 12 June 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,248,319	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$335,470	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,912,849	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,499,225	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$586,376	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$83,512	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$502,864	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$502,864 (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	103	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,973	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	172	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	491.2	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	116.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1350945, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 February 2023.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$6,925,976	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,147,045	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,778,931	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,784,937	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,006,006	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,474	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,003,532	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,003,532 (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	103	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,438	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	190	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.01	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	473.58	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	133.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1341786, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 October 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$9,374,440	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,784,272	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,590,168	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,400,451	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$810,283	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$68	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$810,215	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$810,215 (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	103	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,055	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	360	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	605.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	83.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1270528, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 14 January 2018

Cost report for 1 January 2017 to 14 January 2018 — a reporting period of 378 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$9,473,318	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,504,290	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,969,028	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,766,697	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$797,669	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$854	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$796,815	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$796,815 (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	103	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,134	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	244	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,173.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	111.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249437, 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 7 December 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$9,160,734	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,154,318	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,006,416	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,924,589	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$918,173	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$321,405	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$596,768	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$596,768 (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	103	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,655	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	251	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,615.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	102.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1215227, 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 17 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,221,707	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,495,916	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,725,791	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,517,934	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$792,143	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$74,595	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$717,548	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$717,548 (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	103	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,914	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	263	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	2,088.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	83.32	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141534, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 28 August 2014 to 31 December 2014 — a reporting period of 125 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 2 February 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$1,376,767	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$562,980	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$813,787	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,690,296	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$876,509	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$197	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$876,312	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$876,312 (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	103	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	2,658	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	62	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	42.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118443, 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
FANNIN COUNTY HOSPITAL AUTHORITY	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 05/01/2025
BAUDER FAMILY INVESTMENTS, LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 05/01/2025
BAUDER, KELLY	5% OR GREATER MORTGAGE INTEREST	Individual	NOT APPLICABLE	since 05/01/2025
BAUDER, MADISON	5% OR GREATER MORTGAGE INTEREST	Individual	NOT APPLICABLE	since 03/01/2025
BAUDER, PARKER	5% OR GREATER MORTGAGE INTEREST	Individual	NOT APPLICABLE	since 03/01/2025
BAUDER, WILLIAM	5% OR GREATER MORTGAGE INTEREST	Individual	NOT APPLICABLE	since 05/01/2025
BOULWARE ST JAMES LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 05/01/2024
BOULWARE, DOUGLAS	5% OR GREATER MORTGAGE INTEREST	Individual	NOT APPLICABLE	since 05/01/2025
BOULWARE, SANDRA	5% OR GREATER MORTGAGE INTEREST	Individual	NOT APPLICABLE	since 03/01/2025
BOULWARE, STEVEN	5% OR GREATER MORTGAGE INTEREST	Individual	NOT APPLICABLE	since 05/01/2025
BOULWARE, THOMAS	5% OR GREATER MORTGAGE INTEREST	Individual	NOT APPLICABLE	since 05/01/2025
PMG REALCO-MCKINNEY, LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 05/01/2025
WALKER, KATIE	5% OR GREATER MORTGAGE INTEREST	Individual	NOT APPLICABLE	since 03/01/2025
ALI, MALIK	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2025
BAUDER FAMILY INVESTMENTS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2025
BAUDER, KELLY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2025
BAUDER, MADISON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2025
BAUDER, PARKER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2025
BAUDER, WILLIAM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2025
BOULWARE ST JAMES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2025
BOULWARE, DOUGLAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2025
BOULWARE, SANDRA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2025
BOULWARE, STEVEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2025
BOULWARE, THOMAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2025
BRIDGEPOINTE FINANICAL SERVICES, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2025
INNOVATIVE NURSE CONSULTING, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2025
PMG OPCO - MCKINNEY LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/20/2025
PMG REALCO-MCKINNEY, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2025
PRIORITY MANAGEMENT GROUP, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2025
PROGRESSIVE REHAB SOLUTIONS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2025
ROBINSON, JOHN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2025
WALKER, KATIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2025
SANDERSON, CLARK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/01/2025
BAUDER, WILLIAM	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2025
BOULWARE, STEVEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2025
PMG OPCO - MCKINNEY LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 05/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FANNIN COUNTY HOSPITAL AUTHORITY (enrollment ID O20250624001352).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
FANNIN COUNTY HOSPITAL AUTHORITY	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
BAUDER FAMILY INVESTMENTS, LLC	Organization	5% OR GREATER MORTGAGE INTEREST	33.33	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
BOULWARE ST JAMES LLC	Organization	5% OR GREATER MORTGAGE INTEREST	33.34	5/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
DOUGLAS B BOULWARE	Individual	5% OR GREATER MORTGAGE INTEREST	8.34	5/1/2025	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.
KATIE B WALKER	Individual	5% OR GREATER MORTGAGE INTEREST	8.34	3/1/2025	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.
KELLY P BAUDER	Individual	5% OR GREATER MORTGAGE INTEREST	8.34	5/1/2025	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.
MADISON R BAUDER	Individual	5% OR GREATER MORTGAGE INTEREST	8.34	3/1/2025	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.
PARKER C BAUDER	Individual	5% OR GREATER MORTGAGE INTEREST	8.34	3/1/2025	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.
PMG REALCO-MCKINNEY, LLC	Organization	5% OR GREATER MORTGAGE INTEREST	100	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
SANDRA BOULWARE	Individual	5% OR GREATER MORTGAGE INTEREST	8.34	3/1/2025	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.
STEVEN D BOULWARE	Individual	5% OR GREATER MORTGAGE INTEREST	41.66	5/1/2025	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.
THOMAS C BOULWARE	Individual	5% OR GREATER MORTGAGE INTEREST	8.34	5/1/2025	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.
WILLIAM M BAUDER	Individual	5% OR GREATER MORTGAGE INTEREST	8.34	5/1/2025	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.
BAUDER FAMILY INVESTMENTS, 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.	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
BOULWARE ST JAMES LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
BRIDGEPOINTE FINANICAL SERVICES, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
DOUGLAS B BOULWARE	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.	5/1/2025	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.
INNOVATIVE NURSE CONSULTING, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
JOHN ROBINSON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2025	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.
KATIE B WALKER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2025	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.
KELLY P BAUDER	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.	5/1/2025	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.
MADISON R BAUDER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2025	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.
MALIK MOHSIN ALI	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2025	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.
PARKER C BAUDER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2025	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.
PMG OPCO - MCKINNEY 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.	2/20/2025	Private equity company: No Real estate investment trust: No Holding company: No
PMG REALCO-MCKINNEY, 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.	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
PRIORITY MANAGEMENT GROUP, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
PROGRESSIVE REHAB SOLUTIONS, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
SANDRA BOULWARE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2025	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.
STEVEN D BOULWARE	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.	5/1/2025	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.
THOMAS C BOULWARE	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.	5/1/2025	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.
WILLIAM M BAUDER	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.	5/1/2025	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.
CLARK R SANDERSON	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	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.
PMG OPCO - MCKINNEY 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.	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
STEVEN D BOULWARE	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.	5/1/2025	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.
WILLIAM M BAUDER	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.	5/1/2025	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.

Changes in ownership

1 July 2026: KATIE B WALKER 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: KATIE B WALKER no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DOUGLAS B BOULWARE 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: DOUGLAS B BOULWARE no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KATIE B WALKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KATIE B WALKER appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DOUGLAS B BOULWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DOUGLAS B BOULWARE appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: CITY OF ENNIS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARTY W NELSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MICHAEL LITTLE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: BAUDER FAMILY INVESTMENTS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: BAUDER FAMILY INVESTMENTS, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WILLIAM M BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WILLIAM M BAUDER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WILLIAM M BAUDER appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MADISON R BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MADISON R BAUDER appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PMG OPCO - MCKINNEY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PMG OPCO - MCKINNEY LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PROGRESSIVE REHAB SOLUTIONS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: KELLY P BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: KELLY P BAUDER appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JOHN ROBINSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: INNOVATIVE NURSING CONSULTING, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: BOULWARE ST JAMES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: BOULWARE ST JAMES LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PARKER C BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PARKER C BAUDER appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: FANNIN COUNTY HOSPITAL AUTHORITY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEVEN D BOULWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEVEN D BOULWARE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEVEN D BOULWARE appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CLARK R SANDERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SANDRA BOULWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SANDRA BOULWARE appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PRIORITY MANAGEMENT GROUP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MALIK MOHSIN ALI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: BRIDGEPOINTE FINANICAL SERVICES, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PMG REALCO-MCKINNEY, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PMG REALCO-MCKINNEY, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: THOMAS C BOULWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: THOMAS C BOULWARE appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: KATIE B WALKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: KATIE B WALKER appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: DOUGLAS B BOULWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: DOUGLAS B BOULWARE appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv

Recent changes on this record

1 July 2026: KATIE B WALKER 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: KATIE B WALKER no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DOUGLAS B BOULWARE 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: DOUGLAS B BOULWARE no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KATIE B WALKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KATIE B WALKER appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DOUGLAS B BOULWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DOUGLAS B BOULWARE appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
9 February 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
20 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
1 December 2025: CITY OF ENNIS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARTY W NELSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MICHAEL LITTLE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: BAUDER FAMILY INVESTMENTS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: BAUDER FAMILY INVESTMENTS, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WILLIAM M BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WILLIAM M BAUDER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WILLIAM M BAUDER appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MADISON R BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MADISON R BAUDER appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PMG OPCO - MCKINNEY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PMG OPCO - MCKINNEY LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PROGRESSIVE REHAB SOLUTIONS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: KELLY P BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: KELLY P BAUDER appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JOHN ROBINSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: INNOVATIVE NURSING CONSULTING, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: BOULWARE ST JAMES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: BOULWARE ST JAMES LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PARKER C BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PARKER C BAUDER appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: FANNIN COUNTY HOSPITAL AUTHORITY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEVEN D BOULWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEVEN D BOULWARE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEVEN D BOULWARE appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CLARK R SANDERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SANDRA BOULWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SANDRA BOULWARE appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PRIORITY MANAGEMENT GROUP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MALIK MOHSIN ALI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies
1	23 April 2026	23 April 2026	10
2	13 February 2025	13 February 2025	5
3	11 January 2024	11 January 2024	5

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

Deficiencies cited

20 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
23 April 2026	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	13 May 2026
23 April 2026	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E	No	Deficient, Provider has date of correction	13 May 2026
23 April 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	13 May 2026
23 April 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	No	Deficient, Provider has date of correction	13 May 2026
23 April 2026	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	13 May 2026
23 April 2026	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	13 May 2026
23 April 2026	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	13 May 2026
23 April 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	13 May 2026
23 April 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	13 May 2026
23 April 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	13 May 2026
13 February 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	3 March 2025
13 February 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	E	No	Deficient, Provider has date of correction	3 March 2025
13 February 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	3 March 2025
13 February 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	3 March 2025
13 February 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	3 March 2025
11 January 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	15 January 2024
11 January 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	15 January 2024
11 January 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	15 January 2024
11 January 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	15 January 2024
11 January 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	15 January 2024

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Government - Hospital district
Legal Business Name	FANNIN COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid Services	2014-08-28
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Collin
Telephone Number	9725425500
Chain Name	PRIORITY MANAGEMENT
Chain ID	425
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	103
Average Number of Residents per Day	91.1
Overall Rating	4
Health Inspection Rating	4
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	3
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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One email a day naming what moved on BELTERRA HEALTH & REHAB: the field, the value before, the value after, and the date of the file that first showed it.

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

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The citable document for BELTERRA HEALTH & REHAB

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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