Skilled nursing facility · CMS certification number 676373

Park Manor Bee Cave

Bee Cave, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 140

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 21 January 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$13,752,414	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,572,118	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,180,296	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,464,327	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$284,031	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,676	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$282,355	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$282,355 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	51,240	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,563	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	20,092	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	10,737	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	32,392	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	43	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	26	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	130	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	199	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	772.77	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	162.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1402487, 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 10 April 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$12,046,153	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,732,415	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,313,738	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,175,731	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$138,007	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,424	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$141,431	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $141,431 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,075	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	260	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	861.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	111.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376214, 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 24 June 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$2,552,984	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$374,474	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,178,510	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,362,057	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,183,547	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,829,351	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$354,196	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$354,196 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,560	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	213	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	161.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	138.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1386121, 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 21 April 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$11,412,409	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,571,953	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,840,456	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,817,431	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,976,975	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$47,626	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,929,349	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,929,349 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,159	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	209	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	551.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	139.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314072, 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 10 May 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$12,804,007	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,722,298	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,081,709	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,179,236	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,097,527	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$457,212	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$640,315	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$640,315 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,761	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	208	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	739.86	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	152.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283639, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 September 2019

Cost report for 1 May 2019 to 30 September 2019 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 18 March 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$5,055,056	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,593,733	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,461,323	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,570,540	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$109,217	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$303	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$108,914	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$108,914 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,110	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	95	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	855.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	148.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252774, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$11,648,710	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,087,026	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,561,684	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,385,119	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$823,435	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$21,826	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$801,609	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$801,609 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,433	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	272	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	313.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	111.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1238903, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$12,899,239	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,921,754	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,977,485	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,086,836	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$109,351	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,420	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$104,931	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$104,931 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,211	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	261	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	370.21	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	119.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1217417, 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 2 May 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$10,870,666	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,980,129	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,890,537	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,050,599	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$160,062	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,461	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$153,601	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$153,601 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,408	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	260	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	341.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	105.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1187789, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 3 December 2014 to 31 December 2015 — a reporting period of 393 days, on form CMS-2540-10, settled, processed by CMS on 30 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$7,491,028	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,075,841	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,415,187	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,622,910	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$207,723	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,212	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$204,511	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$204,511 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,686	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	164	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	337.41	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	95.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142936, read from the public cost report file SNF10FY2015.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
CASTRO POU, GRACIELA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/27/2024
CHUDLEIGH, GEOFF	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2022
SAGE MEADOW HEALTHCARE, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/29/2025
THE ENSIGN GROUP INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/18/2022
BURNAM, SOON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 07/01/2022
HOOPER, GRADY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/01/2015
KEETCH, CHAD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/01/2011
CASTRO POU, GRACIELA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 12/27/2024
CHUDLEIGH, GEOFF	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 07/01/2022
CASTRO POU, GRACIELA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/27/2024
CHUDLEIGH, GEOFF	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2022
SAGE MEADOW HEALTHCARE, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 07/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HAMILTON COUNTY HOSPITAL DISTRICT (enrollment ID O20190725000897).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
HAMILTON COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	5/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
GEOFF CHUDLEIGH	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.	7/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GRACIELA V CASTRO POU	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/27/2024	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.
SAGE MEADOW HEALTHCARE, 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.	10/29/2025	Private equity company: No Real estate investment trust: No Holding company: No
THE ENSIGN GROUP 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.	4/18/2022	Private equity company: No Real estate investment trust: No Holding company: No
CHAD KEETCH	Individual	CORPORATE OFFICER	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.	3/1/2011	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GRADY HOOPER	Individual	CORPORATE OFFICER	100	12/1/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SOON BURNAM	Individual	CORPORATE OFFICER	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.	7/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GEOFF CHUDLEIGH	Individual	MANAGING CONTROL - GOVERNING BODY	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.	7/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GRACIELA V CASTRO POU	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/27/2024	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.
GEOFF CHUDLEIGH	Individual	OPERATIONAL/MANAGERIAL CONTROL	0	7/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GRACIELA V CASTRO POU	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/27/2024	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.
SAGE MEADOW HEALTHCARE, INC.	Organization	OPERATIONAL/MANAGERIAL CONTROL	0	7/1/2022	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: GEOFF CHUDLEIGH 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: GEOFF CHUDLEIGH no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEOFF CHUDLEIGH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEOFF CHUDLEIGH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEOFF CHUDLEIGH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEOFF CHUDLEIGH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ROBERT WITZSCHE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: DENA MCGREGOR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NEIL MUXWORTHY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NEIL MUXWORTHY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WILLIAM FORREST no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: HAMILTON COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GEOFF CHUDLEIGH 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: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SAGE MEADOW HEALTHCARE, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GRACIELA V CASTRO POU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GRACIELA V CASTRO POU appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GRACIELA V CASTRO POU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GEOFF CHUDLEIGH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GEOFF CHUDLEIGH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 September 2024: WILLIAM CRAIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: WILLIAM CRAIG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
31 October 2022: HMG BEE CAVE INVESTMENT LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: HMG PARTNERS I, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: HMG PARTNERS I, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: DEREK L PRINCE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: DEREK L PRINCE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: HMG HEALTHCARE LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: LAURENCE C DASPIT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: LAURENCE C DASPIT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: LAURENCE C DASPIT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: HMG BEE CAVE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: JOHN HOWERTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ROLAND WAYNE CULP no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ROLAND WAYNE CULP no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ANA I PICO no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: SOON E BURNAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: SAGE MEADOW HEALTHCARE, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: GEOFF CHUDLEIGH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: GEOFF CHUDLEIGH appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Recent changes on this record

1 July 2026: GEOFF CHUDLEIGH 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: GEOFF CHUDLEIGH no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEOFF CHUDLEIGH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEOFF CHUDLEIGH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEOFF CHUDLEIGH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEOFF CHUDLEIGH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ROBERT WITZSCHE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: DENA MCGREGOR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NEIL MUXWORTHY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NEIL MUXWORTHY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WILLIAM FORREST no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: HAMILTON COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GEOFF CHUDLEIGH 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: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SAGE MEADOW HEALTHCARE, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GRACIELA V CASTRO POU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GRACIELA V CASTRO POU appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GRACIELA V CASTRO POU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GEOFF CHUDLEIGH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GEOFF CHUDLEIGH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
21 January 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 September 2024: WILLIAM CRAIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: WILLIAM CRAIG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
24 June 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
10 April 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
31 October 2022: HMG BEE CAVE INVESTMENT LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: HMG PARTNERS I, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: HMG PARTNERS I, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: DEREK L PRINCE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: DEREK L PRINCE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: HMG HEALTHCARE LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: LAURENCE C DASPIT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: LAURENCE C DASPIT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: LAURENCE C DASPIT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: HMG BEE CAVE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: JOHN HOWERTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ROLAND WAYNE CULP no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	17 September 2025	17 September 2025	9	0
2	8 August 2024	8 August 2024	20	1
3	14 June 2023	14 June 2023	8	5

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

Deficiencies cited

37 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
1 July 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	Yes	Deficient, Provider has date of correction	2 July 2026
19 February 2026	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	Yes	Deficient, Provider has date of correction	20 February 2026
17 September 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	18 September 2025
17 September 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	18 September 2025
17 September 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.	F	No	Deficient, Provider has date of correction	18 September 2025
10 September 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G	Yes	Deficient, Provider has date of correction	11 September 2025
10 September 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	Yes	Deficient, Provider has date of correction	11 September 2025
10 September 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	11 September 2025
18 August 2025	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	Yes	Deficient, Provider has date of correction	5 September 2025
2 June 2025	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	17 June 2025
28 May 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	H	Yes	Deficient, Provider has date of correction	12 June 2025
29 April 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.	G	Yes	Deficient, Provider has date of correction	14 May 2025
10 January 2025	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	Yes	Deficient, Provider has date of correction	11 January 2025
10 January 2025	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	Yes	Deficient, Provider has date of correction	11 January 2025
8 August 2024	Health	F 0557	Resident Rights Deficiencies	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	E	No	Deficient, Provider has date of correction	9 August 2024
8 August 2024	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E	No	Deficient, Provider has date of correction	9 August 2024
8 August 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	9 August 2024
8 August 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	9 August 2024
8 August 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	9 August 2024
8 August 2024	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D	No	Deficient, Provider has date of correction	9 August 2024
8 August 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	9 August 2024
8 August 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	9 August 2024
8 August 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	9 August 2024
8 August 2024	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	9 August 2024
8 August 2024	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	9 August 2024
8 August 2024	Health	F 0806	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	No	Deficient, Provider has date of correction	9 August 2024
8 August 2024	Health	F 0809	Nutrition and Dietary Deficiencies	Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.	E	No	Deficient, Provider has date of correction	9 August 2024
8 August 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	9 August 2024
2 August 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	Yes	Deficient, Provider has date of correction	9 August 2024
21 July 2024	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	K	Yes	Deficient, Provider has date of correction	22 July 2024
21 July 2024	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.	K	Yes	Deficient, Provider has date of correction	22 July 2024
16 November 2023	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Deficient, Provider has date of correction	6 December 2023
16 November 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	H	Yes	Deficient, Provider has date of correction	6 December 2023
11 October 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.	H	Yes	Deficient, Provider has date of correction	1 November 2023
14 June 2023	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	12 July 2023
14 June 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	12 July 2023
14 June 2023	Health	F 0680	Quality of Life and Care Deficiencies	Ensure the activities program is directed by a qualified professional.	E	No	Deficient, Provider has date of correction	12 July 2023

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
29 April 2025	Fine	$6,338			113801
21 July 2024	Fine	$13,270			113046

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	Government - Hospital district
Legal Business Name	HAMILTON COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2014-12-03
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Travis
Telephone Number	5128728170
Chain Name	THE ENSIGN GROUP
Chain ID	507
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	140
Average Number of Residents per Day	120.4
Overall Rating	1
Health Inspection Rating	1
QM Rating	4
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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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: GEOFF CHUDLEIGH 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 Park Manor Bee Cave

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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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676373.