Skilled nursing facility · CMS certification number 676385

CROSSROADS NURSING & REHABILITATION

HEARNE, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 80

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 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$5,532,172	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$616,035	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,916,137	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,347,232	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$431,095	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$253,809	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$177,286	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$177,286 (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	80	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	29,280	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,322	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	22,504	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,157	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	31,983	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	54	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	102	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	112	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	268	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	220.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	119.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436089, 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 8 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$5,101,263	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$675,573	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,425,690	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,430,575	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,004,885	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$951,103	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$53,782	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$53,782 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,749	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	109	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	66.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	503.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	172.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391657, 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 18 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,754,567	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$844,538	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,910,029	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,259,489	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,349,460	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$719,899	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$629,561	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$629,561 (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	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,694	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	105	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	298.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	178.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359155, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 August 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,754,848	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$711,207	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,043,641	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,963,129	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$919,488	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$484,734	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$434,754	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$434,754 (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	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,594	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	127	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	69.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	409.94	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	170.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329354, 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 27 September 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$6,585,672	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,092,497	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,493,175	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,908,705	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$415,530	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$634,051	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$218,521	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $218,521 (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	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,882	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	122	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	400.02	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	203.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1301169, 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 10 August 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$6,798,643	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,293,680	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,504,963	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,981,514	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$476,551	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,476	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$475,075	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$475,075 (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	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,089	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	139	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	68.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	299.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	173.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1263058, 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 27 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$6,818,803	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,271,600	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,547,203	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,805,766	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$258,563	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,631	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$254,932	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$254,932 (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	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,081	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	174	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	222.76	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	132.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1242590, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

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

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$5,285,100	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$702,394	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,582,706	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,023,118	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$440,412	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,602	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$437,810	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$437,810 (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	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,578	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	130	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	73.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	253.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	165.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1207079, 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 17 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,389,426	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$523,478	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,865,948	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,381,650	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$515,702	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,173	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$512,529	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$512,529 (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	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,275	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	141	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	192.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	122.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169011, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 12 May 2015 to 31 December 2015 — a reporting period of 233 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$1,494,064	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$222,046	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,272,018	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,223,865	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$951,847	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,862	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$949,985	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$949,985 (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	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	4,982	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	43	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	282.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	115.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1137770, 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
FANNIN COUNTY HOSPITAL AUTHORITY	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 10/01/2024
BLAKE, GARY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
BLAKE, MALISA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
GRILLO, KELLY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
HEARNE I ENTERPRISES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
HONOR X ENTERPRISES, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/16/2025
HUGGINS, LINDA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
PENNINGTON, HAROLD	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
WILLIG, ZACHARY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
HUGGINS, LINDA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2024
HOLT, ERIN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2024
KEETON, WENDY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2024
KISSLING, MONICA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/04/2024
MCBEAN, PATRICIA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2024
SANDERSON, CLARK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2024
TROMPLER, KELLY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2024
HOLT, ERIN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2024
KEETON, WENDY	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2024
KISSLING, MONICA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2024
MCBEAN, PATRICIA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2024
SANDERSON, CLARK	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2024
TROMPLER, KELLY	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2024
BLAKE, GARY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2024
BLAKE, MALISA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2024
HEARNE I ENTERPRISES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2024
HUGGINS, LINDA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2024
PENNINGTON, HAROLD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2024
WILLIG, ZACHARY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2024

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 O20250716002854).

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	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
GARY R BLAKE	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.	10/1/2024	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.
HAROLD PENNINGTON	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.	10/1/2024	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.
HEARNE I ENTERPRISES 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.	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
HONOR X ENTERPRISES, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/16/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
KELLY H GRILLO	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.	10/1/2024	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.
LINDA F HUGGINS	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.	10/1/2024	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.
MALISA A BLAKE	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.	10/1/2024	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.
ZACHARY WILLIG	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.	10/1/2024	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.
LINDA F HUGGINS	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.	10/1/2024	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.
CLARK R SANDERSON	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.	10/1/2024	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.
ERIN HOLT	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.	10/1/2024	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.
KELLY TROMPLER	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.	10/1/2024	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.
MONICA KISSLING	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.	10/4/2024	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.
PATRICIA MCBEAN	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.	10/1/2024	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.
WENDY KEETON	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.	10/1/2024	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.
CLARK R SANDERSON	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.	10/1/2024	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.
ERIN HOLT	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.	10/1/2024	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.
KELLY TROMPLER	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.	10/1/2024	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.
MONICA KISSLING	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.	10/1/2024	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.
PATRICIA MCBEAN	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.	10/1/2024	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.
WENDY KEETON	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.	10/1/2024	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.
GARY R BLAKE	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.	10/1/2024	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.
HAROLD PENNINGTON	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.	10/1/2024	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.
HEARNE I ENTERPRISES 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.	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
LINDA F HUGGINS	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.	10/1/2024	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.
MALISA A BLAKE	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.	10/1/2024	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.
ZACHARY WILLIG	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.	10/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: HEARNE I ENTERPRISES LLC 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: HEARNE I ENTERPRISES LLC 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: HEARNE I ENTERPRISES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HEARNE I ENTERPRISES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: CREATIVE SOLUTIONS IN HEALTHCARE INC 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: HONOR X ENTERPRISES, LLC 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: LINDA F HUGGINS 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: GARY R BLAKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MALISA A BLAKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: KELLY H GRILLO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ZACHARY WILLIG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ZACHARY WILLIG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: HAROLD PENNINGTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: HAROLD PENNINGTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PATRICIA MCBEAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PATRICIA MCBEAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ERIN HOLT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ERIN HOLT appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WENDY KEETON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WENDY KEETON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: HONOR X ENTERPRISES, 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: 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: CLARK R SANDERSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CLARK R SANDERSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: KELLY TROMPLER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: KELLY TROMPLER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: LINDA F HUGGINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: LINDA F HUGGINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: LINDA F HUGGINS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MONICA KISSLING appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MONICA KISSLING appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GARY R BLAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GARY R BLAKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MALISA A BLAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MALISA A BLAKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: HEARNE I ENTERPRISES 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: HEARNE I ENTERPRISES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv

Recent changes on this record

1 July 2026: HEARNE I ENTERPRISES LLC 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: HEARNE I ENTERPRISES LLC 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: HEARNE I ENTERPRISES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: HEARNE I ENTERPRISES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: CREATIVE SOLUTIONS IN HEALTHCARE INC 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: HONOR X ENTERPRISES, LLC 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: LINDA F HUGGINS 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: GARY R BLAKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MALISA A BLAKE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: KELLY H GRILLO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ZACHARY WILLIG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ZACHARY WILLIG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: HAROLD PENNINGTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: HAROLD PENNINGTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PATRICIA MCBEAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PATRICIA MCBEAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ERIN HOLT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ERIN HOLT appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WENDY KEETON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WENDY KEETON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: HONOR X ENTERPRISES, 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: 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: CLARK R SANDERSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CLARK R SANDERSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: KELLY TROMPLER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: KELLY TROMPLER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: LINDA F HUGGINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: LINDA F HUGGINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: LINDA F HUGGINS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MONICA KISSLING appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MONICA KISSLING appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GARY R BLAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GARY R BLAKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MALISA A BLAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MALISA A BLAKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: HEARNE I ENTERPRISES 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: HEARNE I ENTERPRISES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: enrollment_id changed from O20150303000249 to O20250716002854. Skilled_Nursing_Facility_Enrollments_:_2025-12-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
8 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	4 December 2025	4 December 2025	12	1
2	10 September 2024	10 September 2024	5	0
3	26 July 2023	26 July 2023	13	6

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

Deficiencies cited

30 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
1 May 2026	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E	Yes	Deficient, Provider has date of correction	4 May 2026
4 December 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	5 December 2025
4 December 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	No	Deficient, Provider has date of correction	5 December 2025
4 December 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	5 December 2025
4 December 2025	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E	No	Deficient, Provider has date of correction	5 December 2025
4 December 2025	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	5 December 2025
4 December 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	5 December 2025
4 December 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	5 December 2025
4 December 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	5 December 2025
3 September 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	4 September 2025
3 September 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	4 September 2025
3 September 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	4 September 2025
20 November 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	13 December 2024
10 September 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	18 October 2024
10 September 2024	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	No	Deficient, Provider has date of correction	18 October 2024
10 September 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	18 October 2024
10 September 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	18 October 2024
20 June 2024	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	21 June 2024
24 May 2024	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	Yes	Deficient, Provider has date of correction	25 May 2024
24 May 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	E	Yes	Deficient, Provider has date of correction	25 May 2024
12 March 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	14 March 2024
12 March 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	14 March 2024
26 July 2023	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	E	No	Deficient, Provider has date of correction	9 September 2023
26 July 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	9 September 2023
26 July 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	9 September 2023
26 July 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.	E	No	Deficient, Provider has date of correction	9 September 2023
26 July 2023	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 September 2023
26 July 2023	Health	F 0685	Quality of Life and Care Deficiencies	Assist a resident in gaining access to vision and hearing services.	D	No	Deficient, Provider has date of correction	9 September 2023
26 July 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	9 September 2023
26 July 2023	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E	No	Deficient, Provider has date of correction	9 September 2023

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	For profit - Corporation
Legal Business Name	FANNIN COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid Services	2015-05-12
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Robertson
Telephone Number	9792800440
Chain Name	CREATIVE SOLUTIONS IN HEALTHCARE
Chain ID	169
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	80
Average Number of Residents per Day	50.9
Overall Rating	3
Health Inspection Rating	3
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	5
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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