Velarion Records

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Skilled nursing facility · CMS certification number 676398

Fox Hollow Post Acute

Brownsville, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 126

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 29 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$31,377,773CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$17,363,340CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,014,433CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,283,561CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,730,872CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,476CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,732,348CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,732,348 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components126CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components46,116CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,723CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days1,725CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days36,971CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components41,419CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges101CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges11CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges513CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components625CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days156.82CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days66.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438428, 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 28 August 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$22,495,717CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,951,432CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,544,285CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,931,300CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,612,985CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$261,318CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,874,303CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,874,303 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components126CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,091CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components474CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days476CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days88.8CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436091, 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 16 October 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$17,815,439CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,781,280CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,034,159CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,575,835CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$458,324CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$301,245CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$759,569CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $759,569 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components126CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components39,800CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components467CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days417CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days85.22CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1397397, 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 1 December 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$16,693,778CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,650,266CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,043,512CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,666,283CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,377,229CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$225,263CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,602,492CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,602,492 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components126CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,047CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components384CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days596.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days96.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1369295, 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 17 February 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$14,236,452CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,258,506CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,977,946CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,936,924CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$958,978CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$737,885CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$221,093CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$221,093 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components126CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,317CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components340CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days519.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days97.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342694, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 May 2019 to 31 December 2019 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 September 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$11,187,541CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,349,039CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,838,502CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,335,115CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$503,387CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,536CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$513,923CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $513,923 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components126CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,381CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components549CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days16.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days710.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days48.05CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1269622, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 8 June 2018 to 31 December 2018 — a reporting period of 206 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 17 December 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$5,669,334CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$433,134CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,236,200CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,159,626CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$76,574CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$355CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$76,929CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $76,929 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components126CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,642CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components278CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days412.17CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days88.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1276711, 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 19 September 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$10,612,214CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,791,611CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,820,603CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,175,128CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$354,525CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,091CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$345,434CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$345,434 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components126CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,946CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components374CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.23CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days220.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days80.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1243601, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 13 June 2016 to 31 December 2016 — a reporting period of 201 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 3 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$2,953,960CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$40,276CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,913,684CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,930,379CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,016,695CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$855CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,015,840CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,015,840 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components126CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,331CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components145CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.26CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days171CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days71.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171923, read from the public cost report file SNF10FY2016.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
ELLIOTT, BENJAMINCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/23/2015
FAGLIE, KELLYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/25/2016
GAITONDE, GAJANANCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/28/2006
GONZALES, HECTORCORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/27/2001
GONZALES, JUANCORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2022
GUTIERREZ, MONICACORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/28/2014
KESSLER, WILLIAMCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/27/1973
ZAMORA, RAULCORPORATE DIRECTORIndividualNOT APPLICABLEsince 12/30/1980
APOLINAR, ADAMCORPORATE OFFICERIndividualNOT APPLICABLEsince 07/23/2015
CONTRERAS, TERRICORPORATE OFFICERIndividualNOT APPLICABLEsince 04/29/2019
NORDWICK, THOMASCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/01/2019
BROWNSVILLE SNF, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/01/2019
GARATE, PAULW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 11/01/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of UVALDE COUNTY HOSPITAL AUTHORITY (enrollment ID O20190528000346).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
UVALDE COUNTY HOSPITAL AUTHORITYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1005/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
BENJAMIN G ELLIOTTIndividualCORPORATE DIRECTOR07/23/2015
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.
GAJANAN V GAITONDEIndividualCORPORATE DIRECTOR02/28/2006
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.
HECTOR E GONZALESIndividualCORPORATE DIRECTOR03/27/2001
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.
JUAN ANTONIO GONZALESIndividualCORPORATE DIRECTOR06/1/2022
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.
KELLY A FAGLIEIndividualCORPORATE DIRECTOR01/25/2016
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 E GUTIERREZIndividualCORPORATE DIRECTOR010/28/2014
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.
RAUL E ZAMORAIndividualCORPORATE DIRECTOR012/30/1980
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM A KESSLERIndividualCORPORATE DIRECTOR02/27/1973
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.
ADAM APOLINARIndividualCORPORATE OFFICER07/23/2015
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.
TERRI CONTRERASIndividualCORPORATE OFFICER04/29/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THOMAS J NORDWICKIndividualCORPORATE OFFICER05/1/2019
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.
BROWNSVILLE SNF, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
PAUL GARATEIndividualW-2 MANAGING EMPLOYEE011/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

  • 1 July 2026: JUAN ANTONIO GONZALES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 1 July 2026: JUAN ANTONIO GONZALES appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • 28 August 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • 16 October 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • 1 December 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • 17 February 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • 17 December 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • 24 September 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • 24 December 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • 19 September 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • 21 December 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • 3 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
122 January 202622 January 2026140
230 October 202430 October 2024100
327 July 202327 July 202360

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 dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
27 June 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction19 July 2026
4 June 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesPast Non-Compliance
2 May 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.JYesDeficient, Provider has date of correction18 May 2026
2 May 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.JYesDeficient, Provider has date of correction18 May 2026
6 March 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction8 March 2026
22 January 2026HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction12 February 2026
22 January 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction12 February 2026
22 January 2026HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction12 February 2026
22 January 2026HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction12 February 2026
22 January 2026HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction12 February 2026
22 January 2026HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction12 February 2026
22 January 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction12 February 2026
19 November 2025HealthF 0839Administration DeficienciesEmploy staff that are licensed, certified, or registered in accordance with state laws.DYesDeficient, Provider has date of correction20 November 2025
14 October 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesDeficient, Provider has date of correction15 October 2025
15 December 2024HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DYesDeficient, Provider has date of correction2 January 2025
30 October 2024HealthF 0635Resident Assessment and Care Planning DeficienciesProvide doctor's orders for the resident's immediate care at the time the resident was admitted.DNoDeficient, Provider has date of correction1 November 2024
30 October 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correction1 November 2024
30 October 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction1 November 2024
30 October 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction1 November 2024
30 October 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction1 November 2024
30 October 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction1 November 2024
19 September 2024HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DYesDeficient, Provider has date of correction9 October 2024
19 September 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction9 October 2024
19 September 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correction9 October 2024
9 July 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DYesDeficient, Provider has date of correction29 July 2024
6 April 2024HealthF 0626Resident Rights DeficienciesPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DYesDeficient, Provider has date of correction10 May 2024
7 August 2023HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.BYesDeficient, Provider has date of correction8 August 2023
27 July 2023HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correction22 August 2023
27 July 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction22 August 2023
27 July 2023HealthF 0813Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.DNoDeficient, Provider has date of correction22 August 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
4 June 2026Fine$16,355139571
2 May 2026Fine$31,528138992
14 October 2025Fine$8,281135416
6 April 2024Fine$4,092112693

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameUVALDE COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid Services2016-06-13
Provider Resides in HospitalY
Continuing Care Retirement CommunityN
UrbanY
County/ParishCameron
Telephone Number9565743400
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds126
Average Number of Residents per Day123.9
Overall Rating1
Health Inspection Rating1
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating2
Processing Date2026-08-01

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

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