Skilled nursing facility · CMS certification number 676430

ASHTON MEDICAL LODGE

MIDLAND, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 144

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 October 2024 to 31 August 2025 — a reporting period of 334 days, on form CMS-2540-10, as submitted, processed by CMS on 24 December 2025.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$33,501,204	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$18,372,345	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,128,859	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,646,477	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$517,618	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$398,141	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$119,477	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$119,477 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	144	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	48,240	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	7,778	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	29,509	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	5,820	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	43,107	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	174	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	33	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	82	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	289	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	894.21	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	149.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445654, read from the public cost report file SNF10FY2025.zip.

Fiscal year 2024, ended 30 September 2024

Cost report for 1 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 November 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$29,571,957	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$13,617,092	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,954,865	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,951,297	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,003,568	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$224,273	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,227,841	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,227,841 (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	144	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	47,429	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	322	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	981.34	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	147.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1443110, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 September 2023

Cost report for 1 March 2023 to 30 September 2023 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 January 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$16,564,686	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,984,129	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,580,557	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,021,017	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$559,540	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$1,041,542	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$482,002	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$482,002 (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	144	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,704	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	189	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	755.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	146.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1402488, 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 14 March 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$26,573,045	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$11,948,199	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,624,846	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,050,156	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,574,690	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$229,475	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,804,165	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,804,165 (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	144	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	40,944	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	497	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	577.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	82.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375022, 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 31 March 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$26,227,261	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$11,114,674	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,112,587	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,912,059	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,200,528	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$72,715	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,273,243	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,273,243 (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	144	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	44,166	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	465	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	297	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	94.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1345322, 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 30 January 2023.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$24,648,067	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$12,527,942	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,120,125	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,320,548	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$799,577	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$977,150	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,776,727	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,776,727 (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	144	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,820	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	454	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	213.18	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	87.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1341285, 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 30 December 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$28,295,102	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$16,221,886	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,073,216	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,538,134	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$464,918	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,165	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$457,753	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$457,753 (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	144	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	44,831	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	372	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	354.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1308247, 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 15 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$24,650,129	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$13,456,248	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,193,881	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,859,391	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$334,490	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,939	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$342,429	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $342,429 (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	144	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,746	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	375	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	305.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	100.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1236985, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 10 October 2017 to 31 December 2017 — a reporting period of 82 days, not a full year, 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	$2,753,499	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,431,158	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,322,341	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,485,758	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,163,417	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,819	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,158,598	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,158,598 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	144	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	3,693	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	38	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	73.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	264.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	97.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209290, read from the public cost report file SNF10FY2018.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
ATKINS, JEFFREY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2023
DWM 5X5 TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2023
FAIRBROOK PARTNERS, LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2023
FOURSQUARE TEXAS 16 LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/23/2025
HAMPTON, BRODERICK	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2023
JEM 5X5 TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2023
MIDLAND NH REALTY LTD	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2023
MONTAGUE NH, LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2023
RMM 5X5 TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2023
ROCKETT, LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2023
SDL GS 5X5 TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2023
BOWERMAN, STEPHEN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/01/2023
CAMPBELL, JOHN	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/06/2026
CAMPBELL, KENNETH	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/06/2026
MILLER, DAVID	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/06/2026
MILLER, JOHN	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/06/2026
MILLER, RICHARD	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/06/2026
DAVID W MILLER GS TRUST	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2023
FOURSQUARE TEXAS 16 LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2023
HAMPTON, BRODERICK	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/01/2023
JEC GS TRUST	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2023
JOHN E MILLER GS TRUST	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2023
KINGSBURY CAPITAL LLC SERIES F	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2023
KJC GS TRUST	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2023
LEWIS, SHANE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/01/2023
LION PLAZA LP	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2023
MNH-INV SERIES LLC SERIES D	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2023
RICHARD M MILLER GS TRUST	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MIDLAND COUNTY HOSPITAL DISTRICT (enrollment ID O20230323002495).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
MIDLAND COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
BRODERICK HAMPTON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2023	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.
DWM 5X5 TRUST	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
FAIRBROOK PARTNERS, LP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
FOURSQUARE TEXAS 16 LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/23/2025	Private equity company: No Real estate investment trust: No Holding company: No
JEFFREY HUNTER ATKINS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2023	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.
JEM 5X5 TRUST	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
MIDLAND NH REALTY LTD	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
MONTAGUE NH, LP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
RMM 5X5 TRUST	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
ROCKETT, LP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
SDL GS 5X5 TRUST	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
STEPHEN BOWERMAN	Individual	CORPORATE OFFICER	0	3/1/2023	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.
BRODERICK HAMPTON	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.	3/1/2023	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.
DAVID W MILLER GS TRUST	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.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
FOURSQUARE TEXAS 16 LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
JEC GS TRUST	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.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
JOHN E MILLER GS TRUST	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.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
KINGSBURY CAPITAL LLC SERIES F	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.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
KJC GS TRUST	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.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
LION PLAZA LP	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.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
MNH-INV SERIES LLC SERIES D	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.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
RICHARD M MILLER GS TRUST	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.	3/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
SHANE DELBERT LEWIS	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.	3/1/2023	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: DAVID W MILLER 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: KENNETH CAMPBELL 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: JOHN CAMPBELL 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: RICHARD MILLER 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: SDL GS 5X5 TRUST 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: DAVID W MILLER GS TRUST 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: JOHN E MILLER 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: SDL GS 5X5 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DAVID W MILLER GS TRUST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 October 2025: MIDLAND NH REALTY LTD no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FAIRBROOK PARTNERS, LP no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MONTAGUE NH, LP no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DON EDWARD MILLER no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RMM 5X5 TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ROCKETT, LP no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DWM 5X5 TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: JEM 5X5 TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SDL GS 5X5 TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 August 2025: JOHN HIMES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KJC GS TRUST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BRODERICK HAMPTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BRODERICK HAMPTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DAVID W MILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MIDLAND NH REALTY LTD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MIDLAND NH REALTY LTD appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JEC GS TRUST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: RICHARD M MILLER GS TRUST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KENNETH CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: FOURSQUARE TEXAS 16 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOHN E MILLER GS TRUST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: FAIRBROOK PARTNERS, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: FAIRBROOK PARTNERS, LP appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOHN CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LION PLAZA LP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MONTAGUE NH, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MONTAGUE NH, LP appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: RICHARD MILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DON EDWARD MILLER appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: RMM 5X5 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: RMM 5X5 TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ROCKETT, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ROCKETT, LP appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DWM 5X5 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DWM 5X5 TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JEFFREY HUNTER ATKINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JEM 5X5 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JEM 5X5 TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MNH-INV SERIES LLC SERIES D appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KINGSBURY CAPITAL LLC SERIES F appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SDL GS 5X5 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SDL GS 5X5 TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DAVID W MILLER GS TRUST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOHN E MILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
2 October 2023: KJC GS TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JEC GS TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: RICHARD M MILLER GS TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOHN E MILLER GS TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: TERI FARMER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: LION PLAZA LP no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: SHANE DELBERT LEWIS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: SHANE DELBERT LEWIS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MNH-INV SERIES LLC SERIES D no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: KINGSBURY CAPITAL LLC SERIES F no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DUNCAN SCZEPANIK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DAVID W MILLER GS TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: FOURSQUARE TEXAS 16 LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MIDLAND COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: SHANE DELBERT LEWIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: STEPHEN BOWERMAN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOHN HIMES appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv

Recent changes on this record

1 July 2026: DAVID W MILLER 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: KENNETH CAMPBELL 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: JOHN CAMPBELL 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: RICHARD MILLER 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: SDL GS 5X5 TRUST 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: DAVID W MILLER GS TRUST 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: JOHN E MILLER 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: SDL GS 5X5 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DAVID W MILLER GS TRUST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
24 December 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
26 November 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 October 2025: MIDLAND NH REALTY LTD no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FAIRBROOK PARTNERS, LP no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MONTAGUE NH, LP no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DON EDWARD MILLER no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: RMM 5X5 TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ROCKETT, LP no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DWM 5X5 TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: JEM 5X5 TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: SDL GS 5X5 TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 August 2025: JOHN HIMES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KJC GS TRUST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BRODERICK HAMPTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BRODERICK HAMPTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DAVID W MILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MIDLAND NH REALTY LTD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MIDLAND NH REALTY LTD appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JEC GS TRUST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: RICHARD M MILLER GS TRUST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KENNETH CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: FOURSQUARE TEXAS 16 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOHN E MILLER GS TRUST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: FAIRBROOK PARTNERS, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: FAIRBROOK PARTNERS, LP appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JOHN CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LION PLAZA LP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MONTAGUE NH, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MONTAGUE NH, LP appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: RICHARD MILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DON EDWARD MILLER appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	10 April 2026	10 April 2026	5	2
2	6 February 2025	6 February 2025	14	0
3	21 December 2023	21 December 2023	6	0

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

Deficiencies cited

25 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
10 April 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	11 May 2026
10 April 2026	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	Yes	Deficient, Provider has date of correction	11 May 2026
10 April 2026	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	Yes	Deficient, Provider has date of correction	11 May 2026
10 April 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	11 May 2026
10 April 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	Yes	Deficient, Provider has date of correction	11 May 2026
16 May 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	3 June 2025
16 May 2025	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Deficient, Provider has date of correction	3 June 2025
16 May 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	3 June 2025
6 February 2025	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	1 March 2025
6 February 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	1 March 2025
6 February 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	1 March 2025
6 February 2025	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	1 March 2025
6 February 2025	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	No	Deficient, Provider has date of correction	1 March 2025
6 February 2025	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	1 March 2025
6 February 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	1 March 2025
6 February 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	1 March 2025
6 February 2025	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	No	Deficient, Provider has date of correction	1 March 2025
6 February 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	1 March 2025
6 February 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	1 March 2025
30 May 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.	E	Yes	Deficient, Provider has date of correction	31 May 2024
5 January 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.	J	Yes	Deficient, Provider has date of correction	6 January 2024
21 December 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	6 January 2024
21 December 2023	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	6 January 2024
21 December 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	6 January 2024
21 December 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	6 January 2024

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
21 December 2023	Fine	$13,397			112110

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	MIDLAND COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2017-10-10
Provider Resides in Hospital	Y
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Midland
Telephone Number	4326892100
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	144
Average Number of Residents per Day	131.9
Overall Rating	2
Health Inspection Rating	3
QM Rating	4
Long-Stay QM Rating	4
Short-Stay QM Rating	4
Processing Date	2026-08-01

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

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On 1 July 2026: DAVID W MILLER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.

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