Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 676448

THE RESERVE AT RICHARDSON

RICHARDSON, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 129

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 11 May 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$10,966,475CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,514,234CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,452,241CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,377,677CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$74,564CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$567CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$75,131CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $75,131 (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 components129CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components47,214CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,680CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days1,143CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days21,382CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components26,205CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges75CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges11CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges155CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components241CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days103.91CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days108.73CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1449746, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 June 2023 to 31 December 2023 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 26 November 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$5,484,582CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,192,194CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,292,388CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,664,792CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$372,404CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$70CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$372,334CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$372,334 (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 components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,007CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components174CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days64.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days171.29CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days86.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1443111, 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 24 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$9,858,264CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,165,895CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,692,369CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,276,180CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$583,811CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$153CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$583,658CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$583,658 (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 components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,845CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components407CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days144.12CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days48.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359707, 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 10 November 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$7,556,624CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$30,085CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,586,709CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,490,269CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$96,440CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$96,451CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $96,451 (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 components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,856CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components216CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days89.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days128.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days87.3CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1367897, 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 31 January 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$7,362,508CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$186,983CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,549,491CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,429,290CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$120,201CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,327CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$133,528CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $133,528 (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 components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,581CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components187CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.15CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days342CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days94.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1341409, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 January 2022.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$7,466,790CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,295,019CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,171,771CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,531,279CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$359,508CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,221CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$357,287CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$357,287 (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 components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,733CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components230CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days144.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days77.1CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1308928, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 22 June 2018 to 31 December 2018 — a reporting period of 192 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 7 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$1,903,001CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$291,848CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,611,153CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,792,574CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,181,421CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$243CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,181,178CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,181,178 (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 components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components4,537CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components71CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.65CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days293.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days63.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239968, 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 managerRoleTypeOwnership percentageAssociation
DKP INVESTMENTS, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2023
GO OPERATIONS 6 LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/22/2025
GO PROPERTIES 6, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2023
GOLDEN, LAURENADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2023
HASSAN, SYEDADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2023
HURST, ROYADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2023
PRINCE, DANNYADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2023
SLM INVESTMENTS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2023
HOOPER, GRADYCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/01/2023
DKP INVESTMENTS, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2023
GO OPERATIONS 6 LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2023
GOLDEN, LAURENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2023
GOLDEN, SHAWNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2023
HURST, ROYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2023
PRINCE, DANNYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2023
SLM INVESTMENTS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HAMILTON COUNTY HOSPITAL DISTRICT (enrollment ID O20230731001528).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
HAMILTON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
DANNY K PRINCEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2023
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.
DKP INVESTMENTS, LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
GO OPERATIONS 6 LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/22/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
GO PROPERTIES 6, LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
LAUREN P GOLDENIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2023
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.
ROY HURSTIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2023
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.
SLM INVESTMENTS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
SYED HASSANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2023
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.
GRADY HOOPERIndividualCORPORATE OFFICER06/1/2023
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.
DANNY K PRINCEIndividualOPERATIONAL/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.6/1/2023
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.
DKP INVESTMENTS, 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.6/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
GO OPERATIONS 6 LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL06/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
LAUREN P GOLDENIndividualOPERATIONAL/MANAGERIAL CONTROL06/1/2023
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.
ROY HURSTIndividualOPERATIONAL/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.6/1/2023
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.
SHAWN C GOLDENIndividualOPERATIONAL/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.6/1/2023
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.
SLM INVESTMENTS 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.6/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
121 May 202621 May 2026163
213 March 202513 March 2025141
315 February 202415 February 202456

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

Deficiencies cited

35 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
21 May 2026HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction5 June 2026
21 May 2026HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.ENoDeficient, Provider has date of correction5 June 2026
21 May 2026HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DNoDeficient, Provider has date of correction5 June 2026
21 May 2026HealthF 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 correction5 June 2026
21 May 2026HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DNoDeficient, Provider has date of correction5 June 2026
21 May 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction5 June 2026
21 May 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 correction5 June 2026
21 May 2026HealthF 0693Quality of Life and Care DeficienciesEnsure 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.DNoDeficient, Provider has date of correction5 June 2026
21 May 2026HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction5 June 2026
21 May 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction5 June 2026
21 May 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.ENoDeficient, Provider has date of correction5 June 2026
21 May 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 correction5 June 2026
21 May 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction5 June 2026
21 May 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction5 June 2026
2 December 2025HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DYesDeficient, Provider has date of correction9 December 2025
2 December 2025HealthF 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.DYesDeficient, Provider has date of correction9 December 2025
18 June 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.EYesDeficient, Provider has date of correction10 July 2025
18 June 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correction10 July 2025
18 June 2025HealthF 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.DYesDeficient, Provider has date of correction10 July 2025
18 June 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction10 July 2025
13 March 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction4 April 2025
13 March 2025HealthF 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.ENoDeficient, Provider has date of correction4 April 2025
13 March 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction4 April 2025
13 March 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction4 April 2025
13 March 2025HealthF 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 correction4 April 2025
13 March 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction4 April 2025
13 March 2025HealthF 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 correction4 April 2025
13 March 2025HealthF 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 correction4 April 2025
13 March 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction4 April 2025
10 March 2025HealthF 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-Compliance2 February 2025
15 February 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction8 March 2024
15 February 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.EYesDeficient, Provider has date of correction8 March 2024
15 February 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correction8 March 2024
15 February 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 correction8 March 2024
15 February 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction8 March 2024

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
10 March 2025Fine$14,069113665

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 TypeGovernment - Hospital district
Legal Business NameHAMILTON COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2018-06-22
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishDallas
Telephone Number9726008219
Chain NameHAMILTON COUNTY HOSPITAL DISTRICT
Chain ID589
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds129
Average Number of Residents per Day79.6
Overall Rating3
Health Inspection Rating3
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating3
Processing Date2026-08-01

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

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