Skilled nursing facility · CMS certification number 676459
Sedona Trace Health and Wellness Center
Austin, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 119
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $11,168.00 · Payment denials: 0. The most recent penalty on file: June 14, 2024, Fine, $11,168. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
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 October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 13, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,115,037 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,321,890 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,793,147 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,526,737 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,266,410 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $812 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,267,222 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,267,222 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,554 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,312 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 20,620 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,000 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 34,932 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 81 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 30 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 245 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 356 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 687.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402192, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 18, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,612,635 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,723,918 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,888,717 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,070,410 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $818,307 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,206 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $821,513 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $821,513 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,553 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 268 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 593.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375186, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 20, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,740,797 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,478,206 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,262,591 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,640,102 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $622,489 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,071 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $623,560 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $623,560 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,494 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 309 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 446.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344628, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended May 31, 2021
Cost report for June 1, 2020 to May 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 9, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,733,351 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,539,439 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,193,912 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,919,837 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,725,925 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,317,386 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$408,539 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$408,539 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,902 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 202 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 742.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344138, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended May 31, 2020
Cost report for June 1, 2019 to May 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 26, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,135,061 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,770,461 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,364,600 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,822,861 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$458,261 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $215,705 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$242,556 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$242,556 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,133 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 214 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 396.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274415, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended May 31, 2019
Cost report for November 20, 2018 to May 31, 2019 — a reporting period of 192 days, not a full year, on form CMS-2540-10, settled, processed by CMS on November 21, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,544,619 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $378,704 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,165,915 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,101,982 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$936,067 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,248 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$931,819 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$931,819 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,455 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 229.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1246016, read from the public cost report file SNF10FY2019.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.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated October 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 08/01/2021 |
| CARETRUST GP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/01/2021 |
| CARETRUST REIT INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/01/2021 |
| CTR PARTNERSHIP LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/01/2021 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/18/2021 |
| HURLEY, RACHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2021 |
| MUSTANG RIDGE HEALTHCARE, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/30/2025 |
| RATHI, ANIL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/14/2024 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/01/2021 |
| GANN, KODY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/01/2021 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| HURLEY, RACHAEL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/01/2021 |
| RATHI, ANIL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/14/2024 |
| HURLEY, RACHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2021 |
| MUSTANG RIDGE HEALTHCARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/01/2021 |
| RATHI, ANIL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/14/2024 |
Medicare enrollment
As filed in the CMS file dated August 2, 2026 (Medicare enrollment ownership), under the enrollment of GUADALUPE COUNTY HOSPITAL BOARD (enrollment ID O20211117001901).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 08/01/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANIL RATHI | Individual | ADP OF THE SNF | Not stated in the filing | 01/14/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARETRUST GP LLC | Organization | ADP OF THE SNF | Not stated in the filing | 08/01/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| CARETRUST REIT INC | Organization | ADP OF THE SNF | Not stated in the filing | 08/01/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| CTR PARTNERSHIP LP | Organization | ADP OF THE SNF | Not stated in the filing | 08/01/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 06/18/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| MUSTANG RIDGE HEALTHCARE, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 09/30/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| RACHAEL HURLEY | Individual | ADP OF THE SNF | Not stated in the filing | 08/01/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHAD KEETCH | Individual | CORPORATE OFFICER | Not stated in the filing | 03/01/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KODY GANN | Individual | CORPORATE OFFICER | 0.00 | 08/01/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | CORPORATE OFFICER | Not stated in the filing | 08/01/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANIL RATHI | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 01/14/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RACHAEL HURLEY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 08/01/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANIL RATHI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 01/14/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MUSTANG RIDGE HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0.00 | 08/01/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| RACHAEL HURLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 08/01/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- December 1, 2025: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CARETRUST REIT INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CARETRUST GP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MUSTANG RIDGE HEALTHCARE, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CTR PARTNERSHIP LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since June 18, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: RACHAEL HURLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: RACHAEL HURLEY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: RACHAEL HURLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ANIL RATHI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ANIL RATHI (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ANIL RATHI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
Recent changes on this record
- December 1, 2025: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOON BURNAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CARETRUST REIT INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CARETRUST GP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MUSTANG RIDGE HEALTHCARE, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CTR PARTNERSHIP LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since June 18, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: RACHAEL HURLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: RACHAEL HURLEY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: RACHAEL HURLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ANIL RATHI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ANIL RATHI (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ANIL RATHI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- January 13, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 18, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 20, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- March 9, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- April 27, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- February 25, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 26, 2020: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- November 21, 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 24, 2025 | July 24, 2025 | 3 | 1 |
| 2 | June 14, 2024 | June 14, 2024 | 8 | 8 |
| 3 | May 11, 2023 | May 11, 2023 | 5 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
16 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 12, 2026 | Health | F 0551 | Resident Rights Deficiencies | Give the resident's representative the ability to exercise the resident's rights. | D | Yes | Deficient, Provider has date of correction | May 13, 2026 |
| May 12, 2026 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has date of correction | May 13, 2026 |
| July 24, 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 | July 25, 2025 |
| June 16, 2025 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Yes | Deficient, Provider has date of correction | July 15, 2025 |
| June 24, 2024 | Health | F 0626 | Resident Rights Deficiencies | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Yes | Deficient, Provider has date of correction | July 16, 2024 |
| June 14, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | June 15, 2024 |
| June 14, 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | July 11, 2024 |
| June 14, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | June 15, 2024 |
| June 14, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | June 15, 2024 |
| June 14, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | June 15, 2024 |
| June 14, 2024 | 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 | July 9, 2024 |
| June 14, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | J | No | Deficient, Provider has date of correction | June 15, 2024 |
| May 11, 2023 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | No | Deficient, Provider has date of correction | June 2, 2023 |
| May 11, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | June 2, 2023 |
| May 11, 2023 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | June 2, 2023 |
| May 11, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | June 2, 2023 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| June 14, 2024 | Fine | $11,168 | 112989 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | GUADALUPE COUNTY HOSPITAL BOARD |
| Date First Approved to Provide Medicare and Medicaid Services | 2018-11-20 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Travis |
| Telephone Number | 7372410800 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| 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 | 119 |
| Average Number of Residents per Day | 113.2 |
| Overall Rating | 3 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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