Skilled nursing facility · CMS certification number 676463

Crimson Heights Health & Wellness

Humble, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 118

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 June 2024 to 31 May 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 10 November 2025.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$14,185,037	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,022,930	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,162,107	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,604,907	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$442,800	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$686,148	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$243,348	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $243,348 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	118	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	43,070	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,356	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	27,713	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	9,721	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	38,790	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	22	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	24	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	239	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	285	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	136.11	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1442176, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended 31 May 2024

Cost report for 1 January 2024 to 31 May 2024 — a reporting period of 151 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 23 December 2024.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$5,429,755	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,586,372	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,843,383	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,864,072	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$20,689	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$238,115	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$217,426	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $217,426 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,034	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	107	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	149.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1401518, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 May 2023

Cost report for 1 June 2022 to 31 May 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$9,903,763	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,310,248	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,593,515	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,358,264	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,764,749	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,112,488	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$652,261	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$652,261 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,641	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	360	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1397059, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended 31 May 2022

Cost report for 1 June 2021 to 31 May 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 December 2022.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$8,852,706	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,015,319	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,837,387	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,912,288	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,074,901	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$923,557	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$151,344	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$151,344 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,344	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	343	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	91.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1338266, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended 31 May 2021

Cost report for 1 June 2020 to 31 May 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 March 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$6,330,081	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,543,108	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,786,973	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,814,614	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,027,641	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,869,450	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$158,191	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$158,191 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,198	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	207	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	107.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344349, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 31 May 2020

Cost report for 1 June 2019 to 31 May 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 November 2020.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$6,612,603	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,541,071	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,071,532	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,601,515	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$529,983	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$87,732	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$442,251	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$442,251 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,288	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	174	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	105.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274285, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended 31 May 2019

Cost report for 17 April 2019 to 31 May 2019 — a reporting period of 44 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 27 November 2019.

None of these figures is carried on this report.

CMS report record 1246544, 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.

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
SOUTH LIMESTONE HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2024
FUNDAMENTAL ADMINISTRATIVE SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2024
FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2024
HARRIS, NICOLE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
STILES, CAMERON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/18/2019
PRICE, LARRY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
FORMAN, MURRAY	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/27/2025
MCKAY HEALTH CARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2024
STILES, CAMERON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/18/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SOUTH LIMESTONE HOSPITAL DISTRICT (enrollment ID O20240305000551).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
SOUTH LIMESTONE HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
CAMERON J STILES	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.	3/18/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FUNDAMENTAL ADMINISTRATIVE SERVICES 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.	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, 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.	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
NICOLE D HARRIS	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.	1/1/2025	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.
LARRY N PRICE	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CAMERON J STILES	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.	3/18/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MCKAY HEALTH CARE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 January 2026: CAMERON J STILES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CAMERON J STILES no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NICOLE D HARRIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: FUNDAMENTAL ADMINISTRATIVE SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CAMERON J STILES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CAMERON J STILES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
3 June 2024: HUNT VALLEY HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: THI OF BALTIMORE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: THI OF TEXAS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: MURRAY FORMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: CAMERON J STILES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: CAMERON J STILES no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: MCKAY HEALTH CARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: SOUTH LIMESTONE HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: CAMERON J STILES appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: CAMERON J STILES appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: LARRY N PRICE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv

Recent changes on this record

1 January 2026: CAMERON J STILES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CAMERON J STILES no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NICOLE D HARRIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: FUNDAMENTAL ADMINISTRATIVE SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CAMERON J STILES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CAMERON J STILES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
10 November 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
23 December 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
16 October 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
1 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
3 June 2024: HUNT VALLEY HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: THI OF BALTIMORE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: THI OF TEXAS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: MURRAY FORMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: CAMERON J STILES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: CAMERON J STILES no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: MCKAY HEALTH CARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: SOUTH LIMESTONE HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: CAMERON J STILES appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: CAMERON J STILES appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: LARRY N PRICE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
14 March 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
14 December 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
23 November 2020: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
27 November 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	13 August 2025	13 August 2025	9	2
2	13 June 2024	13 June 2024	12	1
3	6 April 2023	6 April 2023	12	4

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

Deficiencies cited

33 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
9 March 2026	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	10 March 2026
9 March 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	Yes	Deficient, Provider has date of correction	10 March 2026
9 March 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.	D	Yes	Deficient, Provider has date of correction	10 March 2026
20 November 2025	Health	F 0813	Nutrition and Dietary Deficiencies	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	D	Yes	Deficient, Provider has date of correction	24 November 2025
13 August 2025	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	15 August 2025
13 August 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	15 August 2025
13 August 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	15 August 2025
13 August 2025	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	15 August 2025
13 August 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	15 August 2025
21 July 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	J	Yes	Deficient, Provider has date of correction	3 August 2025
21 July 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Deficient, Provider has date of correction	3 August 2025
18 June 2025	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.	E	Yes	Deficient, Provider has date of correction	18 July 2025
4 December 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	Yes	Deficient, Provider has date of correction	20 December 2024
13 June 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	27 June 2024
13 June 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	27 June 2024
13 June 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	27 June 2024
13 June 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.	G	No	Deficient, Provider has date of correction	27 June 2024
13 June 2024	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	27 June 2024
13 June 2024	Health	F 0802	Nutrition and Dietary Deficiencies	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.	E	No	Deficient, Provider has date of correction	27 June 2024
13 June 2024	Health	F 0808	Nutrition and Dietary Deficiencies	Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.	D	No	Deficient, Provider has date of correction	27 June 2024
13 June 2024	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	27 June 2024
1 April 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	2 April 2024
12 January 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	16 February 2024
12 January 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	16 February 2024
12 January 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	Yes	Deficient, Provider has date of correction	16 February 2024
6 April 2023	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	10 May 2023
6 April 2023	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.	E	No	Deficient, Provider has date of correction	10 May 2023
6 April 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	E	No	Deficient, Provider has date of correction	10 May 2023
6 April 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	10 May 2023
6 April 2023	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	10 May 2023
6 April 2023	Health	F 0805	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	D	No	Deficient, Provider has date of correction	10 May 2023
6 April 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	10 May 2023
6 April 2023	Health	F 0922	Environmental Deficiencies	Have enough backup water supply for essential areas of the nursing home.	E	No	Deficient, Provider has date of correction	10 May 2023

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

Penalties

Penalty date	Type	Fine amount	Fine ID
18 June 2025	Fine	$16,543	134145
13 June 2024	Fine	$8,824	112971
1 April 2024	Fine	$8,172	112621

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 - Corporation
Legal Business Name	SOUTH LIMESTONE HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2019-04-17
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Harris
Telephone Number	9403376231
Chain Name	FUNDAMENTAL HEALTHCARE
Chain ID	231
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	118
Average Number of Residents per Day	111.7
Overall Rating	3
Health Inspection Rating	2
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	3
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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