Skilled nursing facility · CMS certification number 676463
Crimson Heights Health & Wellness
Humble, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 118
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: 3 · Fines: 3 · Fines, total amount: $33,539.00 · Payment denials: 0. The most recent penalty on file: June 18, 2025, Fine, $16,543. 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 June 1, 2024 to May 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2026.
| 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 204,151 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 | 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 | 1,370 | 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 | 38,804 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 32 | 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 | 295 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 131.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1451668, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended May 31, 2024
Cost report for January 1, 2024 to May 31, 2024 — a reporting period of 151 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 23, 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 204,151 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 | 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 May 31, 2023
Cost report for June 1, 2022 to May 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2024.
| 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 204,151 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 | 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 May 31, 2022
Cost report for June 1, 2021 to May 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 14, 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 204,151 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 | 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 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 14, 2023.
| 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 204,151 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 | 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 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 23, 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 204,151 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 | 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 May 31, 2019
Cost report for April 17, 2019 to May 31, 2019 — a reporting period of 44 days, not a full year, on form CMS-2540-10, settled, processed by CMS on November 27, 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.
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 |
|---|---|---|---|---|
| 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 October 1, 2026 (Medicare enrollment ownership), under the enrollment of SOUTH LIMESTONE HOSPITAL DISTRICT (enrollment ID O20240305000551).
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 |
|---|---|---|---|---|---|
| SOUTH LIMESTONE HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 01/01/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAMERON J STILES | Individual | ADP OF THE SNF | Not stated in the filing | 03/18/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FUNDAMENTAL ADMINISTRATIVE SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 01/01/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 01/01/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| NICOLE D HARRIS | Individual | ADP OF THE SNF | Not stated in the filing | 01/01/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LARRY N PRICE | Individual | CORPORATE OFFICER | Not stated in the filing | 01/01/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAMERON J STILES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 03/18/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MCKAY HEALTH CARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100.00 | 01/01/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- January 1, 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
- January 1, 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
- January 1, 2026: NICOLE D HARRIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FUNDAMENTAL ADMINISTRATIVE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAMERON J STILES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAMERON J STILES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- June 3, 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
- June 3, 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
- June 3, 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
- June 3, 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
- June 3, 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
- June 3, 2024: CAMERON J STILES no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: MCKAY HEALTH CARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: SOUTH LIMESTONE HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: CAMERON J STILES (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: CAMERON J STILES (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: LARRY N PRICE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
Recent changes on this record
- September 9, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- January 1, 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
- January 1, 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
- January 1, 2026: NICOLE D HARRIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FUNDAMENTAL ADMINISTRATIVE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAMERON J STILES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAMERON J STILES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- November 10, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- December 23, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- August 1, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 3, 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
- June 3, 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
- June 3, 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
- June 3, 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
- June 3, 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
- June 3, 2024: CAMERON J STILES no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: MCKAY HEALTH CARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: SOUTH LIMESTONE HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: CAMERON J STILES (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: CAMERON J STILES (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: LARRY N PRICE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- March 14, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- December 14, 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- November 23, 2020: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- November 27, 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 | August 13, 2025 | August 13, 2025 | 8 | 2 |
| 2 | June 13, 2024 | June 13, 2024 | 13 | 1 |
| 3 | April 6, 2023 | April 6, 2023 | 12 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 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 |
|---|---|---|---|---|---|---|---|---|
| March 9, 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 | March 10, 2026 |
| March 9, 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 | March 10, 2026 |
| March 9, 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 | March 10, 2026 |
| November 20, 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 | November 24, 2025 |
| August 13, 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 | August 15, 2025 |
| August 13, 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 | August 15, 2025 |
| August 13, 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 | August 15, 2025 |
| August 13, 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 | August 15, 2025 |
| August 13, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | August 15, 2025 |
| July 21, 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 | August 3, 2025 |
| July 21, 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 | August 3, 2025 |
| June 18, 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 | July 18, 2025 |
| December 4, 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 | December 20, 2024 |
| June 13, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | June 27, 2024 |
| June 13, 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 | June 27, 2024 |
| June 13, 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 | June 27, 2024 |
| June 13, 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 | June 27, 2024 |
| June 13, 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 | June 27, 2024 |
| June 13, 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 | June 27, 2024 |
| June 13, 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 | June 27, 2024 |
| June 13, 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 | June 27, 2024 |
| April 1, 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 | April 2, 2024 |
| January 12, 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 | February 16, 2024 |
| January 12, 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 | February 16, 2024 |
| January 12, 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 | February 16, 2024 |
| April 6, 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 | May 10, 2023 |
| April 6, 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 | May 10, 2023 |
| April 6, 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 | May 10, 2023 |
| April 6, 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 | May 10, 2023 |
| April 6, 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 | May 10, 2023 |
| April 6, 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 | May 10, 2023 |
| April 6, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 10, 2023 |
| April 6, 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 | May 10, 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 18, 2025 | Fine | $16,543 | 134145 | ||
| June 13, 2024 | Fine | $8,824 | 112971 | ||
| April 1, 2024 | Fine | $8,172 | 112621 |
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 | 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 | 109.7 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-10-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Oct2026.csv, processed on October 1, 2026.
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