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Skilled nursing facility · CMS certification number 676479

RICHARD A. ANDERSON (STATE OF TEXAS VETERANS LAND

HOUSTON, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

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 September 2024 to 31 August 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 February 2026.

None of these figures is carried on this report.

CMS report record 1447923, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended 31 August 2024

Cost report for 1 September 2023 to 31 August 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 February 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$11,717,543CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$8,897,793CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$20,615,336CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,998,422CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,616,914CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,616,925CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,590,712 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,488CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components42CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,504.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days1,011.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403927, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended 31 August 2023

Cost report for 1 September 2022 to 31 August 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 February 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,669,432CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$4,261,201CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,930,633CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,920,521CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,989,888CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$924,741CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,065,147CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,065,147 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,452CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components45CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days484.89CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days854.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1373341, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended 31 August 2022

Cost report for 1 September 2021 to 31 August 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 March 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$10,312,937CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,572,696CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,885,633CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,206,194CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,320,561CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,367,376CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$953,185CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$953,185 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,092CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components266CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days225.4CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days105.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1343701, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended 31 August 2021

Cost report for 1 September 2020 to 31 August 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 March 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$8,800,318CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$218,757CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,581,561CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,867,835CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$4,286,274CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,155,073CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,131,201CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,131,201 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,979CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components193CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days145.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days119.06CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1312677, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 31 August 2020

Cost report for 5 November 2019 to 31 August 2020 — a reporting period of 300 days, on form CMS-2540-10, settled, processed by CMS on 25 March 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$2,766,027CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$675,939CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,090,088CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,796,632CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$6,706,544CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$238,402CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$6,468,142CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$6,468,142 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components6,781CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components25CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days441.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days271.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281721, read from the public cost report file SNF10FY2020.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
BERKELY, JOHNCORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/08/2019
HAVENS, MARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/08/2019
FELLBAUM, ERNESTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/08/2019
STUDER, STANLEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/08/2019
STUMBERG, ERICOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/08/2019
STUMBERG, LOUISOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/08/2019
TOUCHSTONE VETERANS MANAGEMENT LTD.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/21/2019
JOHANNS, KATHYW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 03/08/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of STATE OF TEXAS VETERANS LAND BOARD (enrollment ID O20190411002549).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
JOHN BERKELYIndividualCORPORATE DIRECTORCMS 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.3/8/2019
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.
MARK HAVENSIndividualCORPORATE OFFICERCMS 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.3/8/2019
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.
ERIC STUMBERGIndividualOPERATIONAL/MANAGERIAL CONTROL8.753/8/2019
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.
ERNEST C FELLBAUMIndividualOPERATIONAL/MANAGERIAL CONTROL40.753/8/2019
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.
LOUIS STUMBERGIndividualOPERATIONAL/MANAGERIAL CONTROL8.753/8/2019
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.
STANLEY S STUDERIndividualOPERATIONAL/MANAGERIAL CONTROL40.753/8/2019
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.
TOUCHSTONE VETERANS MANAGEMENT LTD.OrganizationOPERATIONAL/MANAGERIAL CONTROL1001/21/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
KATHY JOHANNSIndividualW-2 MANAGING EMPLOYEECMS 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.3/8/2019
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.

Changes in ownership

Recent changes on this record

  • 1 July 2026: TOUCHSTONE VETERANS MANAGEMENT LTD. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 1 July 2026: TOUCHSTONE VETERANS MANAGEMENT LTD. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 18 February 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
  • 19 February 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
  • 13 February 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
  • 2 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
  • 21 March 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
  • 25 March 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
111 September 202511 September 202523
222 August 202422 August 202413
323 June 202323 June 2023111

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

Deficiencies cited

14 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
11 September 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction20 October 2025
11 September 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.ENoDeficient, Provider has date of correction20 October 2025
22 August 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction13 September 2024
23 June 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EYesDeficient, Provider has date of correction19 July 2024
23 June 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KYesDeficient, Provider has date of correction19 July 2024
22 August 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction22 September 2023
23 June 2023HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction7 August 2023
23 June 2023HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.ENoDeficient, Provider has date of correction7 August 2023
23 June 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction7 August 2023
23 June 2023HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correction7 August 2023
23 June 2023HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction7 August 2023
23 June 2023HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.DNoDeficient, Provider has date of correction7 August 2023
23 June 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction7 August 2023
23 June 2023HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.DNoDeficient, Provider has date of correction7 August 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
23 June 2024Fine$14,730112981

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - State
Legal Business NameSTATE OF TEXAS VETERANS LAND BOARD
Date First Approved to Provide Medicare and Medicaid Services2019-11-05
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishHarris
Telephone Number3462939600
Chain NameTEXVET
Chain ID503
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day115.8
Overall Rating5
Health Inspection Rating4
QM Rating5
Long-Stay QM Rating5
Processing Date2026-08-01

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

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One email a day naming what moved on RICHARD A. ANDERSON (STATE OF TEXAS VETERANS LAND: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: TOUCHSTONE VETERANS MANAGEMENT LTD. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for RICHARD A. ANDERSON (STATE OF TEXAS VETERANS LAND

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676479.