Skilled nursing facility · CMS certification number 745006
Five Points Nursing and Rehabilitation
Desoto, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. 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 April 1, 2024 to March 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 14, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,319,745 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $439,053 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,880,692 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,449,465 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,568,773 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $199,536 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,369,237 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,369,237 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,800 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 846 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 18,730 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,511 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 25,087 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 145 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 145 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 307 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 129.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450707, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended March 31, 2024
Cost report for April 1, 2023 to March 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 13, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,091,451 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $832,771 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,258,680 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,439,990 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,181,310 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $117,678 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,063,632 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,063,632 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,786 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 176 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 199.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442367, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended March 31, 2023
Cost report for January 1, 2023 to March 31, 2023 — a reporting period of 89 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 23, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,415,600 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $329,322 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,086,278 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,717,951 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$631,673 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $69,318 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$562,355 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$562,355 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,723 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 179.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367026, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,859,356 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $226,768 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,632,588 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,287,926 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,655,338 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $220,479 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,434,859 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,434,859 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,817 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 103 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 308.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 153.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359158, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for December 1, 2021 to December 31, 2021 — a reporting period of 30 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 17, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $87,679 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,899 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $84,780 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $296,328 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$211,548 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,694 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$204,854 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$204,854 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 388 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 4 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 249 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334883, read from the public cost report file SNF10FY2022.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 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BLAKE, GARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2023 |
| DE SOTO I ENTERPRISES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/07/2025 |
| HAIDER, RUIZ | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| ROBERTS, JACQUE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/14/2025 |
| HUGGINS, LINDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2023 |
| WILLIG, ZACHARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| THOMPSON, JOHNNY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| BOWERS, SEAN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2024 |
| CISNEROS, ALFRED | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/18/2008 |
| COBB, TRAVIS | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/05/2022 |
| COOPER, STEPHEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/11/2022 |
| HARDIN, SHERRIE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/04/2024 |
| KERZEE, RICHARD | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/24/2007 |
| KORENEK, PATRICIA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/05/2018 |
| SOECHTING, PAUL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/22/2024 |
| STRACK, JOE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/11/2022 |
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2023 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2023 |
| DE SOTO I ENTERPRISES, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2023 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20230630001551).
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 |
|---|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| DE SOTO I ENTERPRISES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 05/07/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY R BLAKE | Individual | ADP OF THE SNF | Not stated in the filing | 09/01/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JACQUE ROBERTS | Individual | ADP OF THE SNF | Not stated in the filing | 04/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RUIZ HAIDER | 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 |
| LINDA F HUGGINS | Individual | CORPORATE DIRECTOR | 0.00 | 04/01/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ZACHARY WILLIG | Individual | CORPORATE DIRECTOR | 0.00 | 01/01/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHNNY THOMPSON | Individual | CORPORATE OFFICER | 0.00 | 01/01/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALFRED CISNEROS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 02/18/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOE STRACK | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 02/11/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICIA A KORENEK | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 05/05/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL SOECHTING | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/22/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD KERZEE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 09/24/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SEAN BOWERS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 07/01/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHERRIE HARDIN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 09/04/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN COOPER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/11/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRAVIS COBB | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/05/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DE SOTO I ENTERPRISES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 09/01/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY R BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50.00 | 09/01/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MALISA A BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 09/01/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- August 1, 2025: HONOR X ENTERPRISES, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DE SOTO I ENTERPRISES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ALFRED CISNEROS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 18, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ZACHARY WILLIG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JACQUE ROBERTS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHERRIE HARDIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: TRAVIS COBB (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOE STRACK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SEAN BOWERS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: STEPHEN COOPER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PAUL SOECHTING (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GARY R BLAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PATRICIA A KORENEK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 5, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: RUIZ HAIDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOHNNY THOMPSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: RICHARD KERZEE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 24, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- September 15, 2023: CREATIVE SOLUTIONS IN HEALTHCARE INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: HONOR X ENTERPRISES, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: LINDA F HUGGINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: GARY R BLAKE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: MALISA A BLAKE-DEANE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DE SOTO I ENTERPRISES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: HONOR X ENTERPRISES, LLC (OTHER) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: LINDA F HUGGINS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DAVID MAK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since May 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
Recent changes on this record
- July 14, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- November 13, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- September 22, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2025: HONOR X ENTERPRISES, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DE SOTO I ENTERPRISES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ALFRED CISNEROS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 18, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ZACHARY WILLIG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JACQUE ROBERTS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHERRIE HARDIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: TRAVIS COBB (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOE STRACK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SEAN BOWERS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: STEPHEN COOPER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PAUL SOECHTING (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GARY R BLAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PATRICIA A KORENEK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 5, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: RUIZ HAIDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOHNNY THOMPSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: RICHARD KERZEE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 24, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- October 23, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 15, 2023: CREATIVE SOLUTIONS IN HEALTHCARE INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: HONOR X ENTERPRISES, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: LINDA F HUGGINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: GARY R BLAKE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: MALISA A BLAKE-DEANE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DE SOTO I ENTERPRISES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: HONOR X ENTERPRISES, LLC (OTHER) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: LINDA F HUGGINS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DAVID MAK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since May 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- July 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- October 17, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2022.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 29, 2025 | May 29, 2025 | 10 | 2 |
| 2 | April 19, 2024 | April 19, 2024 | 9 | 3 |
| 3 | February 23, 2023 | February 23, 2023 | 7 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
28 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 13, 2026 | 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 | March 13, 2026 |
| March 5, 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 6, 2026 |
| March 5, 2026 | 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. | E | Yes | Deficient, Provider has date of correction | March 6, 2026 |
| March 5, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | March 6, 2026 |
| December 7, 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | Yes | Deficient, Provider has date of correction | December 8, 2025 |
| December 7, 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | December 8, 2025 |
| May 29, 2025 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | No | Deficient, Provider has date of correction | June 2, 2025 |
| May 29, 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. | D | No | Deficient, Provider has date of correction | June 2, 2025 |
| May 29, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | June 2, 2025 |
| May 29, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | June 2, 2025 |
| March 13, 2025 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | E | Yes | Deficient, Provider has date of correction | March 17, 2025 |
| January 16, 2025 | Health | F 0660 | Resident Assessment and Care Planning Deficiencies | Plan the resident's discharge to meet the resident's goals and needs. | E | Yes | Deficient, Provider has date of correction | January 24, 2025 |
| January 16, 2025 | Health | F 0777 | Administration Deficiencies | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D | Yes | Deficient, Provider has date of correction | January 24, 2025 |
| April 19, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | April 30, 2024 |
| April 19, 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. | D | No | Deficient, Provider has date of correction | April 30, 2024 |
| April 19, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | No | Deficient, Provider has date of correction | April 30, 2024 |
| April 19, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | April 30, 2024 |
| April 19, 2024 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | April 30, 2024 |
| April 19, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 30, 2024 |
| January 4, 2024 | 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 | Yes | Deficient, Provider has date of correction | February 1, 2024 |
| September 7, 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | E | Yes | Deficient, Provider has date of correction | September 8, 2023 |
| August 17, 2023 | 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 | Past Non-Compliance | June 6, 2023 |
| February 23, 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | March 23, 2023 |
| February 23, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | March 23, 2023 |
| February 23, 2023 | 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. | D | No | Deficient, Provider has date of correction | March 23, 2023 |
| February 23, 2023 | 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 | March 23, 2023 |
| February 23, 2023 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | K | No | Deficient, Provider has date of correction | March 23, 2023 |
| February 23, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | March 23, 2023 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | WEST WHARTON COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2021-12-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Dallas |
| Telephone Number | 9726949810 |
| Chain Name | CREATIVE SOLUTIONS IN HEALTHCARE |
| Chain ID | 169 |
| 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 | 120 |
| Average Number of Residents per Day | 78.8 |
| Overall Rating | 2 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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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 July 14, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for Five Points Nursing and Rehabilitation
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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