Texas·Hidalgo County·Edinburg

Edinburg Nursing And Rehabilitation Center in Edinburg, Hidalgo County, Texas

Edinburg, Hidalgo County, Texas 78539

Status Medicare and Medicaid certifiedMedicare CCN 675785
HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Location and contact

Address
5215 S Sugar Rd
Edinburg, TX 78539
Open map (OpenStreetMap)
Phone
(956) 782-9666
HHSC facility ID
005392
License number
308545

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
MeasureThis facilityTexas average (this site)
Total nurse staffing2.88 hours3.42 hours n=1,152
Registered nurse0.20 hours0.44 hours
LPN0.94 hours0.95 hours
Nurse aide1.75 hours2.03 hours
Weekend nurse staffing2.58 hours2.99 hours

0.54 hours below this site’s computed Texas average.

Total nursing staff turnover
30.2% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover
—
Average residents per day
92.4
Certified beds (CMS)
120

Penalties in the CMS Provider Information file: 2 finestotaling $16,565; 2 total penalties. These are the figures CMS published in this release. Confirm current figures on Medicare.gov.

Fines and payment denials

Individual fines and payment denials below come from the CMS Penalties file (official release October 28, 2026; processing date October 1, 2026). Dates and amounts are copied as published. They can lag later actions or successful appeals. Confirm current figures on Medicare.gov.

CMS fines and payment denials
DateTypeFine amountPayment denial
January 1, 2026Fine · Fine ID 136711$9,113—
November 21, 2023Fine · Fine ID 111812$7,452—

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
MeasureStayFour-quarter averageUsed in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased
Quarterly scores

Q1 6.8% · Q2 5.1% · Q3 10.8% · Q4 7.0% · Period 2025Q3-2026Q2 · Measure code 401

Long Stay7.4%Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406

Long Stay0.0%Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407

Long Stay0.0%Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury
Quarterly scores

Q1 1.2% · Q2 3.3% · Q3 7.0% · Q4 6.0% · Period 2025Q3-2026Q2 · Measure code 410

Long Stay4.4%Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened
Quarterly scores

Q1 3.8% · Q2 7.1% · Q3 11.4% · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 451

Long Stay5.9%Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers
Quarterly scores

Q1 1.2% · Q2 1.2% · Q3 1.2% · Q4 1.2% · Period 2025Q3-2026Q2 · Measure code 479

Long Stay1.2%Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication
Quarterly scores

Q1 9.8% · Q2 8.1% · Q3 4.7% · Q4 4.4% · Period 2025Q3-2026Q2 · Measure code 481

Long Stay6.7%Yes, as published by CMS
Percentage of long-stay residents who lose too much weight
Quarterly scores

Q1 1.3% · Q2 6.1% · Q3 2.5% · Q4 5.1% · Period 2025Q3-2026Q2 · Measure code 404

Long Stay3.8%No, as published by CMS
Percentage of long-stay residents who have depressive symptoms
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 1.3% · Period 2025Q3-2026Q2 · Measure code 408

Long Stay0.9%No, as published by CMS
Percentage of long-stay residents who were physically restrained
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409

Long Stay0.0%No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 415

Long Stay100.0%No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Quarterly scores

Q1 7.6% · Q2 13.1% · Q3 9.9% · Q4 8.9% · Period 2025Q3-2026Q2 · Measure code 452

Long Stay9.9%No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
Quarterly scores

Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454

Long Stay100.0%No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence
Quarterly scores

Q1 3.4% · Q2 6.8% · Q3 13.0% · Q4 10.2% · Period 2025Q3-2026Q2 · Measure code 480

Long Stay8.3%No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication
Quarterly scores

Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 434

Short Stay0.5%Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 98.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 430

Short Stay99.5%No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
Quarterly scores

Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472

Short Stay100.0%No, as published by CMS

Inspection citations

34 health citations in the CMS file (25 from complaint surveys). Highest scope/severity letter in the file: J — Isolated, immediate jeopardy.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
SeverityIsolatedPatternWidespread
Potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harmGHI
Immediate jeopardyJKL
2026 — 12 citations

Tag 0657D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 27, 2026

CMS records a correction date (August 28, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0585D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 27, 2026

CMS records a correction date (August 28, 2026)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0842E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 19, 2026

CMS records a correction date (May 21, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0813D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: May 19, 2026

CMS records a correction date (May 21, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 19, 2026

CMS records a correction date (May 21, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0842D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: May 14, 2026

CMS records a correction date (May 15, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0657D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: May 14, 2026

CMS records a correction date (May 15, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0656D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 13, 2026

CMS records a correction date (March 14, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0641D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 13, 2026

CMS records a correction date (March 14, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0842D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: February 4, 2026

CMS records a correction date (February 5, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: January 1, 2026

Past non-compliance, as recorded by CMS (December 6, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0609D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: January 1, 2026

CMS records a correction date (January 2, 2026)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 11 citations

Tag 0842D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: December 8, 2025

CMS records a correction date (December 9, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0656E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 8, 2025

CMS records a correction date (December 9, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0641D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: December 8, 2025

CMS records a correction date (December 9, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0600E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 8, 2025

CMS records a correction date (December 9, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0842D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 18, 2025

CMS records a correction date (November 19, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0760D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 18, 2025

CMS records a correction date (November 19, 2025)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: April 2, 2025

CMS records a correction date (April 7, 2025)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0695D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: April 2, 2025

CMS records a correction date (April 7, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0656D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: April 2, 2025

CMS records a correction date (April 7, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0636D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: April 2, 2025

CMS records a correction date (April 7, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0656D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: February 22, 2025

Past non-compliance, as recorded by CMS (December 18, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2024 — 4 citations

Tag 0695D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: January 18, 2024

CMS records a correction date (January 22, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0693D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: January 18, 2024

CMS records a correction date (January 22, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0656D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: January 18, 2024

CMS records a correction date (January 22, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0655D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: January 18, 2024

CMS records a correction date (January 22, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

2023 — 7 citations

Tag 0926D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 21, 2023

CMS records a correction date (November 27, 2023)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0755E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: November 21, 2023

CMS records a correction date (November 27, 2023)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: November 21, 2023

Past non-compliance, as recorded by CMS (September 19, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0610D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 21, 2023

CMS records a correction date (November 24, 2023)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0609D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 21, 2023

CMS records a correction date (November 24, 2023)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0607D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 21, 2023

CMS records a correction date (November 24, 2023)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0584D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 21, 2023

CMS records a correction date (November 24, 2023)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective
April 1, 2025
License expires
April 1, 2028
Initial license date
April 29, 1999
Facility licensed
Yes
Facility certified (HHSC)
Yes
Service type
MEDICARE/MEDICAID
Total licensed capacity
120 beds
Bed mix (HHSC)
Licensed only 0; Medicaid only 0; Medicare only 0; Medicare/Medicaid 120; ICF/IID 0
Alzheimer capacity
0
Administrator
Angel Sandoval
Management company
Regency Ihs Of Edinburg LLC

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: Non profit - Corporation · Affiliated / chain name in the file: WELLSENTIAL HEALTH (67 facilities in the chain, as listed)

CMS ownership records
NameRoleTypeShareAssociated
VAL VERDE COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 04/01/2022
REGENCY IHS OF EDINBURG LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2022
CSV RHEA MANAGEMENT HOLDCO, LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2022
DWD TX HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2022
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2022
REG LEASED OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2022
REG OPERATOR HOLDCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2022
REGENCY INTEGRATED HEALTH SERVICES LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2022
REGENCY TEXAS HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2022
BAIRD, DANIELMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/13/2021
CARVAJAL, ANTONIOMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/16/2024
CLAPP, BARBARAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 06/01/2021
31 more CMS ownership records
Additional CMS ownership records
NameRoleTypeShareAssociated
CORTESE, DARENMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/10/2021
DIAZ, CRISMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/25/2022
GIBSON, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/01/2021
GONZALES, VERONICAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/16/2024
JURADO, JORGEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/13/2023
KAUFMAN, NICOLEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/10/2021
OTAZO, JULIOMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/25/2022
PALMER, ROBINMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/18/2020
CALDERON, JAVIERCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/29/2024
CHARTRAND, DANIELCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/19/2014
GOMEZ, SEFERINOCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/29/2024
JURADO, JORGECORPORATE OFFICERIndividualNOT APPLICABLEsince 10/13/2023
KEENEN, LEECORPORATE OFFICERIndividualNOT APPLICABLEsince 05/25/2022
OTAZO, JULIOCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/25/2022
REGENCY IHS OF EDINBURG LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/01/2022
REGENCY INTEGRATED HEALTH SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/01/2022
VAL VERDE COUNTY HOSPITAL DISTRICTOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/01/2022
DEKOWSKI, DONOVANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2022
GARZA, CHRISTINAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2022
JURADO, JORGEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/13/2023
5215 SOUTH SUGAR ROAD LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2022
REGENCY IHS CLINICAL CONSULTING, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2022
REGENCY IHS OF EDINBURG LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/17/2025
REGENCY IHS REHAB LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2022
REGENCY INTEGRATED HEALTH SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/17/2025
VAL VERDE COUNTY HOSPITAL DISTRICTADP OF THE SNFOrganizationNOT APPLICABLEsince 06/17/2025
DEKOWSKI, DONOVANADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2022
GARZA, CHRISTINAADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2022
HERNANDEZ, SANDRAADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
MARTINEZ, ARTUROADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2022
RODRIGUEZ, KARINAADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
HHSC owner fields
Owner (HHSC)
Val Verde County Hospital District
Type of entity (HHSC)
HOSPITAL DISTRICT/AUTHORITY

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.