Texas·Tarrant County·Fort Worth
Marine Creek Nursing & Rehabilitation in Fort Worth, Tarrant County, Texas
Fort Worth, Tarrant County, Texas 76106
Location and contact
- Address
- 3600 Angle Ave
Fort Worth, TX 76106
Open map (OpenStreetMap) - Phone
- (817) 624-6164
- HHSC facility ID
- 005388
- License number
- 308592
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.
| Measure | This facility | Texas average (this site) |
|---|---|---|
| Total nurse staffing | 3.30 hours | 3.42 hours n=1,152 |
| Registered nurse | 0.57 hours | 0.44 hours |
| LPN | 0.85 hours | 0.95 hours |
| Nurse aide | 1.89 hours | 2.03 hours |
| Weekend nurse staffing | 2.70 hours | 2.99 hours |
0.12 hours below this site’s computed Texas average.
- Total nursing staff turnover
- 34.6% (Texas average computed on this site: 50.8%, n=1,096)
- RN turnover
- 28.6%
- Average residents per day
- 124.5
- Certified beds (CMS)
- 164
Penalties in the CMS Provider Information file: 3 finestotaling $23,621; 3 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.
| Date | Type | Fine amount | Payment denial |
|---|---|---|---|
| June 28, 2024 | Fine · Fine ID 113054 | $9,706 | — |
| April 14, 2024 | Fine · Fine ID 112748 | $6,271 | — |
| November 16, 2023 | Fine · Fine ID 111792 | $7,644 | — |
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.
| Measure | Stay | Four-quarter average | Used in Five-Star QM rating |
|---|---|---|---|
Percentage of long-stay residents whose need for help with daily activities has increasedQuarterly scoresQ1 17.6% · Q2 12.2% · Q3 15.5% · Q4 21.2% · Period 2025Q3-2026Q2 · Measure code 401 | Long Stay | 16.6% | Yes, as published by CMS |
Percentage of long-stay residents with a catheter inserted and left in their bladderQuarterly scoresQ1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406 | Long Stay | 0.0% | Yes, as published by CMS |
Percentage of long-stay residents with a urinary tract infectionQuarterly scoresQ1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407 | Long Stay | 0.2% | Yes, as published by CMS |
Percentage of long-stay residents experiencing one or more falls with major injuryQuarterly scoresQ1 1.6% · Q2 0.8% · Q3 1.6% · Q4 1.8% · Period 2025Q3-2026Q2 · Measure code 410 | Long Stay | 1.4% | Yes, as published by CMS |
Percentage of long-stay residents whose ability to walk independently worsenedQuarterly scoresQ1 12.9% · Q2 7.9% · Q3 20.0% · Q4 10.5% · Period 2025Q3-2026Q2 · Measure code 451 | Long Stay | 12.9% | Yes, as published by CMS |
Percentage of long-stay residents with pressure ulcersQuarterly scoresQ1 6.0% · Q2 5.3% · Q3 5.2% · Q4 3.2% · Period 2025Q3-2026Q2 · Measure code 479 | Long Stay | 5.0% | Yes, as published by CMS |
Percentage of long-stay residents who received an antipsychotic medicationQuarterly scoresQ1 — (CMS footnote 21) · Q2 — (CMS footnote 21) · Q3 — (CMS footnote 21) · Q4 — (CMS footnote 21) · Period 2025Q3-2026Q2 · Measure code 481 | Long Stay | — (CMS footnote 21) | Yes, as published by CMS |
Percentage of long-stay residents who lose too much weightQuarterly scoresQ1 2.6% · Q2 2.8% · Q3 0.9% · Q4 4.8% · Period 2025Q3-2026Q2 · Measure code 404 | Long Stay | 2.7% | No, as published by CMS |
Percentage of long-stay residents who have depressive symptomsQuarterly scoresQ1 4.5% · Q2 1.8% · Q3 1.2% · Q4 1.4% · Period 2025Q3-2026Q2 · Measure code 408 | Long Stay | 2.4% | No, as published by CMS |
Percentage of long-stay residents who were physically restrainedQuarterly scoresQ1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409 | Long Stay | 0.0% | No, as published by CMS |
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineQuarterly scoresQ1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 415 | Long Stay | 100.0% | No, as published by CMS |
Percentage of long-stay residents who received an antianxiety or hypnotic medicationQuarterly scoresQ1 16.0% · Q2 21.8% · Q3 18.5% · Q4 17.9% · Period 2025Q3-2026Q2 · Measure code 452 | Long Stay | 18.5% | No, as published by CMS |
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccineQuarterly scoresQ1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454 | Long Stay | 100.0% | No, as published by CMS |
Percentage of long-stay residents with new or worsened bowel or bladder incontinenceQuarterly scoresQ1 17.4% · Q2 14.0% · Q3 5.2% · Q4 12.6% · Period 2025Q3-2026Q2 · Measure code 480 | Long Stay | 12.4% | No, as published by CMS |
Percentage of short-stay residents who newly received an antipsychotic medicationQuarterly scoresQ1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 434 | Short Stay | 0.0% | Yes, as published by CMS |
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineQuarterly scoresQ1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 430 | Short Stay | 100.0% | No, as published by CMS |
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccineQuarterly scoresQ1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472 | Short Stay | 100.0% | No, as published by CMS |
Inspection citations
45 health citations in the CMS file (33 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.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm | G | H | I |
| Immediate jeopardy | J | K | L |
2026 — 2 citations
Tag 0761D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: June 10, 2026
CMS records a correction date (July 1, 2026)
More detail
Pharmacy Service Deficiencies
Survey type in the file: Health
Survey cycle in the file: 1
Tag 0745D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: January 12, 2026
CMS records a correction date (January 13, 2026)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 1
2025 — 11 citations
Tag 0689E
E — Pattern, potential for more than minimal harm
Complaint survey
Survey date: December 3, 2025
CMS records a correction date (December 18, 2025)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 1
Tag 0689D
D — Isolated, potential for more than minimal harm
Standard survey
Survey date: September 18, 2025
CMS records a correction date (October 13, 2025)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 1
Tag 0584E
E — Pattern, potential for more than minimal harm
Complaint survey, Standard survey
Survey date: September 18, 2025
CMS records a correction date (November 3, 2025)
More detail
Resident Rights Deficiencies
Survey type in the file: Health
Survey cycle in the file: 1
Tag 0558D
D — Isolated, potential for more than minimal harm
Standard survey
Survey date: September 18, 2025
CMS records a correction date (October 13, 2025)
More detail
Resident Rights Deficiencies
Survey type in the file: Health
Survey cycle in the file: 1
Tag 0600G
G — Isolated, actual harm
Complaint survey
Survey date: September 3, 2025
CMS records a correction date (September 4, 2025)
More detail
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0880E
E — Pattern, potential for more than minimal harm
Complaint survey
Survey date: July 14, 2025
CMS records a correction date (July 15, 2025)
More detail
Infection Control Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0693D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: July 14, 2025
CMS records a correction date (July 15, 2025)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0583E
E — Pattern, potential for more than minimal harm
Complaint survey
Survey date: July 14, 2025
CMS records a correction date (July 15, 2025)
More detail
Resident Rights Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0726D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: April 23, 2025
CMS records a correction date (April 29, 2025)
More detail
Nursing and Physician Services Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0695E
E — Pattern, potential for more than minimal harm
Complaint survey
Survey date: April 23, 2025
CMS records a correction date (April 29, 2025)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0678E
E — Pattern, potential for more than minimal harm
Complaint survey
Survey date: April 23, 2025
CMS records a correction date (April 29, 2025)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
2024 — 26 citations
Tag 0693D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: December 12, 2024
CMS records a correction date (December 13, 2024)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0557D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: November 29, 2024
CMS records a correction date (November 30, 2024)
More detail
Resident Rights Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0925D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: November 21, 2024
CMS records a correction date (November 26, 2024)
More detail
Environmental Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0689D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: November 21, 2024
CMS records a correction date (November 22, 2024)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0600D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: November 21, 2024
CMS records a correction date (November 22, 2024)
More detail
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0695E
E — Pattern, potential for more than minimal harm
Complaint survey
Survey date: October 17, 2024
CMS records a correction date (October 18, 2024)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0583D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: October 17, 2024
CMS records a correction date (October 18, 2024)
More detail
Resident Rights Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0925E
E — Pattern, potential for more than minimal harm
Standard survey
Survey date: August 22, 2024
CMS records a correction date (August 23, 2024)
More detail
Environmental Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0880E
E — Pattern, potential for more than minimal harm
Standard survey
Survey date: August 22, 2024
CMS records a correction date (August 23, 2024)
More detail
Infection Control Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0711E
E — Pattern, potential for more than minimal harm
Standard survey
Survey date: August 22, 2024
CMS records a correction date (August 23, 2024)
More detail
Nursing and Physician Services Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0694D
D — Isolated, potential for more than minimal harm
Standard survey
Survey date: August 22, 2024
CMS records a correction date (August 23, 2024)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0693D
D — Isolated, potential for more than minimal harm
Standard survey
Survey date: August 22, 2024
CMS records a correction date (August 23, 2024)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0677E
E — Pattern, potential for more than minimal harm
Standard survey
Survey date: August 22, 2024
CMS records a correction date (August 23, 2024)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0583D
D — Isolated, potential for more than minimal harm
Standard survey
Survey date: August 22, 2024
CMS records a correction date (August 23, 2024)
More detail
Resident Rights Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0558D
D — Isolated, potential for more than minimal harm
Standard survey
Survey date: August 22, 2024
CMS records a correction date (August 23, 2024)
More detail
Resident Rights Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0761D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: August 19, 2024
CMS records a correction date (August 20, 2024)
More detail
Pharmacy Service Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0625D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: July 29, 2024
CMS records a correction date (July 30, 2024)
More detail
Resident Rights Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0623D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: July 29, 2024
CMS records a correction date (July 30, 2024)
More detail
Resident Rights Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0695J
J — Isolated, immediate jeopardy
Complaint survey
Survey date: June 28, 2024
CMS records a correction date (June 29, 2024)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0919D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: May 3, 2024
CMS records a correction date (May 4, 2024)
More detail
Environmental Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
6 more 2024 citations
Tag 0695E
E — Pattern, potential for more than minimal harm
Complaint survey
Survey date: May 3, 2024
CMS records a correction date (May 4, 2024)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0657D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: May 3, 2024
CMS records a correction date (May 4, 2024)
More detail
Resident Assessment and Care Planning Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0689J
J — Isolated, immediate jeopardy
Complaint survey
Survey date: April 14, 2024
Past non-compliance, as recorded by CMS (April 2, 2024)
More detail
Quality of Life and Care 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: April 14, 2024
CMS records a correction date (April 15, 2024)
More detail
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0607J
J — Isolated, immediate jeopardy
Complaint survey
Survey date: April 14, 2024
CMS records a correction date (April 15, 2024)
More detail
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0600J
J — Isolated, immediate jeopardy
Complaint survey
Survey date: April 14, 2024
CMS records a correction date (April 15, 2024)
More detail
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
2023 — 6 citations
Tag 0710D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: November 16, 2023
CMS records a correction date (November 17, 2023)
More detail
Nursing and Physician Services Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0690G
G — Isolated, actual harm
Complaint survey
Survey date: November 16, 2023
CMS records a correction date (November 17, 2023)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0686E
E — Pattern, potential for more than minimal harm
Complaint survey
Survey date: November 16, 2023
CMS records a correction date (November 17, 2023)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0684E
E — Pattern, potential for more than minimal harm
Complaint survey
Survey date: November 16, 2023
CMS records a correction date (November 17, 2023)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0677D
D — Isolated, potential for more than minimal harm
Standard survey
Survey date: July 13, 2023
CMS records a correction date (July 17, 2023)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0558E
E — Pattern, potential for more than minimal harm
Standard survey
Survey date: July 13, 2023
CMS records a correction date (July 17, 2023)
More detail
Resident Rights Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
License and identity (HHSC)
- License effective
- October 15, 2025
- License expires
- April 1, 2028
- Initial license date
- August 25, 1998
- Facility licensed
- Yes
- Facility certified (HHSC)
- Yes
- Service type
- MEDICARE/MEDICAID
- Total licensed capacity
- 164 beds
- Bed mix (HHSC)
- Licensed only 0; Medicaid only 0; Medicare only 7; Medicare/Medicaid 157; ICF/IID 0
- Alzheimer capacity
- 0
- Administrator
- Scott Barrick
- Management company
- Marine Creek I Enterprises, 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: For profit - Limited Liability company · Affiliated / chain name in the file: CREATIVE SOLUTIONS IN HEALTHCARE (150 facilities in the chain, as listed)
| Name | Role | Type | Share | Associated |
|---|---|---|---|---|
| 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 |
| HUGGINS, LINDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2022 |
| WILLIG, ZACHARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2022 |
| THOMPSON, JOHNNY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
7 more CMS ownership records
| Name | Role | Type | Share | Associated |
|---|---|---|---|---|
| MARINE CREEK I ENTERPRISES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2022 |
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| MARINE CREEK I ENTERPRISES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/17/2025 |
| BLAKE, GARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| OLATUNJI, ADEBOLA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| WRIGHT, BRENDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/17/2025 |
HHSC owner fields
- Owner (HHSC)
- West Wharton 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.