CCN 676367 · Collin County, Texas
Belterra Health & Rehab
2170 North Lake Forest Drive, McKinney, TX 75071
Belterra Health & Rehab is a 103-bed government-owned nursing home in McKinney, Texas, first certified for Medicare or Medicaid in 2014. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 91.1 residents a day, about 88% of its certified beds. It has an active FHA-insured Section 232 loan: $14.6 million originally, at 5.85%, with $14.4 million outstanding as of September 30, 2026 and maturity in January 2060.
Facility facts
- Certified beds
- 103
- Average residents per day
- 91.1 (88.4% of beds)
- Ownership type
- Government - Hospital district
- Certification
- Medicare and Medicaid
- Legal business name
- Fannin County Hospital Authority
- Certified since
- Aug 28, 2014
- Chain or affiliated group
- Priority Management (38 facilities, chain average 2.9 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.39 | 3.27 | 3.68 |
| RN hours per resident per day | 0.80 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 3.07 | ||
| Nursing staff turnover | 36.7% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 88.4% | 68.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 10 (Apr 23, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Belterra Health & Rehab meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Fannin County Hospital AuthorityOrganization | Direct Ownership Interest | 100% | 05/01/2025 |
| Bauder Family Investments, LLCOrganization | Mortgage Interest | n/a | 05/01/2025 |
| Boulware St James LLCOrganization | Mortgage Interest | n/a | 05/01/2024 |
| Pmg Realco-McKinney, LLCOrganization | Mortgage Interest | n/a | 05/01/2025 |
| Bauder, KellyIndividual | Mortgage Interest | n/a | 05/01/2025 |
| Bauder, MadisonIndividual | Mortgage Interest | n/a | 03/01/2025 |
| Bauder, ParkerIndividual | Mortgage Interest | n/a | 03/01/2025 |
| Bauder, WilliamIndividual | Mortgage Interest | n/a | 05/01/2025 |
| Boulware, DouglasIndividual | Mortgage Interest | n/a | 05/01/2025 |
| Boulware, SandraIndividual | Mortgage Interest | n/a | 03/01/2025 |
| Boulware, StevenIndividual | Mortgage Interest | n/a | 05/01/2025 |
| Boulware, ThomasIndividual | Mortgage Interest | n/a | 05/01/2025 |
| Walker, KatieIndividual | Mortgage Interest | n/a | 03/01/2025 |
| Pmg Opco - McKinney LLCOrganization | Operational / Managerial Control | n/a | 05/01/2025 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Bauder Family Investments, LLC, Boulware St James LLC, Douglas Boulware, Katie Walker, Kelly Bauder, Madison Bauder.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Mar 1, 2025 | Fannin County Hospital Authority | City of Ennis |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Dec 4, 2024 | 223(f) refinance or purchaseHUD project name: Belterra Health and Rehabilitation Center, 103 beds. Lender at endorsement: Vium Capital Mortgage LLC | $14,593,200 | Active: 5.85%, $14,371,041 balanceMatures Jan 1, 2060. Servicer: Vium Capital Mortgage LLC | 11322343 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.