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Skilled nursing facility · CMS certified · CCN 45E409

John Paul II Nursing Home

209 S 3rd St, Kenedy, TX 78119 · Karnes County · one of 1,177 skilled nursing facilities in Texas
58
certified beds
5 / 5
overall CMS rating
Nonprofit
ownership type
66.0%
occupancy, Oct 2026: 38 residents a day · Texas 67.5%
1.28
case mix, 0.90x the national average
3.30
nurse hours per resident day · Texas 3.39
What if · run the numbers

There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How John Paul II Nursing Home compares

Karnes County has 2 other certified buildings, too few to compare, so this is against Texas. 1,177 buildings.

Better than most of Texas on 6 of 8 lines.

Occupancy, Oct 202666.0%Behind mostHigher than 520 of the 1,163 other buildings in Texas, level with 2

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 68.5%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day3.30Better than mostHigher than 601 of the 1,147 other buildings in Texas, level with 15

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.27. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating5 / 5Better than mostHigher than 1,001 of the 1,165 other buildings in Texas, level with 164

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating5 / 5Better than mostHigher than 1,046 of the 1,165 other buildings in Texas, level with 119

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating3 / 5Better than mostHigher than 880 of the 1,163 other buildings in Texas, level with 158

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating2 / 5Behind mostHigher than 33 of the 1,162 other buildings in Texas, level with 124

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.40Better than mostHigher than 593 of the 1,151 other buildings in Texas, level with 27

Registered nurse hours for each resident, each day. The middle of the set: 0.39. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited5Better than mostFewer than 973 of the 1,176 other buildings in Texas, the same as 65

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 10. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Texas
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of John Paul II Nursing Home
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Street View
209 S 3rd St, Kenedy, TX
Map around John Paul II Nursing Home
Map · Karnes County
Karnes County, Texas
3 skilled nursing facilities; average overall rating 2.7, Texas 2.8.
See how Karnes County compares ›
Cost report, against Texas
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Texas. The rank counts from the top: 1st is the highest figure among Texas's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2026. What the buildings in Texas that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
65.9%
1,143
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
6.6%
1,146
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
66.8%
1,132
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$268
1,144
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$279
1,143
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$12
1,122
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
4.2%
1,111
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating5 / 5 · state 2.8
Health inspection5 / 5 · state 2.8
Staffing3 / 5 · state 1.9
RN hours per resident per day0.4 · state 0.44
Overall rating, last 8 quarters
052Q3’244Q4’244Q1’255Q2’255Q3’255Q4’255Q1’265Q2’26latest
up 3 stars over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingTexasnationrecent quarters
Needed more help with daily activities21.1%worse than state15.8%13.5%2025Q2: 17.2%2025Q3: 25.0%2025Q4: 29.6%2026Q1: 11.5%2026Q2: 17.9%
17.2% → 17.9%
Q2’25 to Q2’26
Catheter inserted and left in3.7%worse than state0.3%0.7%2025Q2: 4.0%2025Q3: 3.8%2025Q4: 4.8%2026Q1: 3.5%2026Q2: 2.8%
4.0% → 2.8%
Q2’25 to Q2’26
Urinary tract infection7.4%worse than state0.8%1.5%2025Q2: 7.9%2025Q3: 8.1%2025Q4: 8.3%2026Q1: 5.3%2026Q2: 8.1%
7.9% → 8.1%
Q2’25 to Q2’26
Fall with major injury4.1%worse than state3.2%3.2%2025Q2: 5.3%2025Q3: 0.0%2025Q4: 2.8%2026Q1: 5.3%2026Q2: 8.1%
5.3% → 8.1%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report1.4%1.5%too few quarters to chart
Ability to walk independently worsened18.8%worse than state12.9%12.7%too few quarters to chart
Pressure ulcers1.5%better than state3.7%4.5%2025Q2: 2.3%2025Q3: 2.1%2025Q4: 2.0%2026Q1: 2.1%2026Q2: 0.0%
2.3% → 0.0%
Q2’25 to Q2’26
Given an antipsychotic10.7%worse than state9.8%15.4%2025Q2: 2.9%2025Q3: 9.7%2025Q4: 9.7%2026Q1: 11.4%2026Q2: 11.8%
2.9% → 11.8%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Sep 2025
last standard survey
5
deficiencies cited · Texas avg 11.4
$0
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Karnes County
buildingbedsoverallJohn Paul II Nursing Home585 / 5Kenedy Health & Rehabilitation602 / 5Bluebonnet Nursing & Rehabilitation1201 / 5
Texas at a glance
1,177
buildings
133,481
licensed beds
67%
occupancy
70%
for-profit
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyKenedy Health & RehabilitationKenedy · 2.4 mi602 / 570-85%Bluebonnet Nursing & RehabilitationKarnes City · 10.5 mi1201 / 5under 70%Yorktown Nursing and Rehabilitation CenterYorktown · 23.2 mi823 / 5under 70%Frank M. Tejeda Texas State Veterans HomeFloresville · 27.9 mi1603 / 5over 85%Harmony Care at FloresvilleFloresville · 28.3 mi1442 / 5under 70%Prairie Meadows Rehabilitation and Healthcare CentFloresville · 28.6 mi1201 / 5under 70%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of John Paul II Nursing Home?
John Paul II Nursing Home in Kenedy, TX carries an overall CMS rating of 5 out of 5 stars in the Oct 2026 CMS file.
How many beds does John Paul II Nursing Home have?
John Paul II Nursing Home is certified for 58 beds in the Oct 2026 CMS file.
How full is John Paul II Nursing Home?
CMS's reported average residents put John Paul II Nursing Home's occupancy in the under 70% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.