Skilled nursing facility · CMS certification number 025025
CENTENNIAL POST ACUTE
ANCHORAGE, Alaska · Medicare and Medicaid
Certified beds, as filed in Care Compare: 102
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: 4 · Fines: 3 · Fines, total amount: $232,502.00 · Payment denials: 1. The most recent penalty on file: December 24, 2025, Fine, $155,753. 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 August 1, 2024 to December 31, 2024 — a reporting period of 152 days, not a full year, on form CMS-2540-10, as submitted, processed by CMS on September 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,756,103 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,363,474 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,392,629 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,387,175 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $5,454 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $215 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $5,669 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,669 (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 204,018 of the 204,018 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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 15,606 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,509 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,773 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,355 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 14,637 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 65 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 16 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 651.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440327, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,503,262 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,011,208 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,492,054 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,348,237 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $143,817 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,513 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $162,330 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $162,330 (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 204,018 of the 204,018 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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,953 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 258 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 224.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441598, 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 October 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,066,408 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,022,552 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,043,856 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,884,264 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,159,592 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,179,465 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,339,057 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,339,057 (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 204,018 of the 204,018 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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,630 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 314 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 271.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397061, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 23, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,252,259 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,490,079 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,762,180 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,103,844 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,658,336 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $136,318 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,794,654 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,794,654 (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 204,018 of the 204,018 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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,371 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 294 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 254.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1368537, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 27, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,183,306 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,979,491 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,203,815 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,529,228 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $674,587 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $899,776 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,574,363 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,574,363 (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 204,018 of the 204,018 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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,956 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 305.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341131, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,620,682 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,074,406 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,546,276 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,429,235 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,117,041 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,735 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,123,776 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,123,776 (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 204,018 of the 204,018 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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,408 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 301 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1290665, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 27, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,015,147 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,270,413 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,744,734 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,583,870 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,160,864 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,531 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,173,395 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,173,395 (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 204,018 of the 204,018 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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,494 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 254 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1256127, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 30, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,538,008 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,101,683 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,436,325 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,841,767 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$405,442 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,566 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$395,876 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$395,876 (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 204,018 of the 204,018 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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,047 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 231.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 137.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1225853, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,668,188 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,445,683 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,222,505 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,363,468 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,140,963 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,871 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,128,092 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,128,092 (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 204,018 of the 204,018 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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,061 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 197 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 324.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188735, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,842,525 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,003,879 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,838,646 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,945,245 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,106,599 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $90,105 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,016,494 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,016,494 (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 204,018 of the 204,018 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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,765 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 220 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 500.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142507, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 28, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,423,594 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,955,747 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,467,847 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,827,636 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$359,789 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $70,173 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$289,616 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$289,616 (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 204,018 of the 204,018 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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,343 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 315 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1124973, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for October 1, 2013 to December 31, 2013 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 9, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,369,785 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,220,186 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,149,599 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,305,196 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$155,597 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,564 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$152,033 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$152,033 (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 204,018 of the 204,018 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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,634 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 207.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077625, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,564,727 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,995,152 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,569,575 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,715,023 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $854,552 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,048 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $890,600 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $890,600 (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 204,018 of the 204,018 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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,835 | 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 | 51.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 362 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 180.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1027935, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,808,750 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,158,423 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $650,327 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,399 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $680,726 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,728 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 358.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 170.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428033, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 28, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,161,444 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,518,270 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$356,826 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,652 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$329,174 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,819 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 304.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 158.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398134, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for July 1, 2009 to September 30, 2009 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 29, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,962,084 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,916,615 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $45,469 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,786 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $49,255 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,643 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 35 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 486.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 218.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 379320, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for February 1, 2008 to December 31, 2008 — a reporting period of 334 days, on form CMS-2540-96, settled, processed by CMS on August 27, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,235,422 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,512,917 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$277,495 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,271 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$273,224 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,439 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 243 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 148.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 117.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355574, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 30, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,852,038 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,604,220 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,752,182 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $243,595 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,137 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$2,517,724 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,787 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 439.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 310.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322217, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 3, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,819,086 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,858,836 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,039,750 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $383,841 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $14,382 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$670,291 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,700 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 323.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 266.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 311028, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 29, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,792,074 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,939,094 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$147,020 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $186,929 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $39,909 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,266 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 109 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 420.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 296.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 269811, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 1, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,547,669 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,061,222 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$513,553 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $175,136 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$338,417 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,057 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 78.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 458.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 317.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241976, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,897,954 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,702,641 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$804,687 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $352,846 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$451,841 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,936 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 390.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 272.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 231027, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 5, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,518,412 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,097,184 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$578,772 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $148,423 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $249,854 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$680,203 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,129 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 538.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 361 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 168513, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 15, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,307,931 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,833,217 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$525,286 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $323,668 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$201,618 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,231 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 82 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 538.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 393.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159584, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 4, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,143,871 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,728,031 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $415,840 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $489,416 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $905,256 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,081 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 118 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 340.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 271.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67287, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 6, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,886,382 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,522,106 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $364,276 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $354,661 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $718,937 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,384 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 750.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 539.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67285, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on September 14, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,468,111 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,241,343 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $226,768 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $300,919 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $527,687 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,853 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 853.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 419.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67282, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 27, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,071,601 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,084,595 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$12,994 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $285,954 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $19,758 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $253,202 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,134 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 718.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 428.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 275856, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for April 1, 1996 to December 31, 1996 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 10, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,240,298 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,344,721 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$104,423 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $216,145 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $111,722 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,369 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 800.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 487.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67279, read from the public cost report file SNFFY1996.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 in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| TRUIST BANK | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 08/01/2024 |
| NEXT SADDLE REALTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/01/2024 |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/01/2024 |
| ROSE, TAMMY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2024 |
| TIEVA, DANIEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2024 |
| APT, FREDERICK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/10/2024 |
| JERGENSEN, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| PETTIETTE, LUKE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2024 |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/01/2024 |
| ROSE, TAMMY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2024 |
| TIEVA, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CENTENNIAL SNF HEALTHCARE LLC (enrollment ID O20240829003915).
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 |
|---|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/10/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JASON H MURRAY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41.8 | 5/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK D HANCOCK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41.8 | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/10/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/10/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| TRUIST BANK | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 8/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| DANIEL TIEVA | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NEXT SADDLE REALTY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 8/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| TAMMY ROSE | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL TIEVA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FREDERICK G APT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN T MITCHELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA O JERGENSEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LUKE PETTIETTE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| TAMMY ROSE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2025: HAROLD G DELAMARTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: HAROLD G DELAMARTER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRIAN R DELAMARTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRIAN R DELAMARTER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PRESTIGE CARE INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS B MITCHELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TAMMI WEST no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GREGORY J. VISLOCKY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GREGORY J. VISLOCKY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARK D HANCOCK (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ANCHORAGE 9100 REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSHUA O JERGENSEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TRUIST BANK (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANIEL TIEVA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANIEL TIEVA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PROVIDENCE GROUP NH, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LUKE PETTIETTE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FREDERICK G APT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TAMMY ROSE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TAMMY ROSE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN T MITCHELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JASON H MURRAY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
Recent changes on this record
- October 29, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 30, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 1, 2025: HAROLD G DELAMARTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: HAROLD G DELAMARTER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRIAN R DELAMARTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRIAN R DELAMARTER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PRESTIGE CARE INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS B MITCHELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TAMMI WEST no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GREGORY J. VISLOCKY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GREGORY J. VISLOCKY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARK D HANCOCK (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ANCHORAGE 9100 REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSHUA O JERGENSEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TRUIST BANK (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANIEL TIEVA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANIEL TIEVA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PROVIDENCE GROUP NH, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LUKE PETTIETTE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FREDERICK G APT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TAMMY ROSE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TAMMY ROSE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOHN T MITCHELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JASON H MURRAY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: enrollment_id: O20090824000657 → O20240829003915. Skilled_Nursing_Facility_Enrollments_:_2025-07-01.csv
- January 9, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 16, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- November 23, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- January 27, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- July 28, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- May 27, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 30, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- May 2, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 25, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- May 28, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- September 9, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2014.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 24, 2025 | December 24, 2025 | 22 | 27 |
| 2 | December 12, 2024 | December 12, 2024 | 31 | 23 |
| 3 | October 16, 2023 | October 16, 2023 | 30 | 12 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
83 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| December 24, 2025 | 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. | D | No | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | F | No | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | F | No | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | G | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | G | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 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 | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | 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. | E | No | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | 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 | February 26, 2026 |
| December 24, 2025 | Health | F 0680 | Quality of Life and Care Deficiencies | Ensure the activities program is directed by a qualified professional. | F | No | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | 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 | February 26, 2026 |
| December 24, 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | No | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | No | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 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 | February 26, 2026 |
| December 24, 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 | February 26, 2026 |
| December 24, 2025 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | D | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | No | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | 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. | D | No | Deficient, Provider has date of correction | February 26, 2026 |
| December 24, 2025 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Yes | Deficient, Provider has date of correction | February 26, 2026 |
| August 29, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | October 3, 2025 |
| August 29, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Past Non-Compliance | August 4, 2025 |
| August 29, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | October 3, 2025 |
| August 29, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | F | Yes | Deficient, Provider has date of correction | October 3, 2025 |
| August 29, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | October 3, 2025 |
| June 16, 2025 | 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. | E | Yes | Deficient, Provider has date of correction | August 4, 2025 |
| June 16, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | Yes | Deficient, Provider has date of correction | August 4, 2025 |
| June 16, 2025 | 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 | Yes | Deficient, Provider has date of correction | August 4, 2025 |
| June 16, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | August 4, 2025 |
| June 16, 2025 | 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 | August 4, 2025 |
| January 23, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | February 28, 2025 |
| January 23, 2025 | 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 | Yes | Deficient, Provider has date of correction | February 28, 2025 |
| January 23, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | February 28, 2025 |
| January 23, 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. | G | Yes | Deficient, Provider has date of correction | February 28, 2025 |
| January 23, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | Yes | Deficient, Provider has date of correction | February 28, 2025 |
| December 12, 2024 | 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. | D | No | Deficient, Provider has date of correction | January 23, 2025 |
| December 12, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | January 23, 2025 |
| December 12, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | January 23, 2025 |
| December 12, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | January 23, 2025 |
| December 12, 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. | D | No | Deficient, Provider has date of correction | January 23, 2025 |
| December 12, 2024 | 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 | January 23, 2025 |
| December 12, 2024 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | January 23, 2025 |
| December 12, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | January 23, 2025 |
| December 12, 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 | January 23, 2025 |
| December 12, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | No | Deficient, Provider has date of correction | January 23, 2025 |
| December 12, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | January 23, 2025 |
| December 12, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | F | No | Deficient, Provider has date of correction | January 23, 2025 |
| December 12, 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 | January 23, 2025 |
| December 12, 2024 | 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 | January 23, 2025 |
| December 12, 2024 | 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. | D | Yes | Deficient, Provider has date of correction | January 23, 2025 |
| December 12, 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | F | No | Deficient, Provider has date of correction | January 23, 2025 |
| June 5, 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Yes | Deficient, Provider has date of correction | July 3, 2024 |
| June 5, 2024 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Yes | Past Non-Compliance | January 12, 2024 |
| June 5, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Past Non-Compliance | March 4, 2024 |
| June 5, 2024 | Health | F 0741 | Quality of Life and Care Deficiencies | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | F | Yes | Deficient, Provider has date of correction | July 3, 2024 |
| June 5, 2024 | 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. | F | Yes | Deficient, Provider has date of correction | July 3, 2024 |
| June 5, 2024 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Yes | Deficient, Provider has date of correction | July 3, 2024 |
| June 5, 2024 | 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. | F | Yes | Deficient, Provider has date of correction | July 3, 2024 |
| June 5, 2024 | Health | F 0949 | Administration Deficiencies | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Yes | Deficient, Provider has date of correction | July 3, 2024 |
| October 16, 2023 | 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. | D | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 2023 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 2023 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 2023 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 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 | November 17, 2023 |
| October 16, 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 | November 17, 2023 |
| October 16, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 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. | D | Yes | Past Non-Compliance | September 8, 2023 |
| October 16, 2023 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 2023 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Past Non-Compliance | October 5, 2023 |
| October 16, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 2023 | Health | F 0800 | Nutrition and Dietary Deficiencies | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 2023 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 16, 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 | November 17, 2023 |
| October 16, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | November 17, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| December 24, 2025 | Fine | $155,753 | 138289 | ||
| June 16, 2025 | Fine | $37,898 | 133946 | ||
| December 12, 2024 | Fine | $38,851 | 45831 | ||
| December 12, 2024 | Payment Denial | March 1, 2025 | 4 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | CENTENNIAL SNF HEALTHCARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1994-01-31 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Anchorage |
| Telephone Number | 9073338100 |
| Chain Name | PACS GROUP |
| Chain ID | 690 |
| 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 | 102 |
| Average Number of Residents per Day | 99.8 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on CENTENNIAL POST ACUTE: the field, the value before, the value after, and the date of the file that first showed it.
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 October 29, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.
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The citable document for CENTENNIAL POST ACUTE
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 Alaska 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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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 025025.