Skilled nursing facility · CMS certification number 035073
HAVEN HEALTH GREEN VALLEY, LLC
GREEN VALLEY, Arizona · Medicare and Medicaid
Certified beds, as filed in Care Compare: 111
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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. 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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,611,693 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,070,852 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,540,841 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,838,276 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,702,565 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $46,665 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,749,230 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,749,230 (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 | 111 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 40,626 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,982 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,871 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 12,784 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 35,637 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 227 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 65 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 439 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 731 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 259.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436132, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for February 1, 2023 to December 31, 2023 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on August 15, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,213,915 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,187,556 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,026,359 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,902,257 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,124,102 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,362 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,125,464 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,125,463 (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 | 111 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,045 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 639 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 299.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392215, 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 11, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,184,570 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,156,201 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,028,369 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,659,359 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$630,990 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $566,742 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$64,248 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$64,248 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,023 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 549 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 389.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 49.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366417, 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 July 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,849,564 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,312,846 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,536,718 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,482,140 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$945,422 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $217,069 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$728,353 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$728,353 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,085 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 451 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 293.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327881, 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 November 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,416,064 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,445,187 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,970,877 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,255,050 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,284,173 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,430,046 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $145,873 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $145,873 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,693 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 474 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 288.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303785, 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 September 24, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,741,679 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,031,851 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,709,828 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,208,465 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$498,637 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $399,360 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$99,277 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$99,277 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,127 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 701 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 301.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 42.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1269355, 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 August 29, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,969,131 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,216,836 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,752,295 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,717,286 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$964,991 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,092,717 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $127,726 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $127,090 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,661 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 783 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 196.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 36.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242705, 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 August 1, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,059,873 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,261,553 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,798,320 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,772,066 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$973,746 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,134,150 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $160,404 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $160,166 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,131 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 821 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 314.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 33.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1204060, 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 July 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,368,553 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,291,976 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,076,577 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,086,969 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,010,392 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,444,718 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $434,326 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $185,646 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,619 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 754 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 319 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 37.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169690, 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 | $15,528,015 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,802,777 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,725,238 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,633,071 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$907,833 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $787,280 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$120,553 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$347,040 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,976 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,502 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 32.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 21.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142541, 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 August 6, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,530,307 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,975,908 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,554,399 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,427,838 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $126,561 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $420,870 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $547,431 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $547,431 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,735 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,133 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 195.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 28.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106952, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,275,059 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,773,825 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,501,234 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,640,553 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$139,319 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $461,290 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $321,971 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $321,969 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,595 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 597 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 189.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1071081, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 16, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,188,644 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,749,649 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,438,995 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,117,902 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $321,093 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $271,825 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $592,918 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $592,918 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,843 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 649 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 189.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 50.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046776, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 30, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,021,409 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,351,497 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,669,912 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,159,673 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $510,239 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $79,662 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $589,901 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $589,520 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,273 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 649 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 195.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1017620, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 28, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,007,873 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,630,171 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $377,702 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $83,854 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $461,556 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,110 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 483 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 286.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 64.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 413734, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 11, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,415,823 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,837,036 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $578,787 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $45,349 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,940 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $622,196 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,897 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 230 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.99 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 339.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 134.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385120, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 22, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,279,906 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,579,955 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $699,951 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $79,918 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $779,869 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,694 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 400 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 258.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 91.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 351909, 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 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,402,110 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,018,333 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $383,777 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $101,483 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $485,260 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,013 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 400 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 232.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 85.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 319823, 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 January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,850,508 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,451,435 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $399,073 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,580 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $463,653 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,818 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 400 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 257.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 299862, 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 May 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,683,693 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,466,008 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $217,685 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,467 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $237,152 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,410 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 556 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 129.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 61.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 277007, 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 April 28, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,379,739 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,264,573 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $115,166 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,063 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $14,446 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $123,783 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,059 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 653 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 8.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 131.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 53.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 248180, 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 February 8, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,366,714 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,130,397 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $236,317 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $125,597 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $361,914 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,114 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 653 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 11.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 122.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 53.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 206644, 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 January 6, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,590,705 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,312,283 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $278,422 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,691 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $326,113 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,310 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 185 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 537.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 190.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 166381, 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 April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,071,476 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,139,354 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$67,878 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,719 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$25,159 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,276 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 342 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 463.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 106.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141617, 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 November 8, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,675,197 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,057,360 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$382,163 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $180,879 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$201,284 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,565 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 353 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 639.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3156, 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 17, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,747,962 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,227,295 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$479,333 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $121,288 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$358,045 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,851 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 414 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 595.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3154, 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, settled with audit, processed by CMS on October 18, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,076,027 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,430,462 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$354,435 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $318,822 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$35,613 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,886 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 291 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 462.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3152, 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 7, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,215,935 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,567,910 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$351,975 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $465,658 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $113,683 (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 | 33,479 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 164 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 520.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 204.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3149, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on November 26, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,829,702 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,117,760 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,288,058 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $549,166 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,738,892 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,359 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 190 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 527.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3147, 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 |
|---|---|---|---|---|
| HAVEN GREEN VALLEY REAL ESTATE LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 02/02/2023 |
| HAVEN HEALTH PROPERTIES LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 02/01/2023 |
| EAGLEN, ROBYN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| ESPINOSA, STEPHANIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| FRAGOSO, LINDSAY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| HATCH, BRANDON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| HAVEN GREEN VALLEY REAL ESTATE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/21/2025 |
| HAVEN HEALTH PROPERTIES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/21/2025 |
| HEALTH GROUP MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/21/2025 |
| MUIR, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| ROBERTSON, BRETT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| SAMUELIAN, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| SAMUELIAN, SPENCER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| SAMUELIAN, STEPHEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| SEASTRAND, JASON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| SHAH, VIRAG | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| WEST, CHRISTIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| MUIR, MARK | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2023 |
| SEASTRAND, JASON | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2023 |
| SHAH, VIRAG | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2023 |
| ESPINOSA, STEPHANIE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/14/2024 |
| FRAGOSO, LINDSAY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/10/2021 |
| ROBERTSON, BRETT | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2023 |
| SAMUELIAN, ROBERT | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2023 |
| SAMUELIAN, SPENCER | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2023 |
| SAMUELIAN, STEPHEN | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2023 |
| SEASTRAND, JASON | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2023 |
| WEST, CHRISTIAN | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2023 |
| EAGLEN, ROBYN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2025 |
| ESPINOSA, STEPHANIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2025 |
| FRAGOSO, LINDSAY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2025 |
| HATCH, BRANDON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2025 |
| HEALTH GROUP MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/25/2024 |
| MUIR, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2025 |
| ROBERTSON, BRETT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2025 |
| SAMUELIAN, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2025 |
| SAMUELIAN, SPENCER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2025 |
| SAMUELIAN, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2025 |
| SEASTRAND, JASON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2025 |
| SHAH, VIRAG | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/14/2025 |
| WEST, CHRISTIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2025 |
| EAGLEN, ROBYN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2023 |
| HATCH, BRANDON | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HAVEN HEALTH GREEN VALLEY LLC (enrollment ID O20230511001518).
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 |
|---|---|---|---|---|---|
| BRETT P ROBERTSON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7.61 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTIAN R WEST | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6.4 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HAVEN HEALTH GROUP LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROBERT SAMUELIAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20.13 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SPENCER R SAMUELIAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25.21 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN SAMUELIAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 36.73 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HAVEN GREEN VALLEY REAL ESTATE LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 2/2/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| HAVEN HEALTH PROPERTIES LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRANDON L HATCH | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRETT P ROBERTSON | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTIAN R WEST | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HAVEN GREEN VALLEY REAL ESTATE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| HAVEN HEALTH PROPERTIES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEALTH GROUP MANAGEMENT LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON J SEASTRAND | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDSAY FRAGOSO | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK MUIR | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT SAMUELIAN | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBYN EAGLEN | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SPENCER R SAMUELIAN | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHANIE ESPINOSA | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN SAMUELIAN | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VIRAG YOGESH SHAH | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON J SEASTRAND | Individual | CONTRACTED MANAGING EMPLOYEE | 3.92 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK MUIR | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VIRAG YOGESH SHAH | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDSAY FRAGOSO | Individual | CORPORATE OFFICER | 0 | 5/10/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHANIE ESPINOSA | Individual | CORPORATE OFFICER | 0 | 10/14/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRETT P ROBERTSON | Individual | DIRECT OWNERSHIP INTEREST | 7.61 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTIAN R WEST | Individual | DIRECT OWNERSHIP INTEREST | 6.4 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON J SEASTRAND | Individual | DIRECT OWNERSHIP INTEREST | 3.92 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT SAMUELIAN | Individual | DIRECT OWNERSHIP INTEREST | 20.13 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SPENCER R SAMUELIAN | Individual | DIRECT OWNERSHIP INTEREST | 25.21 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN SAMUELIAN | Individual | DIRECT OWNERSHIP INTEREST | 36.73 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRANDON L HATCH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRETT P ROBERTSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTIAN R WEST | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEALTH GROUP MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/25/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON J SEASTRAND | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDSAY FRAGOSO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK MUIR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT SAMUELIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBYN EAGLEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SPENCER R SAMUELIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHANIE ESPINOSA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN SAMUELIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VIRAG YOGESH SHAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRANDON L HATCH | Individual | W-2 MANAGING EMPLOYEE | 0 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBYN EAGLEN | Individual | W-2 MANAGING EMPLOYEE | 0 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2025: HEALTH GROUP MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: HEALTH GROUP MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since November 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: BRETT P ROBERTSON (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: BRETT P ROBERTSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: BRETT P ROBERTSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LINDSAY FREGOSO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LINDSAY FREGOSO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LINDSAY FREGOSO (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since May 10, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JASON J SEASTRAND (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JASON J SEASTRAND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JASON J SEASTRAND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JASON J SEASTRAND (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: VIRAG SHAH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: VIRAG SHAH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: VIRAG SHAH (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MARK MUIR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MARK MUIR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MARK MUIR (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: STEPHANIE ESPINOSA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: STEPHANIE ESPINOSA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: STEPHANIE ESPINOSA (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since October 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: SPENCER R SAMUELIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: SPENCER R SAMUELIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: SPENCER R SAMUELIAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ROBERT SAMUELIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ROBERT SAMUELIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ROBERT SAMUELIAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ROBYN EAGLEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ROBYN EAGLEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ROBYN EAGLEN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: BRANDON L HATCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: BRANDON L HATCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: STEPHEN SAMUELIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: STEPHEN SAMUELIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: STEPHEN SAMUELIAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: HAVEN GREEN VALLEY REAL ESTATE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: HAVEN GREEN VALLEY REAL ESTATE LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: HAVEN HEALTH PROPERTIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: HAVEN HEALTH PROPERTIES LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: CHRISTIAN R WEST (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: CHRISTIAN R WEST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: CHRISTIAN R WEST (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- January 5, 2024: BERNIECE F PATTERSON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: CHARLES EVANS PATTERSON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: CARL K ZIMMERMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: CARL K ZIMMERMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: CARL K ZIMMERMAN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: HAVEN HEALTH GROUP LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: BRETT P ROBERTSON (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: SPENCER R SAMUELIAN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: ROBERT SAMUELIAN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: BRANDON L HATCH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: STEPHEN SAMUELIAN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- January 5, 2024: CHRISTIAN R WEST (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
Recent changes on this record
- June 5, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 1, 2025: HEALTH GROUP MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: HEALTH GROUP MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since November 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: BRETT P ROBERTSON (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: BRETT P ROBERTSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: BRETT P ROBERTSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LINDSAY FREGOSO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LINDSAY FREGOSO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LINDSAY FREGOSO (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since May 10, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JASON J SEASTRAND (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JASON J SEASTRAND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JASON J SEASTRAND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JASON J SEASTRAND (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: VIRAG SHAH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: VIRAG SHAH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: VIRAG SHAH (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MARK MUIR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MARK MUIR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MARK MUIR (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: STEPHANIE ESPINOSA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: STEPHANIE ESPINOSA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: STEPHANIE ESPINOSA (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since October 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: SPENCER R SAMUELIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: SPENCER R SAMUELIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: SPENCER R SAMUELIAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ROBERT SAMUELIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ROBERT SAMUELIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ROBERT SAMUELIAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ROBYN EAGLEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ROBYN EAGLEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ROBYN EAGLEN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: BRANDON L HATCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: BRANDON L HATCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: STEPHEN SAMUELIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: STEPHEN SAMUELIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: STEPHEN SAMUELIAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: HAVEN GREEN VALLEY REAL ESTATE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: HAVEN GREEN VALLEY REAL ESTATE LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: HAVEN HEALTH PROPERTIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 5, 2026 | May 23, 2024 | 2 | 2 |
| 1 | June 5, 2026 | June 5, 2026 | 2 | 1 |
| 2 | May 23, 2024 | January 13, 2023 | 9 | 5 |
| 2 | May 23, 2024 | May 23, 2024 | 9 | 2 |
| 3 | January 13, 2023 | October 28, 2021 | 16 | 5 |
| 3 | January 13, 2023 | January 13, 2023 | 16 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on August 1, 2026.
Deficiencies cited
27 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 5, 2026 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | June 25, 2026 |
| June 5, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 25, 2026 |
| May 23, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | July 11, 2024 |
| May 23, 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | May 29, 2024 |
| May 23, 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. | E | No | Deficient, Provider has date of correction | June 15, 2024 |
| May 23, 2024 | 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. | D | Yes | Deficient, Provider has date of correction | May 29, 2024 |
| May 23, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | July 12, 2024 |
| May 23, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | June 27, 2024 |
| May 23, 2024 | Health | F 0680 | Quality of Life and Care Deficiencies | Ensure the activities program is directed by a qualified professional. | E | No | Deficient, Provider has date of correction | July 12, 2024 |
| May 23, 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 | Yes | Deficient, Provider has date of correction | June 26, 2024 |
| May 23, 2024 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | No | Deficient, Provider has date of correction | July 12, 2024 |
| April 9, 2024 | 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. | D | Yes | Deficient, Provider has date of correction | June 7, 2024 |
| January 13, 2023 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | April 13, 2023 |
| January 13, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | April 13, 2023 |
| January 13, 2023 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | April 13, 2023 |
| January 13, 2023 | 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. | D | No | Deficient, Provider has date of correction | April 13, 2023 |
| January 13, 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 | April 13, 2023 |
| January 13, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | April 13, 2023 |
| January 13, 2023 | 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 | No | Deficient, Provider has date of correction | April 13, 2023 |
| January 13, 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 | April 13, 2023 |
| January 13, 2023 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | April 13, 2023 |
| January 13, 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 | April 13, 2023 |
| January 13, 2023 | 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. | E | No | Deficient, Provider has date of correction | April 13, 2023 |
| January 13, 2023 | 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 | April 13, 2023 |
| January 13, 2023 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | April 13, 2023 |
| January 13, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | No | Deficient, Provider has date of correction | April 13, 2023 |
| January 13, 2023 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | E | No | Deficient, Provider has date of correction | April 13, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | HAVEN HEALTH GREEN VALLEY LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1981-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Pima |
| Telephone Number | 5206250178 |
| Chain Name | HAVEN HEALTH |
| Chain ID | 249 |
| 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 | 111 |
| Average Number of Residents per Day | 102.3 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| 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 HAVEN HEALTH GREEN VALLEY, LLC: 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 June 5, 2026: An inspection was recorded in inspection cycle 1. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for HAVEN HEALTH GREEN VALLEY, LLC
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 Arizona 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.
Other public records in Arizona
- MESA WELL SITE 30, UNKNOWN Water discharge permit
- WRIGHT I WELL, CAVE CREEK Water discharge permit
- TEMPE WELL 21, UNKNOWN Water discharge permit
- PEE WEE WELL, CAVE CREEK Water discharge permit
- TRIANGLE WELL, UNKNOWN Water discharge permit
- PARCEL #175-61-030A, PARADISE VALLEY Water discharge permit
- TOWN OF CAVE CREEK - WELL 4 (JOY RANCH), UNKNOWN Water discharge permit
- CITY OF PHOENIX - WELL 309, PHOENIX Water discharge permit
- ROGERS CORPORATION - ROOSEVELT AVE FACILITY, MARICOPA COUNTY Air emission source
- HENRY PRODUCTS, MARICOPA COUNTY Air emission source
- INTEL CORP CHANDLER CAMPUS (FAB 6), MARICOPA COUNTY Air emission source
- ARIZONA STATE UNIVERSITY TEMPE CAMPUS, MARICOPA COUNTY Air emission source
- CALJET, MARICOPA COUNTY Air emission source
- ROBERTSON FUEL SYSTEMS, MARICOPA COUNTY Air emission source
- PLATYPUS DEVELOPMENT, MARICOPA COUNTY Air emission source
- HYDRO EXTRUSION USA, MARICOPA COUNTY Air emission source
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 035073.