Skilled nursing facility · CMS certification number 035118
HAVEN OF CAMP VERDE
CAMP VERDE, Arizona · Medicare and Medicaid
Certified beds, as filed in Care Compare: 58
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: 1 · Fines: 1 · Fines, total amount: $11,864.00 · Payment denials: 0. The most recent penalty on file: February 11, 2026, Fine, $11,864. 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 March 19, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,539,492 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,339,488 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,200,004 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,440,610 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$240,606 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,421 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$223,185 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$223,185 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,228 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,641 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 10,874 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,511 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,026 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 47 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 105 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 167 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 103.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448605, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 9, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,692,417 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,438,952 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,253,465 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,311,851 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$58,386 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,035 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$50,351 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$50,351 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,218 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 329 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 116.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1419746, 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 September 9, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,132,442 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,631,924 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,500,518 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,731,106 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$230,588 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,273 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$226,315 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$226,315 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,783 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 260 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 258.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363965, 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 September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,335,978 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,673,389 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,662,589 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,891,376 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$228,787 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $269,104 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $40,317 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $40,317 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,288 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 244 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 258.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331455, 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 February 20, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,134,229 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $785,005 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,349,224 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,033,882 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$684,658 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $394,508 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$290,150 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$290,150 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,233 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 159 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 230.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1342695, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,877,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,490,019 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,387,953 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,748,514 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$360,561 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $976 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$359,585 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$359,585 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,107 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 336 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1290667, 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 8, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,908,382 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,593,994 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,314,388 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,273,280 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $41,108 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,537 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $44,645 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $44,645 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,951 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 367 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 74.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239969, 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 | $5,734,239 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,091,650 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,642,589 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,619,766 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $22,823 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$15,618 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $7,205 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,205 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,745 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 222 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 173.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1204062, 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 August 21, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,557,958 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,273,094 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,284,864 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,322,332 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$37,468 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,396 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$33,072 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$33,072 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,137 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 216 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 168.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174305, 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 January 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,414,352 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,272,913 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,141,439 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,238,081 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$96,642 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,418 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$95,224 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$95,223 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,226 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 232 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 148.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150891, 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 January 21, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,940,293 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $898,565 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,041,728 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,211,160 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$169,432 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,149 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$161,283 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$161,283 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,876 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 243 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117810, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for February 1, 2013 to December 31, 2013 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,081,579 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,027,708 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,053,871 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,052,121 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,750 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,453 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $7,203 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,203 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,069 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 222 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 203.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1073125, 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 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,881,584 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,360,261 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,521,323 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,771,034 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,249,711 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,087 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,248,624 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,248,624 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,188 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 257 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 219.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044588, 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 November 12, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,354,688 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,600,230 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,754,458 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,339,405 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$584,947 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $77 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$584,870 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$584,870 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,122 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 273 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 233 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1019262, 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 August 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,264,129 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,335,923 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$71,794 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $70 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$71,724 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,547 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 208 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 269.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415504, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for February 15, 2009 to December 31, 2009 — a reporting period of 319 days, on form CMS-2540-96, settled, processed by CMS on August 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,993,699 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,126,260 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$132,561 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$132,548 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,447 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 165 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 456.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 111.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 386483, 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 23, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,269,099 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,481,341 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$212,242 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$212,204 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,386 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 605.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 199.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 352427, 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 31, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,322,413 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,284,300 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $38,113 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $128 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $38,241 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,066 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 359.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 108.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322428, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 6, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,266,926 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,321,895 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,054,969 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $818,582 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$236,387 (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 | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,740 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 256.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 311982, 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 | $3,167,147 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,196,921 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$29,774 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$609 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$30,383 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,108 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 154 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 432.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 277298, 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 May 4, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,999,326 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,902,239 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $97,087 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $62 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $97,149 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,931 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 188 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 484.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 248622, 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, as submitted, processed by CMS on July 16, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,798,448 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,137,452 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$339,004 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $644 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$338,360 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,182 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 419.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 186955, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for March 1, 2002 to December 31, 2002 — a reporting period of 305 days, on form CMS-2540-96, settled, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,243,310 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,255,895 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$12,585 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,358 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$10,227 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,363 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 226 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 12.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 212.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 67.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191559, 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 | $1,843,703 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,566,612 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$722,909 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,435 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$721,474 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,988 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 124 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 120.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141630, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for March 3, 2000 to December 31, 2000 — a reporting period of 303 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,829,039 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,541,786 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$712,747 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $738 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$712,009 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,275 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 139.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3280, 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 | $2,492,339 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,709,537 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,217,198 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,389 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,214,809 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,671 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 229.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3276, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on February 2, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,603,869 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,692,429 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$88,560 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,777 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$11,515 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$71,268 (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 | 118 | 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 | 218 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 313.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 153.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 168207, 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, settled with audit, processed by CMS on September 9, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,228,579 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,337,540 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,108,961 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$3,108,961 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,484 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 293 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 237.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3272, 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, settled with audit, processed by CMS on November 24, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,987,851 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,702,156 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $285,695 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,195 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $296,890 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,082 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 234 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 252.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 145.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3271, 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 ARIZONA REAL ESTATE, LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 02/01/2013 |
| HAVEN CAMP VERDE REAL ESTATE LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 02/01/2013 |
| HAVEN REAL ESTATE PARTNERS, LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 02/01/2013 |
| COMEAU, DEBRA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/16/2024 |
| ESPINOSA, STEPHANIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/14/2024 |
| FRAGOSO, LINDSAY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/10/2021 |
| HAVEN ARIZONA REAL ESTATE, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/03/2024 |
| HAVEN CAMP VERDE REAL ESTATE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/03/2024 |
| HAVEN REAL ESTATE PARTNERS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/02/2024 |
| HEALTH GROUP MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/25/2024 |
| LONGHURST, STOCK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2020 |
| ROBERTSON, BRETT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/22/2025 |
| SAMUELIAN, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/22/2025 |
| SAMUELIAN, SPENCER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2025 |
| SAMUELIAN, STEPHEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/22/2025 |
| SANTOS, RODRIGO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/02/2024 |
| SEASTRAND, JASON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2013 |
| VIJ, NEERAJ | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2023 |
| WEST, CHRISTIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/22/2025 |
| ROBERTSON, BRETT | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2013 |
| SAMUELIAN, ROBERT | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2013 |
| SAMUELIAN, SPENCER | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2013 |
| SAMUELIAN, STEPHEN | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2013 |
| SEASTRAND, JASON | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2013 |
| WEST, CHRISTIAN | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/01/2013 |
| COMEAU, DEBRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/16/2024 |
| ESPINOSA, STEPHANIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/14/2024 |
| FRAGOSO, LINDSAY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/10/2021 |
| HEALTH GROUP MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/25/2024 |
| LONGHURST, STOCK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/15/2020 |
| SAMUELIAN, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/22/2025 |
| SAMUELIAN, SPENCER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/21/2025 |
| SAMUELIAN, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/22/2025 |
| SANTOS, RODRIGO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/02/2024 |
| SEASTRAND, JASON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2013 |
| VIJ, NEERAJ | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
| WEST, CHRISTIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/21/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HAVEN OF CAMP VERDE LLC (enrollment ID O20130326000542).
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 | 2/1/2013 | 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 | 2/1/2013 | 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 | 2/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROBERT SAMUELIAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20.13 | 2/1/2013 | 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 | 2/1/2013 | 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 | 2/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HAVEN ARIZONA REAL ESTATE, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 2/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| HAVEN CAMP VERDE REAL ESTATE LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 2/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| HAVEN REAL ESTATE PARTNERS, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 2/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRETT P ROBERTSON | Individual | ADP OF THE SNF | Not stated in the filing | 1/22/2025 | 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 | 1/22/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBRA COMEAU | Individual | ADP OF THE SNF | Not stated in the filing | 9/16/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HAVEN ARIZONA REAL ESTATE, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/3/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| HAVEN CAMP VERDE REAL ESTATE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/3/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| HAVEN REAL ESTATE PARTNERS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/2/2024 | 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 | 11/25/2024 | 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 | 2/1/2013 | 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 | 5/10/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NEERAJ K VIJ | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | 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 | 1/22/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RODRIGO SANTOS | Individual | ADP OF THE SNF | Not stated in the filing | 10/2/2024 | 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 | 10/14/2024 | 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 | 1/22/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STOCK LONGHURST | Individual | ADP OF THE SNF | Not stated in the filing | 11/15/2020 | 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 | 2/1/2013 | 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 | 2/1/2013 | 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 | 2/1/2013 | 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 | 2/1/2013 | 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 | 2/1/2013 | 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 | 2/1/2013 | 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 | 1/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBRA COMEAU | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/16/2024 | 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 | 2/1/2013 | 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 | 5/10/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NEERAJ K VIJ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2023 | 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 | 1/22/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RODRIGO SANTOS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/2/2024 | 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 | 1/21/2025 | 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 | 10/14/2024 | 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 | 1/22/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STOCK LONGHURST | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/15/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- May 1, 2025: COURTNEY FISCHBECK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BRETT P ROBERTSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: LORI PADILA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN HEALTH GROUP ARIZONA LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HEALTH GROUP MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since November 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HEALTH GROUP MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since November 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: STOCK LONGHURST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since November 15, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: STOCK LONGHURST (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since November 15, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BRETT P ROBERTSON (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BRETT P ROBERTSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: DEBRA COMEAU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since September 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: DEBRA COMEAU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since September 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: LINDSAY FRAGOSO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 10, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: LINDSAY FRAGOSO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 10, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JASON J SEASTRAND (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JASON J SEASTRAND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JASON J SEASTRAND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: STEPHANIE ESPINOSA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: STEPHANIE ESPINOSA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SPENCER R SAMUELIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SPENCER R SAMUELIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ROBERT SAMUELIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ROBERT SAMUELIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: STEPHEN SAMUELIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: STEPHEN SAMUELIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RODRIGO SANTOS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 2, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RODRIGO SANTOS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 2, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN ARIZONA REAL ESTATE, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since December 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN ARIZONA REAL ESTATE, LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN CAMP VERDE REAL ESTATE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since December 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN CAMP VERDE REAL ESTATE LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN REAL ESTATE PARTNERS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since December 2, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN REAL ESTATE PARTNERS, LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: NEERAJ K VIJ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: NEERAJ K VIJ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CHRISTIAN R WEST (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CHRISTIAN R WEST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
Recent changes on this record
- March 19, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- May 1, 2025: COURTNEY FISCHBECK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BRETT P ROBERTSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: LORI PADILA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN HEALTH GROUP ARIZONA LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HEALTH GROUP MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since November 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HEALTH GROUP MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since November 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: STOCK LONGHURST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since November 15, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: STOCK LONGHURST (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since November 15, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BRETT P ROBERTSON (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: BRETT P ROBERTSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: DEBRA COMEAU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since September 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: DEBRA COMEAU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since September 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: LINDSAY FRAGOSO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 10, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: LINDSAY FRAGOSO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 10, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JASON J SEASTRAND (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JASON J SEASTRAND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JASON J SEASTRAND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: STEPHANIE ESPINOSA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: STEPHANIE ESPINOSA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SPENCER R SAMUELIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SPENCER R SAMUELIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ROBERT SAMUELIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ROBERT SAMUELIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: STEPHEN SAMUELIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: STEPHEN SAMUELIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RODRIGO SANTOS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 2, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RODRIGO SANTOS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 2, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN ARIZONA REAL ESTATE, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since December 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN ARIZONA REAL ESTATE, LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN CAMP VERDE REAL ESTATE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since December 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN CAMP VERDE REAL ESTATE LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN REAL ESTATE PARTNERS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since December 2, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: HAVEN REAL ESTATE PARTNERS, LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: NEERAJ K VIJ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: NEERAJ K VIJ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CHRISTIAN R WEST (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CHRISTIAN R WEST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- April 9, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 9, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 28, 2026 | May 28, 2026 | 7 | 4 |
| 2 | January 30, 2025 | January 30, 2025 | 10 | 2 |
| 3 | December 8, 2023 | December 8, 2023 | 3 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
20 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 29, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | July 1, 2026 |
| May 28, 2026 | 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 20, 2026 |
| May 28, 2026 | 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 20, 2026 |
| May 28, 2026 | 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 20, 2026 |
| May 28, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | E | No | Deficient, Provider has date of correction | June 20, 2026 |
| February 17, 2026 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Yes | Deficient, Provider has date of correction | March 13, 2026 |
| February 11, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | March 13, 2026 |
| May 13, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | June 20, 2025 |
| May 13, 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | June 20, 2025 |
| May 13, 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Yes | Deficient, Provider has date of correction | June 20, 2025 |
| May 13, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | June 20, 2025 |
| March 6, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | March 24, 2025 |
| January 30, 2025 | 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 2, 2025 |
| January 30, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | April 2, 2025 |
| January 30, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | April 2, 2025 |
| January 30, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | No | Deficient, Provider has date of correction | April 2, 2025 |
| January 30, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 2, 2025 |
| December 8, 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | No | Deficient, Provider has date of correction | January 17, 2024 |
| December 8, 2023 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | F | No | Deficient, Provider has date of correction | January 17, 2024 |
| December 8, 2023 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | No | Deficient, Provider has date of correction | January 17, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| February 11, 2026 | Fine | $11,864 | 138624 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | HAVEN OF CAMP VERDE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1985-11-13 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Yavapai |
| Telephone Number | 9285675253 |
| 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 | 58 |
| Average Number of Residents per Day | 48.0 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| 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 OF CAMP VERDE: 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 March 19, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. 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 OF CAMP VERDE
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.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 035118.