Skilled nursing facility · CMS certification number 045063
CMS certification number 045063
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.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026.
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, 2010 to March 31, 2010 — a reporting period of 89 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 21, 2013.
None of these figures is carried on this report.
CMS report record 434676, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 18, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,460,465 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,176,816 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$716,351 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $403 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$715,948 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,355 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 219 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 142.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 102.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385865, 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 August 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,594,076 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,603,036 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$8,960 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $853 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$8,107 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,246 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 294 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 238.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 143.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354689, 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 August 15, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,946,074 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,336,370 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$390,296 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,851 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$387,445 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,335 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 203 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 494.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 198.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324029, 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 August 8, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,169,553 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,203,802 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$34,249 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,927 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$26,322 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,675 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 347 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 188.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 120.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 291402, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for July 1, 2005 to December 31, 2005 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 17, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,920,298 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,911,582 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $8,716 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $420 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $9,136 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,720 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 137 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 316.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 151.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261356, 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 June 27, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,209,778 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,050,298 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $159,480 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,385 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $206,865 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,111 | 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 | 49.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 235.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 192.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 225615, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 1, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,691,258 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,982,194 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$290,936 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,872 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$230,064 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,720 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 249 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 230.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 209245, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 4, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,594,408 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,887,988 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$293,580 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $124,799 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$168,781 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,637 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 233 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 265.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 208.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 189307, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for June 1, 2001 to December 31, 2001 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on January 22, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,627,773 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,419,257 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $208,516 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $66,885 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $275,401 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,630 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 211 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 211.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 149.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 166742, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended May 31, 2000
Cost report for June 1, 1999 to May 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 10, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,626,145 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,459,929 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$833,784 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,401 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$775,383 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,908 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 135 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 476.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 399.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 79974, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended May 31, 1999
Cost report for June 1, 1998 to May 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 21, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,523,767 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,168,281 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,644,514 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$25,227 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,669,741 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,126 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 132 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 468.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 364.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 79972, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended May 31, 1998
Cost report for July 1, 1997 to May 31, 1998 — a reporting period of 334 days, on form CMS-2540-96, settled, processed by CMS on November 15, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,765,572 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,708,797 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$943,225 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $169,294 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$773,931 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,721 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 311.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 196.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 79970, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for January 1, 1997 to June 30, 1997 — a reporting period of 180 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 24, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,643,191 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,904,878 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$261,687 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,024 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$236,663 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,097 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,130.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 315.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 79969, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for April 1, 1996 to December 31, 1996 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 29, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,542,309 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,103,278 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$560,969 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,561 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$513,408 (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 | 174 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,937 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 257 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 364.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 167.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 79968, 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
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
No change in ownership appears in CMS’s ownership data for this facility.
Recent changes on this record
- May 21, 2013: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- August 18, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 14, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 15, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- August 8, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- August 17, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- February 24, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- June 27, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- March 1, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- August 4, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- January 22, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 14, 2002: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- October 10, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- April 21, 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- November 15, 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- March 24, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- April 29, 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
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The citable document for CMS certification number 045063
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 the same state 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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