Velarion Records

Skilled nursing facility · CMS certification number 045351

CARE MANOR NURSING AND REHAB

MOUNTAIN HOME, Arkansas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 104

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$9,024,673CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,785,839CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,238,834CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,201,035CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$37,799CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,725CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$43,524CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $43,524 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components104CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components38,064CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,647CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days11,503CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days10,197CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components23,347CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges89CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges9CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges134CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components232CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days18.51CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,278.11CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days100.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1432922, 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 June 21, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$7,636,046CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,161,176CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,474,870CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,321,154CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$153,716CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,155CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$157,871CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $157,871 (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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components104CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,400CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components180CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days976.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.33CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1385326, 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 July 14, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,143,854CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,049,016CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,094,838CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,383,144CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$288,306CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,440CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$286,866CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$286,866 (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%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components104CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,838CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components119CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days441.52CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days149.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358798, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 22, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,079,294CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$974,174CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,105,120CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,222,262CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$117,142CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,605CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$114,537CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$114,537 (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%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components104CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,392CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components154CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.42CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days687.32CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days125.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1326268, 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 September 16, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$7,401,412CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,251,925CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,149,487CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,250,827CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$101,340CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,237CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$99,103CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$99,103 (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%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components104CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,874CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components198CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days538.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days130.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1298216, 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 October 14, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$11,700,410CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,476,802CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,223,608CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,749,695CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$473,913CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,150CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$476,063CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $476,063 (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%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components104CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,469CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components350CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.9CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days661.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days98.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1271209, 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 July 18, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$11,686,180CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,669,572CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,016,608CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,643,230CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$373,378CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,953CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$375,331CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $375,331 (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%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components104CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,501CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components321CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days305.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days104.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237338, 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 21, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$9,091,064CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,500,399CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,590,665CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,396,536CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$194,129CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,115CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$196,244CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $196,244 (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%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components104CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,937CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components194CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days353.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days159.47CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209305, 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 12, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$8,216,573CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,226,801CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,989,772CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,678,028CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$311,744CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,683CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$313,427CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $313,427 (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%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components104CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,152CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components191CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days319.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days147.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1173017, 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 July 25, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$7,220,647CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,641,930CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,578,717CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,393,321CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$185,396CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,454CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$186,850CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $186,850 (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%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components104CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,388CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components155CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days62.38CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days500CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days170.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1136413, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended December 31, 2014

Cost report for April 1, 2014 to December 31, 2014 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 9, 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$4,929,276CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,050,015CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,879,261CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,878,407CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$854CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$627CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,481CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,481 (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%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components104CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,229CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components138CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days236.7CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days139.34CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1148163, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$1CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$1CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$449,579CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$449,578CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$449,578CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$449,578 (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%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,464CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components133CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days19.62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days221.53CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1103303, 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 June 27, 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$5,563,552CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,563,552CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,544,742CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$18,810CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$445CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$19,255CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $19,255 (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%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,192CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components125CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.49CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days193.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1069187, 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, as submitted, processed by CMS on October 26, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$5,528,257CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,528,257CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,467,498CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$60,759CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,307CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$62,066CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $62,066 (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%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,022CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components130CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days17.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days230.94CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1017139, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 19, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$5,259,730CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,980,297CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$720,567CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$10,196CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$710,371 (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.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,588CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components1,481CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.72CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days19.98CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 411050, 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 July 20, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$5,344,026CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,474,941CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$130,915CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$24,301CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$106,614 (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.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,159CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components371CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.07CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days86.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 382655, 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 27, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$4,829,598CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,630,561CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$199,037CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$18,171CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$2CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $217,206 (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.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,783CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components406CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days17.11CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days70.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 355537, 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 8, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$5,276,572CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,993,800CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$282,772CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$21,136CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $303,907 (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.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,032CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components403CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.91CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days81.97CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 323297, 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 March 11, 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$4,462,371CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,668,218CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$205,847CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$21,411CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$184,436 (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.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,004CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components298CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days20.12CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days104.04CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 304112, 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 June 14, 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$4,894,550CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,736,946CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$157,604CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$11,467CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $169,071 (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.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,337CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components365CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.9CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days88.59CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 283558, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 31, 2004

Cost report for July 1, 2004 to December 31, 2004 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 28, 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$2,449,178CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,427,867CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$21,311CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,955CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $29,266 (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.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,346CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components160CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days21.16CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days102.16CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 256239, 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 June 14, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$3,493,369CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,477,991CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$15,378CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$22,128CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $37,506 (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.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components91CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,951CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components167CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days27.74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days179.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 222171, 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 November 26, 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$3,159,461CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,937,575CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$221,886CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$19,035CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $240,921 (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.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components91CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components27,693CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components110CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days22.58CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days251.75CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 163983, 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 May 7, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$2,568,855CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,620,562CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$51,707CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$19,808CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$31,899 (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.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components91CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,698CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components94CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.19CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days252.11CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 142977, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended July 31, 2000

Cost report for January 1, 2000 to July 31, 2000 — a reporting period of 212 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$1,011,526CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,126,935CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$115,409CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,350CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$111,059 (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.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components91CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components11,178CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components63CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.09CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days177.43CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 116329, read from the public cost report file SNFFY2000.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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
COOPER, BENJAMINADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2014
COOPER, JAMESADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2014
COOPER, ROBERTADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2025
DVORAK, NORAADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2025
ELLIS, JOHNADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2013
HEALTH CARE SOLUTIONS, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2020
KOEHLER, TOBEYADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2013
LTC SYSTEMS/RX, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2014
MCGINNIS, LARRYADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2014
PHARMACY CONSULTS, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2014
RELIANCE HEALTH CARE, INC.ADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2014
SCRIBNER, JOHNADP OF THE SNFIndividualNOT APPLICABLEsince 08/14/2024
SPEAKS, KATHYADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2025
SUTTERFIELD, RANDYADP OF THE SNFIndividualNOT APPLICABLEsince 11/07/2022
DVORAK, NORACORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/01/2025
ADAMS, ANTHONYCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/01/2014
ADAMS, BRYANCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/01/2014
ELLIS, JOHNCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/01/2014
KOEHLER, TOBEYCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/01/2013
DVORAK, NORAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/01/2025
SPEAKS, KATHYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/01/2025
SUTTERFIELD, RANDYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/07/2022
SUTTERFIELD, RANDYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/07/2022

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MHCNC, INC. (enrollment ID O20140730000471).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
EAGLE HEALTH SYSTEMS INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1004/1/2014
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ANTHONY BRANDON ADAMSIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST504/1/2014
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BRYAN MILBURN ADAMSIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST504/1/2014
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BENJAMIN COOPERIndividualADP OF THE SNFNot stated in the filing4/1/2014
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
HEALTH CARE SOLUTIONS, LLCOrganizationADP OF THE SNFNot stated in the filing1/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
JAMES B COOPERIndividualADP OF THE SNFNot stated in the filing4/1/2014
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN ELLISIndividualADP OF THE SNFNot stated in the filing4/1/2013
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN SCRIBNERIndividualADP OF THE SNFNot stated in the filing8/14/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KATHY JO SPEAKSIndividualADP OF THE SNFNot stated in the filing4/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LARRY M MCGINNISIndividualADP OF THE SNFNot stated in the filing4/1/2014
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LTC SYSTEMS/RX, LLCOrganizationADP OF THE SNFNot stated in the filing4/1/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
NORA DVORAKIndividualADP OF THE SNFNot stated in the filing4/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PHARMACY CONSULTS, LLCOrganizationADP OF THE SNFNot stated in the filing4/1/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
RANDY SUTTERFIELDIndividualADP OF THE SNFNot stated in the filing11/7/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RELIANCE HEALTH CARE, INC.OrganizationADP OF THE SNFNot stated in the filing4/1/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
ROBERT COOPERIndividualADP OF THE SNFNot stated in the filing4/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TOBEY KOEHLERIndividualADP OF THE SNFNot stated in the filing4/1/2013
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NORA DVORAKIndividualCORPORATE DIRECTOR04/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANTHONY BRANDON ADAMSIndividualCORPORATE OFFICER504/1/2014
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BRYAN MILBURN ADAMSIndividualCORPORATE OFFICER04/1/2014
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN ELLISIndividualCORPORATE OFFICER04/1/2014
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TOBEY KOEHLERIndividualCORPORATE OFFICER04/1/2013
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KATHY JO SPEAKSIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing4/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NORA DVORAKIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing4/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RANDY SUTTERFIELDIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing11/7/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RANDY SUTTERFIELDIndividualOPERATIONAL/MANAGERIAL CONTROL10011/7/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1August 29, 2025August 29, 202521
2May 16, 2024May 16, 202471
3March 10, 2023March 10, 202361

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

15 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
August 29, 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.ENoDeficient, Provider has date of correctionSeptember 22, 2025
August 29, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionSeptember 22, 2025
January 17, 2025HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DYesDeficient, Provider has date of correctionMarch 3, 2025
May 16, 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DYesDeficient, Provider has date of correctionJune 15, 2024
May 16, 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correctionJune 15, 2024
May 16, 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.ENoDeficient, Provider has date of correctionJune 15, 2024
May 16, 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correctionJune 15, 2024
May 16, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correctionJune 15, 2024
May 16, 2024HealthF 0882Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.EYesDeficient, Provider has date of correctionJune 15, 2024
March 10, 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionApril 9, 2023
March 10, 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correctionApril 9, 2023
March 10, 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.ENoDeficient, Provider has date of correctionApril 9, 2023
March 10, 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correctionApril 9, 2023
March 10, 2023HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.ENoDeficient, Provider has date of correctionApril 9, 2023
March 10, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionApril 9, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameMHCNC, INC.
Date First Approved to Provide Medicare and Medicaid Services1999-08-25
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishBaxter
Telephone Number8704245030
Chain NameANTHONY & BRYAN ADAMS
Chain ID36
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds104
Average Number of Residents per Day67.5
Overall Rating5
Health Inspection Rating4
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating4
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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