Velarion Records

Skilled nursing facility · CMS certification number 055002

COUNTRY MANOR HEALTHCARE

LAKE VIEW TERRACE, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 99

Download this facility’s record (CSV)

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

In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,018.00 · Payment denials: 0. The most recent penalty on file: November 27, 2023, Fine, $8,018. 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$15,021,148CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$146,826CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,167,974CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,427,929CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$740,045CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$83,687CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$823,732CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $823,732 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components36,234CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days645CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days715CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days33,107CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components34,467CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges7CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges17CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges71CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components95CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days92.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days42.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days362.81CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436164, 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 September 12, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$13,034,972CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$859,858CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,894,830CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,250,563CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$644,267CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$174,641CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$818,908CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $818,908 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,721CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components78CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days40.12CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days445.14CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394583, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$12,302,168CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$428,809CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,730,977CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,529,499CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$201,478CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$95,804CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$297,282CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $297,282 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,981CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components91CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days88.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days82.29CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days362.43CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1363969, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 27, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$12,284,830CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$307,374CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,592,204CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,563,828CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,028,376CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$136,562CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,164,938CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,164,938 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,585CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components68CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days274.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days493.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334150, 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 December 3, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$10,124,944CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$734,067CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,859,011CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,919,047CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$60,036CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$610,244CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$550,208CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $550,208 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,754CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components83CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days80.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days338CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days358.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1306051, 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 August 13, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$9,427,255CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$429,856CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,857,111CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,634,858CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$222,253CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$32,969CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$255,222CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $255,221 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,033CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components72CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days65.92CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days981.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days431.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1263382, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$8,937,914CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$156,754CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,781,160CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,970,396CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$189,236CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$31,317CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$157,919CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$157,919 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,319CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components93CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.56CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days750.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days326.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241883, 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 July 19, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$8,856,139CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$131,748CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,987,887CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,657,270CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$330,617CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$39,744CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$370,361CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $370,360 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,390CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components90CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days726.15CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days337.67CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200596, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$8,740,590CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$184,010CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,556,580CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,135,245CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$421,335CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$52,219CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$473,554CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $473,554 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,996CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components91CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,681.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days340.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1187936, 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 30, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$8,606,050CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$913,158CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,692,892CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,563,799CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$129,093CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$43,557CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$172,650CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $172,650 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,672CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components110CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.95CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days983.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days278.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1139008, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended December 31, 2014

Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 23, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$8,369,893CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,014,053CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,355,840CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,022,160CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$333,680CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$19,349CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$353,029CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $340,439 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,376CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components146CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days681.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days208.05CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1110618, 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 30, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$7,224,634CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$532,767CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,691,867CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,572,514CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$119,353CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$19,058CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$138,411CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $125,821 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,824CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components270CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days208.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days110.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1074136, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 16, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$6,399,869CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$111,866CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,288,003CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,287,534CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$469CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$20,099CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$20,568CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $7,978 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,494CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components208CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.87CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days237.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days141.8CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046518, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended December 31, 2011

Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 31, 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$6,388,828CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$346,687CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,735,515CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,430,028CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$305,487CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$131,003CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$436,490CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $436,490 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,754CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components229CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days221.15CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days138.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024268, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$6,069,343CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,160,802CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$91,459CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$138,500CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $47,041 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,285CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components234CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days28.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days221.55CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days142.24CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415532, 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 13, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$5,928,610CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,993,342CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$64,732CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$131,556CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $66,824 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,004CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components191CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.27CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days270.97CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days172.8CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385480, 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 3, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$5,440,173CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,533,864CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$93,691CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$131,481CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $37,790 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,737CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components289CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.4CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days156.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days116.74CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 353541, 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 19, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$5,189,968CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,386,782CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$196,814CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$139,850CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$56,964 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,757CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components196CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days265.99CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days172.23CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 324355, 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 July 25, 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$4,680,797CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,917,726CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$236,929CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$106,642CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$130,287 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,353CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components144CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days26.84CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days402.77CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days238.56CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 289617, 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 August 10, 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$4,380,993CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,594,214CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$213,221CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$115,571CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$97,651 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,808CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components149CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days15.16CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days352.55CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days226.9CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 260851, 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 August 9, 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$4,007,750CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,328,810CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$321,060CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$42,141CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$278,919 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,610CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components139CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days7.79CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days361.41CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days213.02CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 230261, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for February 1, 2003 to December 31, 2003 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on May 20, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$3,505,032CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,656,342CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$151,310CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$104,371CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$46,939 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components30,788CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components135CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.39CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days324.09CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days228.06CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 217525, 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 18, 2003.

None of these figures is carried on this report.

CMS report record 157085, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended December 31, 2001

Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 24, 2003.

None of these figures is carried on this report.

CMS report record 160700, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended December 31, 2000

Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2001.

None of these figures is carried on this report.

CMS report record 73617, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended December 31, 1999

Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2002.

None of these figures is carried on this report.

CMS report record 73616, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended December 31, 1998

Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 5, 1999.

None of these figures is carried on this report.

CMS report record 4244, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended December 31, 1997

Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 31, 1998.

Net income: $36,084 (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.

CMS report record 4242, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended December 31, 1996

Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on June 19, 1997.

None of these figures is carried on this report.

CMS report record 4241, 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.

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
AREVALO, JOSEADP OF THE SNFIndividualNOT APPLICABLEsince 05/06/2026
OFOEGBU, KINGSLEYADP OF THE SNFIndividualNOT APPLICABLEsince 05/06/2026
QUION, ANTONIOADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2014
STEVE, DENISEADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2021
WASHINGTON INVESTMENTS III, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2023
DAVID, EMMANUELCORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/05/2003
DAVID, EMMANUELCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/05/2003
DAVID, EMMANUELDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 12/22/2016
DAVID, OFELIADIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 12/22/2016
QUION, ANTONIOMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/30/2003
STEVE, DENISEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2021
AREVALO, JOSEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/26/2020
OFOEGBU, KINGSLEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2023
QUION, ANTONIOOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/30/2003
STEVE, DENISEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2021

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CANYON PROPERTIES III, LLC (enrollment ID O20030414000055).

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
CHARIS TR DTD 12/22/2016Organization5% OR GREATER DIRECT OWNERSHIP INTEREST9812/22/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
ANTONIO TIBAYAN QUIONIndividualADP OF THE SNFNot stated in the filing1/1/2014
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DENISE STEVEIndividualADP OF THE SNFNot stated in the filing1/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOSE AREVALOIndividualADP OF THE SNFNot stated in the filing5/6/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KINGSLEY OFOEGBUIndividualADP OF THE SNFNot stated in the filing5/6/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WASHINGTON INVESTMENTS III, LLCOrganizationADP OF THE SNFNot stated in the filing2/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
EMMANUEL BELTRAN DAVIDIndividualCORPORATE DIRECTOR13/5/2003
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EMMANUEL BELTRAN DAVIDIndividualCORPORATE OFFICER13/5/2003
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EMMANUEL BELTRAN DAVIDIndividualDIRECT OWNERSHIP INTEREST112/22/2016
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
OFELIA T DAVIDIndividualDIRECT OWNERSHIP INTEREST112/22/2016
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANTONIO TIBAYAN QUIONIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing1/30/2003
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DENISE STEVEIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing1/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANTONIO TIBAYAN QUIONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/30/2003
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DENISE STEVEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOSE AREVALOIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing10/26/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KINGSLEY OFOEGBUIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing3/1/2023
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
1February 12, 2026February 12, 2026179
2November 8, 2024November 8, 2024242
3November 3, 2023November 3, 2023213

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

Deficiencies cited

65 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
February 12, 2026HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DNoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.ENoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 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 correctionMarch 12, 2026
February 12, 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.ENoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 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.DNoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.ENoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 0849Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.ENoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionMarch 12, 2026
February 12, 2026HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.DNoDeficient, Provider has date of correctionMarch 12, 2026
July 21, 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionAugust 22, 2025
November 27, 2024HealthF 0712Nursing and Physician Services DeficienciesEnsure that the resident and his/her doctor meet face-to-face at all required visits.DYesDeficient, Provider has date of correctionDecember 25, 2024
November 27, 2024HealthF 0808Nutrition and Dietary DeficienciesEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DYesDeficient, Provider has date of correctionDecember 25, 2024
November 8, 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.ENoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 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 correctionDecember 8, 2024
November 8, 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0659Resident Assessment and Care Planning DeficienciesProvide care by qualified persons according to each resident's written plan of care.DNoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0678Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.ENoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0700Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DNoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.ENoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 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.DNoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.ENoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0813Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.ENoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correctionDecember 8, 2024
November 8, 2024HealthF 0887Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.ENoDeficient, Provider has date of correctionDecember 8, 2024
May 28, 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correctionJune 25, 2024
May 28, 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correctionJune 25, 2024
November 27, 2023HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionDecember 26, 2023
November 27, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correctionDecember 26, 2023
November 3, 2023HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.ENoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 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.DNoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 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 correctionNovember 30, 2023
November 3, 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.ENoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 0728Nursing and Physician Services DeficienciesEnsure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.DNoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 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.DNoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 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.DNoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DNoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionNovember 30, 2023
November 3, 2023HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.DNoDeficient, Provider has date of correctionNovember 30, 2023
August 30, 2023HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DYesDeficient, Provider has date of correctionSeptember 25, 2023
August 17, 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correctionSeptember 14, 2023
August 17, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionSeptember 14, 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
November 27, 2023Fine$8,018130824

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameCANYON PROPERTIES III, LLC
Date First Approved to Provide Medicare and Medicaid Services1968-09-01
Provider Resides in HospitalY
Continuing Care Retirement CommunityN
UrbanY
County/ParishLos Angeles
Telephone Number8188990251
Chain NameCHARIS TRUST DTD 12/22/16
Chain ID136
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds99
Average Number of Residents per Day90.1
Overall Rating4
Health Inspection Rating2
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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