Velarion Records

Skilled nursing facility · CMS certification number 055022

Mary Health of the Sick Convalescent & Nursing Hos

Newbury Park, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 61

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$9,493,210CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$14,973CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,478,237CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,394,522CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$916,285CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,200,270CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,283,985CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,283,985 (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 components61CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components22,326CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,886CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days9,599CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days5,729CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components19,214CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges119CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges6CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges21CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components146CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.66CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,599.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days131.6CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436166, 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 August 22, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$8,851,758CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$67,738CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,784,020CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,836,996CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,052,976CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,508,104CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$4,455,128CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,454,578 (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 2023
FigureAs filedWhere it comes from
Total facility beds, all components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,032CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components157CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.12CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days724.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days114.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1392852, 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 27, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$7,201,007CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$223,892CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,977,115CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,135,053CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,157,938CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$936,726CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$221,212CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,554,919 (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 2022
FigureAs filedWhere it comes from
Total facility beds, all components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,461CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components126CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,267.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360003, 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 August 18, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$5,669,815CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$119,651CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,789,466CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,271,798CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,482,332CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,012,674CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,530,342CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,093,401 (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 components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,585CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components73CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.21CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days292.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days172.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329968, 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 October 20, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,300,748CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$176,446CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,124,302CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,525,651CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,401,349CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,167,451CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$766,102CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $299,222 (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 components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,618CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components52CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.28CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,043.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days300.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302360, 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 28, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,873,109CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$301,238CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,571,871CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,877,236CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,305,365CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,054,598CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,749,233CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,223,728 (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 components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,600CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components117CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,049.7CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days150.43CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1265306, 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 5, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$7,060,094CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$393,825CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,666,269CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,796,465CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,130,196CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,579,939CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$449,743CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$20,503 (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 components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,505CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components103CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.19CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days655.35CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days179.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239414, 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$6,872,933CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$368,106CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,504,827CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,702,004CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,197,177CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,892,628CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,695,451CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,111,739 (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 components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,833CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components109CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.47CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,049.09CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days172.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208309, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$7,338,383CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$816,483CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,154,866CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,767,236CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$387,630CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,731,175CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,118,805CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,576,108 (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 components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,054CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components163CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days826.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days123.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174307, 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$6,950,342CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$318,060CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,268,402CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,655,713CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$387,311CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,709,348CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,322,037CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $826,834 (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 components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,222CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components82CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.04CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,067.92CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days258.8CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1137003, 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 June 4, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$7,117,359CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$824,421CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,292,938CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,483,506CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,190,568CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,631,488CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,440,920CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $847,668 (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 components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,230CMS-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 days47.56CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days880.93CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days255.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1093372, 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 23, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$6,266,737CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$336,224CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,930,513CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,208,987CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,278,474CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,573,547CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,295,073CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $765,235 (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 components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,750CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components75CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days724.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days276.67CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1072745, 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 May 16, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$6,349,707CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$368,451CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,981,256CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,554,267CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,573,011CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,374,490CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$801,479CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $355,483 (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 components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,230CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components75CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days58.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days679.73CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days269.73CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1029388, 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 September 28, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$6,191,441CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$237,825CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,953,616CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,680,960CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,727,344CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,239,561CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$512,217CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $107,153 (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 components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,183CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components39CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days114.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,431.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days543.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013057, 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 May 27, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$5,429,539CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,962,889CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,533,350CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,108,585CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$410,766CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $164,469 (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 components61CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,409CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components29CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days178.22CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days939.45CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days738.24CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 401076, 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 May 18, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$5,188,484CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,717,910CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,529,426CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,851,877CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$350,823CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$28,372 (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 components61CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,306CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components27CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days1,123CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days923.11CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days789.11CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 369918, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended December 31, 2008

Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 20, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$5,019,598CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,321,150CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,301,552CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$172,959CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$346,743CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$781,850 (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 components61CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,576CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components55CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days112.88CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days273.93CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days374.11CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 351635, 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 December 31, 2008.

None of these figures is carried on this report.

CMS report record 331285, 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 December 10, 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$4,408,025CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,438,753CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$1,030,728CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$350,983CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$1,615,867CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $936,122 (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 components61CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,725CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components39CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days59CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days998.3CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days557.05CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 298157, 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 October 16, 2006.

None of these figures is carried on this report.

CMS report record 264451, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 31, 2004

Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 11, 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$4,078,185CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,100,325CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$22,140CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,352,235CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1,025,367CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $304,728 (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 components61CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,146CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components35CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days185.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,045.67CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days632.74CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 249075, 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 July 30, 2004.

None of these figures is carried on this report.

CMS report record 188643, 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 October 28, 2003.

Net income: $487,596 (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 162113, 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 February 12, 2003.

Net income: $1,190,331 (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 122564, 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 February 13, 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$3,135,042CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,181,434CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$46,392CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$156,828CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $110,436 (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 2000
FigureAs filedWhere it comes from
Total facility beds, all components61CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,141CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components33CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days407CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days360.64CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days670.94CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 125561, 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, as submitted, processed by CMS on August 1, 2000.

Net income: $997,309 (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 4275, 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 June 5, 2000.

Net income: $506,385 (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 4273, 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: $297,654 (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 4271, read from the public cost report file SNFFY1997.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
SERVANTS OF MARY MINISTERS TO THE SICK INC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 09/20/2007
AFSHAR, SHIDEHADP OF THE SNFIndividualNOT APPLICABLEsince 03/21/2011
DATTOMA, LUCIAADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2023
RICO, MARGARITAADP OF THE SNFIndividualNOT APPLICABLEsince 05/24/2024
RIVERA MARTINEZ, MIRIAMADP OF THE SNFIndividualNOT APPLICABLEsince 05/24/2024
SERVANTS OF MARY MINISTERS TO THE SICK INCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/17/2026
HERNANDEZ RAMIREZ, MARIACORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/24/2024
OLIVARES, SISTER ADRIANACORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/24/2024
RICO, MARGARITACORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/24/2024
RIVERA MARTINEZ, MIRIAMCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/24/2024
HERNANDEZ RAMIREZ, MARIACORPORATE OFFICERIndividualNOT APPLICABLEsince 05/24/2024
OLIVARES, SISTER ADRIANACORPORATE OFFICERIndividualNOT APPLICABLEsince 05/24/2024
RICO, MARGARITACORPORATE OFFICERIndividualNOT APPLICABLEsince 05/24/2024
RIVERA MARTINEZ, MIRIAMCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/24/2024
AFSHAR, SHIDEHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/21/2011
DATTOMA, LUCIAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2023
HERNANDEZ RAMIREZ, MARIAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/24/2024
OLIVARES, SISTER ADRIANAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/24/2024
RICO, MARGARITAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/24/2024
RIVERA MARTINEZ, MIRIAMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/24/2024
SERVANTS OF MARY MINISTERS TO THE SICK INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 09/20/2007

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MARY HEALTH OF THE SICK CONVALESCENT AND NURSING HOSPITAL INCORPORATED (enrollment ID O20070928000501).

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
SERVANTS OF MARY MINISTERS TO THE SICK INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1009/20/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
LUCIA L DATTOMAIndividualADP OF THE SNFNot stated in the filing6/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARGARITA RICOIndividualADP OF THE SNFNot stated in the filing5/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MIRIAM RIVERA MARTINEZIndividualADP OF THE SNFNot stated in the filing5/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SERVANTS OF MARY MINISTERS TO THE SICK INCOrganizationADP OF THE SNFNot stated in the filing3/17/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
SHIDEH AFSHARIndividualADP OF THE SNFNot stated in the filing3/21/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARGARITA RICOIndividualCORPORATE DIRECTORNot stated in the filing5/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARIA HERNANDEZ RAMIREZIndividualCORPORATE DIRECTORNot stated in the filing5/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MIRIAM RIVERA MARTINEZIndividualCORPORATE DIRECTORNot stated in the filing5/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SISTER ADRIANA OLIVARESIndividualCORPORATE DIRECTORNot stated in the filing5/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARGARITA RICOIndividualCORPORATE OFFICERNot stated in the filing5/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARIA HERNANDEZ RAMIREZIndividualCORPORATE OFFICERNot stated in the filing5/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MIRIAM RIVERA MARTINEZIndividualCORPORATE OFFICERNot stated in the filing5/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SISTER ADRIANA OLIVARESIndividualCORPORATE OFFICERNot stated in the filing5/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LUCIA L DATTOMAIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARGARITA RICOIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing5/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARIA HERNANDEZ RAMIREZIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing5/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MIRIAM RIVERA MARTINEZIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing5/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SERVANTS OF MARY MINISTERS TO THE SICK INCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing9/20/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
SHIDEH AFSHARIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing3/21/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SISTER ADRIANA OLIVARESIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing5/24/2024
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
1June 11, 2026June 11, 202654
2February 26, 2025February 26, 202514
3February 10, 2023February 10, 202386

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

Deficiencies cited

14 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
June 11, 2026HealthF 0605Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.ENoDeficient, Provider has date of correctionJuly 3, 2026
June 11, 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionJuly 3, 2026
June 11, 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 correctionJuly 3, 2026
June 11, 2026HealthF 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 correctionJuly 3, 2026
June 11, 2026HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.FNoDeficient, Provider has date of correctionJuly 3, 2026
February 26, 2025HealthF 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 correctionMarch 22, 2025
February 10, 2023HealthF 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.DNoDeficient, Provider has date of correctionMarch 16, 2023
February 10, 2023HealthF 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 correctionMarch 16, 2023
February 10, 2023HealthF 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 16, 2023
February 10, 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correctionMarch 16, 2023
February 10, 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 correctionMarch 16, 2023
February 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 correctionMarch 16, 2023
February 10, 2023HealthF 0838Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FNoDeficient, Provider has date of correctionMarch 16, 2023
February 10, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correctionMarch 16, 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 TypeNon profit - Corporation
Legal Business NameMARY HEALTH OF THE SICK CONVALESCENT AND NURSING HOSPITAL INCORPORATED
Date First Approved to Provide Medicare and Medicaid Services1967-01-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishVentura
Telephone Number8054983644
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds61
Average Number of Residents per Day53.3
Overall Rating5
Health Inspection Rating4
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating5
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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