Skilled nursing facility · CMS certification number 055056
PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP
SAN GABRIEL, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 75
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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,406,219 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,588,776 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,817,443 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,573,551 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,243,892 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $552,589 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,796,481 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,796,481 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 27,450 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,876 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 15,158 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,581 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 24,615 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 94 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 144 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 11 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 249 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 105.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436170, 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 28, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,370,019 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,727,594 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,642,425 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,214,691 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $427,734 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,090,375 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,518,109 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,518,109 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,276 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393271, 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 August 23, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,730,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,449,878 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,280,996 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,976,386 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,304,610 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $657,017 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,961,627 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,961,627 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,526 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 11,867 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 184.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362872, 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 19, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,715,523 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,944,367 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,771,156 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,825,229 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $945,927 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $648,424 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,594,351 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,594,351 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,859 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 224 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,462.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332647, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 21, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,731,122 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,280,846 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,450,276 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,051,198 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,399,078 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,269,784 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,668,862 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,668,862 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,508 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 249 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 991.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1342797, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,566,413 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,562,904 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,003,509 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,439,158 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $564,351 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $349,451 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $913,802 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $913,802 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,553 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 316 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,001.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1290679, 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 November 10, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,214,953 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,225,285 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,989,668 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,362,988 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $626,680 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $229,839 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $856,519 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $856,519 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,678 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 311 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 808.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 82.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272934, 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 March 19, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,135,510 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,942,065 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,193,445 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,253,411 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $940,034 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $161,231 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,101,265 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,101,265 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,465 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 314 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 689.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221389, 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 October 30, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,098,755 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,063,604 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,035,151 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,949,321 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $85,830 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $98,897 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $184,727 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $184,727 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,880 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 245 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 136.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1213396, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,185,154 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,356,366 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,828,788 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,195,174 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $633,614 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $106,505 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $740,119 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $740,119 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,835 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 363.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139009, 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 17, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,196,848 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,148,237 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,048,611 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,299,245 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $749,366 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $115,826 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $865,192 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $865,192 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,647 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 112.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1097854, 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 August 29, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,025,805 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,960,951 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,064,854 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,084,033 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $980,821 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $78,738 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,059,559 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,059,559 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,483 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 292 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 161.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077320, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for June 1, 2012 to December 31, 2012 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 16, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,099,957 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $939,154 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,160,803 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,677,725 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $483,078 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $53,725 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $536,803 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $536,803 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,966 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 128.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 90.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046524, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,133,773 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $694,999 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,438,774 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,183,816 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $254,958 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $33,761 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $288,719 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $288,719 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,704 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 297 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 395.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1013058, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,213,292 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,362,467 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$149,175 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,626 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$110,549 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,614 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 253 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 682.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 93.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415536, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,356,506 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,554,284 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$197,778 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,374 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$171,204 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,541 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 103 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 405.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 238.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385487, 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 5, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,171,186 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,157,343 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $13,843 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,998 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $42,041 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,393 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 273 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 314.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 93.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353905, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 8, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,977,878 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,932,267 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $45,611 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,869 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $70,680 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,689 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 240 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 326.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 102.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323370, 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 14, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,075,431 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,005,642 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $69,789 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,835 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $72,824 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,897 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 259 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 300.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 92.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 298640, 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 September 15, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,582,729 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,586,099 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,370 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,300 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $130 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,739 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 201 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 280.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 262828, 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 February 15, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,497,747 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,464,213 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $33,534 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,077 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $36,811 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,578 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 191 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 261.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243003, 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 September 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,300,495 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,330,864 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$30,369 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,661 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $845 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$26,553 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,258 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 359.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 188.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194451, 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 April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,090,354 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,156,159 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$65,805 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,212 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$54,393 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,992 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 296.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 134.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173181, 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 August 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,034,089 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,124,903 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$90,814 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,496 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$63,118 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,222 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 257.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 181.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156737, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,932,478 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,825,576 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $106,902 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,388 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $35,180 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $80,110 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,688 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 130 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 404.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 129544, 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 September 6, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,284,291 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,287,408 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,117 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,367 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,567 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $10,683 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,506 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 219.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 183.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 73648, 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, as submitted, processed by CMS on November 3, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,394,281 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,436,265 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$41,984 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,159 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $845 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$28,670 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,411 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 386.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 276.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80050, 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 March 11, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,248,880 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,336,255 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$87,375 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,490 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $885 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$74,770 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,378 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 85 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 319.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 251.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80048, 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.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ERETZ PINE GROVE PROPERTIES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/02/2020 |
| GEDDES, CODY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2024 |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/12/2025 |
| YAMAWAKI, OLGA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/11/2023 |
| G4 WELLNESS GP LLC | GENERAL PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 06/01/2012 |
| RECHNITZ, SHLOMO | LIMITED PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 06/01/2012 |
| WEISS, JONATHAN | LIMITED PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/01/2019 |
| GEDDES, CODY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2024 |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/01/2012 |
| YAMAWAKI, OLGA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/11/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PINE GROVE HEALTHCARE & WELLNESS CENTRE LP (enrollment ID O20120821000903).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CODY MICHAEL GEDDES | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERETZ PINE GROVE PROPERTIES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/2/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| OLGA YAMAWAKI | Individual | ADP OF THE SNF | Not stated in the filing | 5/11/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/12/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| G4 WELLNESS GP LLC | Organization | GENERAL PARTNERSHIP INTEREST | 0.1 | 6/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| JONATHAN WEISS | Individual | LIMITED PARTNERSHIP INTEREST | 3.5 | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHLOMO RECHNITZ | Individual | LIMITED PARTNERSHIP INTEREST | 96.4 | 6/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CODY MICHAEL GEDDES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OLGA YAMAWAKI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/11/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- September 1, 2025: SHLOMO RECHNITZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ERETZ PINE GROVE PROPERTIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 2, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OLGA YAMAWAKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OLGA YAMAWAKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CODY MICHAEL GEDDES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CODY MICHAEL GEDDES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ROCKPORT ADMINISTRATIVE SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ROCKPORT ADMINISTRATIVE SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Recent changes on this record
- September 1, 2025: SHLOMO RECHNITZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ERETZ PINE GROVE PROPERTIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 2, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OLGA YAMAWAKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OLGA YAMAWAKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CODY MICHAEL GEDDES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CODY MICHAEL GEDDES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ROCKPORT ADMINISTRATIVE SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ROCKPORT ADMINISTRATIVE SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 28, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 23, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- February 21, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 19, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 28, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- November 10, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- March 19, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- October 30, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 30, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- June 17, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 29, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 16, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- August 16, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- September 28, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- August 17, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- August 13, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 5, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 8, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- December 14, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- September 15, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- February 15, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- September 21, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- April 27, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- August 12, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 13, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- September 6, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- November 3, 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- March 11, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 19, 2026 | March 19, 2026 | 14 | 4 |
| 2 | February 7, 2025 | February 7, 2025 | 17 | 4 |
| 3 | February 15, 2024 | February 15, 2024 | 18 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
49 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 19, 2026 | Health | F 0559 | Resident Rights Deficiencies | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | No | Deficient, Provider has date of correction | April 9, 2026 |
| March 19, 2026 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | April 9, 2026 |
| March 19, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | April 9, 2026 |
| March 19, 2026 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | No | Deficient, Provider has date of correction | April 9, 2026 |
| March 19, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | April 9, 2026 |
| March 19, 2026 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | E | No | Deficient, Provider has date of correction | April 9, 2026 |
| March 19, 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | No | Deficient, Provider has date of correction | April 9, 2026 |
| March 19, 2026 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | No | Deficient, Provider has date of correction | April 9, 2026 |
| March 19, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 9, 2026 |
| March 19, 2026 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | April 9, 2026 |
| March 19, 2026 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | April 9, 2026 |
| February 13, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | February 16, 2026 |
| January 8, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | January 15, 2026 |
| September 15, 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | Yes | Deficient, Provider has date of correction | September 29, 2025 |
| February 7, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor 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. | E | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | B | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure 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. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | E | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| February 7, 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | No | Deficient, Provider has date of correction | March 5, 2025 |
| October 10, 2024 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Yes | Deficient, Provider has date of correction | October 13, 2024 |
| October 10, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | October 13, 2024 |
| February 15, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure 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. | E | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | E | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | March 11, 2024 |
| February 15, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | No | Deficient, Provider has date of correction | March 11, 2024 |
| November 10, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | December 8, 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
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Partnership |
| Legal Business Name | PINE GROVE HEALTHCARE & WELLNESS CENTRE LP |
| Date First Approved to Provide Medicare and Medicaid Services | 1972-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Los Angeles |
| Telephone Number | 6262853131 |
| Chain Name | CORPORATE INTERFACE SERVICES |
| Chain ID | 863 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 75 |
| Average Number of Residents per Day | 69.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in California
- LOPEZ BROZ MOTOR TRANSPORT LLC, EL CAJON Motor carrier
- EVERARDO JAUREGUI, ARLETA Motor carrier
- BRANDY NELSON, UPPER LAKE Motor carrier
- JUAN CORTES, FAIRFIELD Motor carrier
- DEWATERING, GENERAL - NEWPORT BAY WATERSHED, IRVINE Water discharge permit
- HETTINGA BRAWLEY HEIFER RANCH, BRAWLEY Water discharge permit
- ROAD UNDERCROSSING DEWATERING SITES, IRVINE Water discharge permit
- SPRING LAKE AQUATIC VEGETATION CONTROL, SANTA ROSA Water discharge permit
- US MINE CO. - IONE PLANT, IONE Air emission source
- AMPINE: A DIVISION OF TIMBER PRODUCTS COMPANY, MARTELL Air emission source
- NORTHROP GRUMMAN CORP, PALMDALE Air emission source
- LANDCASTER LANDFILL, LANCASTER Air emission source
- PENSKE CADILLAC SOUTH BAY, Torrance Hazardous waste handler
- ORCON CORPORATION, Union City Hazardous waste handler
- BEVERLY HILLS HIGH SCHOOL, Beverly Hills Hazardous waste handler
- CASTAIC POWER PLANT, Castaic Hazardous waste handler
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 055056.