Skilled nursing facility · CMS certification number 055077
CORAL COVE POST ACUTE
LONG BEACH, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 117
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: 6 · Fines: 4 · Fines, total amount: $146,356.00 · Payment denials: 2. The most recent penalty on file: June 23, 2026, Fine, $27,378. 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 May 1, 2024 to April 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,944,628 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,587,766 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,356,862 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,686,236 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,329,374 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $647,672 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$681,702 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$681,702 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 42,705 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,470 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 32,314 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 866 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 38,650 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 78 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 141 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 220 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 229.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 175.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441548, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended April 30, 2024
Cost report for October 11, 2023 to April 30, 2024 — a reporting period of 202 days, not a full year, on form CMS-2540-10, settled, processed by CMS on November 21, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,160,064 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,931,772 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,228,292 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,771,831 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,543,539 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,288,429 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$255,110 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$255,110 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,857 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 236 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 79.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 86.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1399255, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended October 10, 2023
Cost report for January 1, 2023 to October 10, 2023 — a reporting period of 282 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 13, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,022,420 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,593,062 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,429,358 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,339,173 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,909,815 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $629,958 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,279,857 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,279,857 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,015 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 217 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 137.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1383166, 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 | $25,584,350 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,246,865 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,337,485 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,733,831 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,396,346 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,543,801 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$852,545 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$852,545 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,666 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 81.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 257.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 215.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362873, 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 November 21, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,117,473 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,986,747 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,130,726 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,145,048 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,014,322 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $573,457 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,440,865 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,440,865 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,786 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 279 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,370.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1368276, 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 November 24, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,614,452 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,403,822 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,210,630 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,440,908 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,230,278 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,027,715 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$202,563 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$202,563 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,280 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 291 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,463.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305241, 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 November 10, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,410,764 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,624,584 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,786,180 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,216,588 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$430,408 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $360,136 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$70,272 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$70,272 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,708 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 327 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 684.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272935, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,347,565 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,812,436 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,535,129 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,957,289 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $577,840 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $365,361 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $943,201 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $943,201 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,443 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 336 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 844 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241887, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,757,840 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,451,637 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,306,203 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,676,049 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$369,846 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $319,734 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$50,112 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$50,112 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,247 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 320 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 750.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208315, 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 July 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,534,322 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,663,918 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,870,404 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,820,812 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $49,592 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $228,602 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $278,194 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $278,194 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,958 | 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 | 48.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 193.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1168481, 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 | $13,725,402 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,542,264 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,183,138 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,012,466 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $170,672 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $235,705 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $406,377 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $406,377 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,604 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 327 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 589.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138972, 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 April 29, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,594,542 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,920,316 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,674,226 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,634,777 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$960,551 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $203,063 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$757,488 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$757,488 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,808 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 532 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 122.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1122950, 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, as submitted, processed by CMS on June 26, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,629,473 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $976,623 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,652,850 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,128,207 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,475,357 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,359 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,466,998 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,466,998 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,554 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 560 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 150.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1069022, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,135,951 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $868,917 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,267,034 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,351,977 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,084,943 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,659 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,077,284 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,077,284 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,228 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 724 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 86.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 51.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044672, 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 November 16, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,386,466 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,299,520 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,086,946 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,738,836 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$651,890 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,530 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$641,360 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$641,360 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,333 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 655 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 173.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1020324, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,847,198 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,229,285 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$382,087 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,262 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$378,825 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,711 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 660 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 166.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 58.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 411342, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,353,089 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,390,129 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$37,040 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,002 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$22,038 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,683 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 581 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 176.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 66.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 383631, 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 6, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,041,284 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,873,579 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $167,705 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,026 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $357 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $188,374 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,792 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 677 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 159.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 55.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353994, 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 July 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,769,909 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,670,067 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $99,842 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,050 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $125,892 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,018 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 689 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 178.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 55.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 318872, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 26, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,810,090 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,526,699 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$716,609 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,316 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$693,293 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,082 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 591 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 220.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 64.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 289840, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 11, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,073,102 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,728,412 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$655,310 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,805 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$632,505 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,220 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 599 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 162.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 63.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 260939, 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 July 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,676,301 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,985,980 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$309,679 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,296 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$274,383 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,069 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 557 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 184.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 68.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 228049, 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, as submitted, processed by CMS on June 3, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,903,152 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,127,112 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$223,960 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,661 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$195,299 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,626 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 520 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 141.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 179559, 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 September 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,107,454 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,599,411 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$491,957 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,602 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$453,355 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,674 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 794 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 154.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 47.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195214, 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 4, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,759,375 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,241,342 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$481,967 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $65,713 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$416,254 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,178 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 789 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 134.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 43.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 168401, 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 21, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,008,673 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,248,656 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$239,983 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $107,195 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$132,788 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,716 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 481 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 173.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 61.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80093, 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 November 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,714,857 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,143,296 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$428,439 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $73,901 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$354,538 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,982 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 371 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 205.54 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 88.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80092, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended August 31, 1998
Cost report for January 1, 1998 to August 31, 1998 — a reporting period of 242 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on November 14, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,606,641 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,996,821 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$390,180 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $94,005 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$296,175 (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 | 132 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,832 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 409 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 181.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 58.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 296380, 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, reopened, processed by CMS on January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,212,409 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,470,695 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$258,286 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $154,802 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$103,484 (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 | 132 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,510 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 426 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 90.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300162, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on August 5, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,467,239 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,755,225 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$287,986 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,820 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$271,166 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,342 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 311 | 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, all patients, in days | 129.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 4341, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CALIMBAHIN, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/18/2024 |
| CORPORATE INTERFACE SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/20/2025 |
| GRAND AVENUE-LET LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/08/2025 |
| HUANG, JIMMY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/20/2025 |
| GRAND AVENUE WELLNESS GP LLC | GENERAL PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 04/15/2014 |
| RECHNITZ, SHLOMO | LIMITED PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/01/2014 |
| CALIMBAHIN, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/18/2024 |
| CORPORATE INTERFACE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/18/2024 |
| HUANG, JIMMY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/31/2014 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GRAND AVENUE HEALTHCARE & WELLNESS CENTRE LP (enrollment ID O20160505000439).
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 |
|---|---|---|---|---|---|
| CORPORATE INTERFACE SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| GRAND AVENUE-LET LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/8/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JIMMY C HUANG | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN CALIMBAHIN | Individual | ADP OF THE SNF | Not stated in the filing | 11/18/2024 | 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 | 5/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| GRAND AVENUE WELLNESS GP LLC | Organization | GENERAL PARTNERSHIP INTEREST | 0.1 | 4/15/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHLOMO RECHNITZ | Individual | LIMITED PARTNERSHIP INTEREST | 99.9 | 8/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CORPORATE INTERFACE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 3/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| JIMMY C HUANG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN CALIMBAHIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/18/2024 | 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 | 10/31/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- July 1, 2026: FLORA AZINGE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CORPORATE INTERFACE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GRAND AVENUE-LET LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JIMMY C HUANG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JIMMY C HUANG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROCKPORT ADMINISTRATIVE SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROCKPORT ADMINISTRATIVE SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 31, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN CALIMBAHIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN CALIMBAHIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- August 1, 2024: SHLOMO RECHNITZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BATSHEVA PEPPER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: CORPORATE INTERFACE SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since March 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: FLORA AZINGE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since January 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- June 3, 2024: BATSHEVA PEPPER no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- May 1, 2024: MICHAEL TORGAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: CHERYL PETTERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: COUNTRY VILLA SOUTH BAY, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JAG VENTURE HOLDINGS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: COUNTRY VILLA SERVICE CORP. no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: DIANE REISSMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JOEL SALTZBURG no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: REISSMAN FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: STEPHEN REISSMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: REISSMAN IRRV 1989 TR 050189 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: DACS VENTURE HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: SALTZBURG FAMILY TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: EDDIE ROWLES no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: TORGAN FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: SHLOMO RECHNITZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: SHLOMO RECHNITZ (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: GRAND AVENUE WELLNESS GP LLC (GENERAL PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since April 15, 2014. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BATSHEVA PEPPER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since April 5, 2016. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BATSHEVA PEPPER (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since November 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- January 5, 2024: STEPHEN REISSMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
Recent changes on this record
- July 20, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 20, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 20, 2026: A deficiency was cited under tag F 0686, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 8, 2026: A deficiency was cited under tag F 0678, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 8, 2026: A deficiency was cited under tag F 0695, scope and severity J. NH_HealthCitations_Sep2026_2.csv
- July 1, 2026: FLORA AZINGE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CORPORATE INTERFACE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GRAND AVENUE-LET LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JIMMY C HUANG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JIMMY C HUANG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROCKPORT ADMINISTRATIVE SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROCKPORT ADMINISTRATIVE SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 31, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN CALIMBAHIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN CALIMBAHIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- October 28, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- November 21, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2024: SHLOMO RECHNITZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BATSHEVA PEPPER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: CORPORATE INTERFACE SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since March 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: FLORA AZINGE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since January 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- June 13, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 3, 2024: BATSHEVA PEPPER no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- May 1, 2024: MICHAEL TORGAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: CHERYL PETTERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: COUNTRY VILLA SOUTH BAY, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JAG VENTURE HOLDINGS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: COUNTRY VILLA SERVICE CORP. no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: DIANE REISSMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JOEL SALTZBURG no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: REISSMAN FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: STEPHEN REISSMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: REISSMAN IRRV 1989 TR 050189 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: DACS VENTURE HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: SALTZBURG FAMILY TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: EDDIE ROWLES no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: TORGAN FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: SHLOMO RECHNITZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: SHLOMO RECHNITZ (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since August 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: GRAND AVENUE WELLNESS GP LLC (GENERAL PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since April 15, 2014. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BATSHEVA PEPPER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since April 5, 2016. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 15, 2025 | August 15, 2025 | 34 | 9 |
| 2 | August 23, 2024 | August 23, 2024 | 50 | 2 |
| 3 | July 13, 2021 | July 13, 2021 | 42 | 12 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
126 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 20, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | July 31, 2026 |
| July 20, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Yes | Deficient, Provider has date of correction | July 31, 2026 |
| July 20, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | July 31, 2026 |
| July 8, 2026 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Yes | Deficient, Provider has date of correction | July 24, 2026 |
| July 8, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | J | Yes | Deficient, Provider has date of correction | July 24, 2026 |
| June 23, 2026 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | Yes | Deficient, Provider has date of correction | July 7, 2026 |
| June 23, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | July 7, 2026 |
| February 9, 2026 | 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 | March 5, 2026 |
| November 21, 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 | Yes | Deficient, Provider has date of correction | November 28, 2025 |
| November 21, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | November 28, 2025 |
| November 17, 2025 | 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 | November 21, 2025 |
| November 17, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | November 21, 2025 |
| November 5, 2025 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has date of correction | November 26, 2025 |
| August 15, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | 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 | September 14, 2025 |
| August 15, 2025 | 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 | September 14, 2025 |
| August 15, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | D | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | E | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | 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. | D | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | 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 | September 14, 2025 |
| August 15, 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | 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. | D | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 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 | September 14, 2025 |
| August 15, 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 | September 14, 2025 |
| August 15, 2025 | 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. | D | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | September 14, 2025 |
| August 15, 2025 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | No | Deficient, Provider has date of correction | September 14, 2025 |
| July 11, 2025 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has date of correction | August 4, 2025 |
| July 11, 2025 | 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 | Yes | Deficient, Provider has date of correction | August 4, 2025 |
| May 9, 2025 | 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 | Yes | Deficient, Provider has date of correction | May 30, 2025 |
| May 9, 2025 | Health | F 0729 | Nursing and Physician Services Deficiencies | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | Yes | Deficient, Provider has date of correction | May 30, 2025 |
| April 2, 2025 | Health | F 0729 | Nursing and Physician Services Deficiencies | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | Yes | Deficient, Provider has date of correction | April 25, 2025 |
| March 18, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | April 13, 2025 |
| March 18, 2025 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | Yes | Deficient, Provider has date of correction | April 13, 2025 |
| February 27, 2025 | 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 | February 28, 2025 |
| February 12, 2025 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Yes | Deficient, Provider has date of correction | March 9, 2025 |
| February 12, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | March 9, 2025 |
| February 12, 2025 | 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 | March 9, 2025 |
| February 12, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | March 9, 2025 |
| January 29, 2025 | 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 | Yes | Deficient, Provider has date of correction | February 21, 2025 |
| January 29, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | F | Yes | Deficient, Provider has date of correction | February 21, 2025 |
| January 17, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | February 13, 2025 |
| January 17, 2025 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Yes | Deficient, Provider has date of correction | February 13, 2025 |
| January 16, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Yes | Deficient, Provider has date of correction | February 7, 2025 |
| January 16, 2025 | 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 | February 7, 2025 |
| January 16, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | February 7, 2025 |
| January 13, 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 | Yes | Deficient, Provider has date of correction | January 29, 2025 |
| January 6, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | January 27, 2025 |
| December 3, 2024 | 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 | December 19, 2024 |
| November 1, 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 | November 22, 2024 |
| November 1, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | November 22, 2024 |
| October 29, 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 | November 27, 2024 |
| October 29, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Yes | Deficient, Provider has date of correction | November 27, 2024 |
| October 22, 2024 | 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 | Yes | Deficient, Provider has date of correction | November 14, 2024 |
| October 22, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Yes | Deficient, Provider has date of correction | November 14, 2024 |
| October 18, 2024 | Health | F 0626 | Resident Rights Deficiencies | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Yes | Deficient, Provider has date of correction | November 8, 2024 |
| October 4, 2024 | 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. | E | Yes | Deficient, Provider has date of correction | November 1, 2024 |
| October 4, 2024 | Health | F 0626 | Resident Rights Deficiencies | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Yes | Deficient, Provider has date of correction | November 1, 2024 |
| October 4, 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. | E | Yes | Deficient, Provider has date of correction | November 1, 2024 |
| September 25, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | October 22, 2024 |
| September 25, 2024 | 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. | E | Yes | Deficient, Provider has date of correction | October 22, 2024 |
| September 25, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Yes | Deficient, Provider has date of correction | October 22, 2024 |
| September 7, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | October 4, 2024 |
| September 7, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | October 4, 2024 |
| September 7, 2024 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Yes | Deficient, Provider has date of correction | October 4, 2024 |
| August 23, 2024 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | September 18, 2024 |
| August 23, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | September 18, 2024 |
| August 23, 2024 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | September 18, 2024 |
| August 23, 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 | No | Deficient, Provider has date of correction | September 18, 2024 |
| August 23, 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 | Yes | Deficient, Provider has date of correction | September 18, 2024 |
| August 23, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | September 18, 2024 |
| August 23, 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | September 18, 2024 |
| August 23, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | September 18, 2024 |
| August 23, 2024 | 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 | September 18, 2024 |
| August 23, 2024 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | No | Deficient, Provider has date of correction | September 18, 2024 |
| August 23, 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | September 18, 2024 |
| August 23, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | September 18, 2024 |
| July 12, 2024 | 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. | E | Yes | Deficient, Provider has date of correction | August 4, 2024 |
| July 12, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | August 4, 2024 |
| July 12, 2024 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Yes | Deficient, Provider has date of correction | August 4, 2024 |
| April 25, 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 | May 15, 2024 |
| April 25, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | May 15, 2024 |
| April 25, 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 | Yes | Deficient, Provider has date of correction | May 15, 2024 |
| April 22, 2024 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Yes | Deficient, Provider has date of correction | May 9, 2024 |
| April 22, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | May 9, 2024 |
| March 26, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Yes | Deficient, Provider has date of correction | April 24, 2024 |
| March 19, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | April 9, 2024 |
| March 19, 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 | Yes | Deficient, Provider has date of correction | April 9, 2024 |
| February 14, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | March 8, 2024 |
| February 14, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | March 8, 2024 |
| February 14, 2024 | 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 | Yes | Deficient, Provider has date of correction | March 8, 2024 |
| February 14, 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 | Yes | Deficient, Provider has date of correction | March 8, 2024 |
| February 14, 2024 | 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 | Yes | Deficient, Provider has date of correction | March 8, 2024 |
| February 14, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | March 8, 2024 |
| January 29, 2024 | Health | F 0551 | Resident Rights Deficiencies | Give the resident's representative the ability to exercise the resident's rights. | D | Yes | Deficient, Provider has date of correction | February 14, 2024 |
| January 4, 2024 | Health | F 0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Yes | Deficient, Provider has date of correction | January 24, 2024 |
| December 12, 2023 | 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 | Yes | Deficient, Provider has date of correction | January 11, 2024 |
| October 12, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | November 6, 2023 |
| July 13, 2021 | 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. | E | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | E | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | 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 | August 19, 2021 |
| July 13, 2021 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | 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 | August 19, 2021 |
| July 13, 2021 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0802 | Nutrition and Dietary Deficiencies | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | 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. | F | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | E | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | J | No | Deficient, Provider has date of correction | September 29, 2021 |
| July 13, 2021 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | August 19, 2021 |
| July 13, 2021 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | K | No | Deficient, Provider has date of correction | August 19, 2021 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| June 23, 2026 | Fine | $27,378 | 142244 | ||
| August 15, 2025 | Fine | $61,240 | 135970 | ||
| January 6, 2025 | Fine | $12,425 | 131186 | ||
| August 23, 2024 | Fine | $45,313 | 130913 | ||
| August 23, 2024 | Payment Denial | November 23, 2024 | 4 | ||
| March 19, 2024 | Payment Denial | April 24, 2024 | 21 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Individual |
| Legal Business Name | GRAND AVENUE HEALTHCARE & WELLNESS CENTRE LP |
| Date First Approved to Provide Medicare and Medicaid Services | 1985-10-09 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Los Angeles |
| Telephone Number | 5625978817 |
| 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 | 117 |
| Average Number of Residents per Day | 100.8 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| 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 CORAL COVE POST ACUTE: 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 July 20, 2026: A deficiency was cited under tag F 0880, scope and severity D. 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 CORAL COVE POST ACUTE
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
- B WOOD PAINTING LLC, BRENTWOOD Motor carrier
- OSVALDO CORONA, RAMONA Motor carrier
- EGD SCAFFOLDING INC, GILROY Motor carrier
- BRISCO UNDERGROUND INC, RIVERSIDE Motor carrier
- PLATFORM GAIL, PACIFIC OCEAN Water discharge permit
- PLATFORM HOGAN, CARPINTERIA Water discharge permit
- PLATFORM HOUCHIN, CARPINTERIA Water discharge permit
- PLATFORM GRACE, PACIFIC OCEAN 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
- CALTRANS MT SHASTA MAINTENANCE STATION, Mt Shasta Hazardous waste handler
- BAY MARINE BOATWORKS, Richmond Hazardous waste handler
- LODI ARMORY, Lodi Hazardous waste handler
- CTY OF ORANGE OC WASTE & RECYCLING, Orange 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 055077.