Skilled nursing facility · CMS certification number 055115
HOLLENBECK PALMS
LOS ANGELES, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 106
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,177,296 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,733,646 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,443,650 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,897,449 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,453,799 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,782,156 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,671,643 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $604,638 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 33,580 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,253 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,922 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 18,984 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 30,159 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 30 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 3 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 72 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,307.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 287.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446665, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,480,178 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,065,191 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,414,987 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,046,695 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,631,708 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,360,872 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,270,836 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$98,236 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,667 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 603.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 181.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1432981, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,126,199 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,919,862 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,206,337 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,817,880 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,611,543 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,052,168 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,559,375 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$981,879 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,601 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,446 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 342.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371991, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,434,904 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,712,119 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,722,785 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,791,174 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,068,389 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,022,796 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,045,593 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,447,776 (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 | 237 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 67,605 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 760.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 877.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343442, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 3, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,774,336 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,890,854 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,883,482 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,116,433 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,232,951 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,190,490 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $7,957,539 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,957,539 (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 | 204 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 66,553 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 566.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 950.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315157, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 23, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,809,204 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,689,284 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,119,920 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,665,228 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,545,308 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,319,719 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,225,589 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,225,589 (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 | 204 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 70,927 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 522.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 695.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280450, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 4, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,483,488 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,313,129 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,170,359 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,807,912 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,637,553 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,587,552 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$50,001 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$50,001 (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 | 230 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 69,591 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 696.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 490.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251818, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,572,808 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,331,574 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,241,234 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,318,883 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,077,649 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,723,560 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $645,911 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $645,911 (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 | 251 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 75,455 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 111 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 907 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 679.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217691, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 23, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,926,455 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,185,251 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,741,204 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,434,801 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,693,597 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,521,959 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$171,638 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$171,638 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,958 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 575.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 155.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182631, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,492,561 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,668,699 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,823,862 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,616,394 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,792,532 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,614,684 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,822,152 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,822,152 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,101 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 626.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151373, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,720,578 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,096,946 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,623,632 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,049,152 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,425,520 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,974,333 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$451,187 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$451,187 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,140 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 713.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 154.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1118474, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,247,333 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,519,901 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,727,432 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,545,975 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,818,543 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,235,991 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,417,448 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,417,448 (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 | 251 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 81,012 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 426.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 428.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084667, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 3, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,185,569 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,437,652 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,747,917 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,395,111 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,647,194 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,877,826 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,230,632 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $6,230,632 (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 | 252 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 81,485 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,588.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 925.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056243, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,707,293 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,913,156 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,794,137 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,128,937 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,334,800 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,812,787 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,477,987 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,477,987 (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 | 251 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 82,279 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 433.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 457.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023491, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,144,932 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,624,732 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,479,800 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,945,322 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $5,465,522 (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 | 251 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 83,201 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 760.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 577.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422877, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 30, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,492,661 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,333,393 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,840,732 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,046,035 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,205,303 (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 | 251 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 79,904 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 364 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 14.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 410.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 219.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 390229, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 26, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,203,415 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,199,596 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,996,181 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $71,775 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,118,980 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$4,043,386 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 74,041 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 205 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 194.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 361.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364568, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,251,420 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,553,258 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,301,838 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,254 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1,656,959 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$593,625 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,355 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 234.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 418.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 332163, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,903,775 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,365,916 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,462,141 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,609 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$7,160,590 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $5,728,058 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,115 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 288.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 407.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301064, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 22, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,671,843 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,435,159 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,763,316 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,678 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1,824,294 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$919,344 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,050 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 137 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 288.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 496.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 269547, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 7, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,685,440 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,977,742 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,292,302 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,215 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1,498,211 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,778,876 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,300 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 304.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 590.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242484, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,711,023 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,875,647 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,164,624 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $34,906 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$5,830,020 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $2,700,302 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,065 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 1,601.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 207100, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 15, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,425,901 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,313,084 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,887,183 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,993 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$4,187,981 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,315,791 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,460 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 29 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 2,498.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 210836, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,871,215 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,892,555 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,021,340 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,129 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1,434,463 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,549,748 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,738 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 349.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 588.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 178531, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,854,914 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,394,218 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,539,304 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,512 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1,764,943 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$727,849 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 69,638 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 165 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 260.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 422.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 138894, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 2, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,824,600 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,681,613 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,857,013 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,920 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$2,164,914 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$655,179 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 66,064 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 229.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 377.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80163, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 3, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,289,895 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,072,803 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,782,908 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $56,283 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$5,154,394 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $3,427,769 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,354 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 587.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 427.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80162, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 29, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,053,752 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,151,550 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,097,798 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $34,160 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$4,608,673 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $2,545,035 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,300 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 193 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 297.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 353.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80160, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for July 1, 1996 to June 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 1, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,542,336 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,130,331 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,587,995 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,218 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$2,560,777 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 67,194 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 258 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 181 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 260.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80159, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended June 30, 1996
Cost report for July 1, 1995 to June 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 24, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $8,167,935 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,952 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 267 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 310.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 258.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80158, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| BELLE HOME CARE INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/20/2025 |
| JOHNSTON, CAROL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2013 |
| KANEGAE, THOMAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/02/2009 |
| KIRCHHOFF, KATHERINE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2024 |
| KUMAGAI, WILLIAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2024 |
| ONISHI, KEVIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2024 |
| RAMIREZ, IVANIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/04/2021 |
| ROSENBLOOM, LINDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2024 |
| SHOCKLEY, MORRIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/07/2012 |
| WIPFLI LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/20/2025 |
| YOUNG, JOHNNY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/07/2012 |
| JOHNSTON, CAROL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2013 |
| KIRCHHOFF, KATHERINE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2024 |
| KUMAGAI, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2024 |
| ONISHI, KEVIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2024 |
| ROSENBLOOM, LINDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2024 |
| BELLE HOME CARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2021 |
| JOHNSTON, CAROL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2013 |
| KANEGAE, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/02/2009 |
| KIRCHHOFF, KATHERINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2024 |
| KUMAGAI, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2024 |
| ONISHI, KEVIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2024 |
| RAMIREZ, IVANIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/04/2021 |
| ROSENBLOOM, LINDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2024 |
| SHOCKLEY, MORRIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/07/2012 |
| WIPFLI LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/01/2021 |
| YOUNG, JOHNNY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/17/1987 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HOLLENBECK PALMS (enrollment ID O20060509000232).
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 |
|---|---|---|---|---|---|
| BELLE HOME CARE INC | Organization | ADP OF THE SNF | Not stated in the filing | 8/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAROL ANN JOHNSTON | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IVANIA RAMIREZ | Individual | ADP OF THE SNF | Not stated in the filing | 6/4/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHNNY YOUNG | Individual | ADP OF THE SNF | Not stated in the filing | 8/7/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHERINE KIRCHHOFF | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN ONISHI | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA ROSENBLOOM | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MORRIS SHOCKLEY | Individual | ADP OF THE SNF | Not stated in the filing | 8/7/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS H KANEGAE | Individual | ADP OF THE SNF | Not stated in the filing | 12/2/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM KUMAGAI | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WIPFLI LLP | Organization | ADP OF THE SNF | Not stated in the filing | 8/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAROL ANN JOHNSTON | Individual | CORPORATE DIRECTOR | 0 | 7/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHERINE KIRCHHOFF | Individual | CORPORATE DIRECTOR | 0 | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN ONISHI | Individual | CORPORATE DIRECTOR | 0 | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA ROSENBLOOM | Individual | CORPORATE DIRECTOR | 0 | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM KUMAGAI | Individual | CORPORATE DIRECTOR | 0 | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BELLE HOME CARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAROL ANN JOHNSTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IVANIA RAMIREZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/4/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHNNY YOUNG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/17/1987 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHERINE KIRCHHOFF | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN ONISHI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA ROSENBLOOM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MORRIS SHOCKLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/7/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS H KANEGAE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/2/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM KUMAGAI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WIPFLI LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- October 1, 2025: MORRIS SHOCKLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MORRIS SHOCKLEY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MICHAEL G DAVIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CASEY D ADAMS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: IVANIA RAMIREZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHNNY YOUNG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CAROL ANN JOHNSTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CAROL ANN JOHNSTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KEVIN ONISHI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KEVIN ONISHI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KEVIN ONISHI (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KATHERINE KIRCHHOFF (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KATHERINE KIRCHHOFF (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KATHERINE KIRCHHOFF (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MORRIS SHOCKLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 7, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MORRIS SHOCKLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 7, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BELLE HOME CARE INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BELLE HOME CARE INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: THOMAS H KANEGAE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 2, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: THOMAS H KANEGAE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 2, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WILLIAM KUMAGAI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WILLIAM KUMAGAI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WILLIAM KUMAGAI (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LINDA ROSENBLOOM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LINDA ROSENBLOOM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LINDA ROSENBLOOM (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WIPFLI LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WIPFLI LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: IVANIA RAMIREZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 4, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: IVANIA RAMIREZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 4, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHNNY YOUNG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 7, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHNNY YOUNG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 17, 1987. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Recent changes on this record
- January 16, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- October 1, 2025: MORRIS SHOCKLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MORRIS SHOCKLEY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MICHAEL G DAVIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CASEY D ADAMS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: IVANIA RAMIREZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHNNY YOUNG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CAROL ANN JOHNSTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CAROL ANN JOHNSTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KEVIN ONISHI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KEVIN ONISHI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KEVIN ONISHI (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KATHERINE KIRCHHOFF (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KATHERINE KIRCHHOFF (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KATHERINE KIRCHHOFF (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MORRIS SHOCKLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 7, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MORRIS SHOCKLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 7, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BELLE HOME CARE INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BELLE HOME CARE INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: THOMAS H KANEGAE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 2, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: THOMAS H KANEGAE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 2, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WILLIAM KUMAGAI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WILLIAM KUMAGAI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WILLIAM KUMAGAI (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LINDA ROSENBLOOM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LINDA ROSENBLOOM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LINDA ROSENBLOOM (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WIPFLI LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WIPFLI LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: IVANIA RAMIREZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 4, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: IVANIA RAMIREZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 4, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHNNY YOUNG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 7, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHNNY YOUNG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 17, 1987. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- January 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- February 28, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- May 3, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- February 23, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- March 4, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- January 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 12, 2025 | December 12, 2025 | 13 | 10 |
| 2 | October 25, 2024 | October 25, 2024 | 13 | 5 |
| 3 | November 19, 2023 | November 19, 2023 | 13 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
39 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 11, 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 6, 2026 |
| June 11, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | July 6, 2026 |
| February 24, 2026 | 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 | March 9, 2026 |
| January 28, 2026 | 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 | Yes | Deficient, Provider has date of correction | February 17, 2026 |
| December 12, 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 | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 12, 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 12, 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 | December 26, 2025 |
| December 12, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | December 17, 2025 |
| December 12, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | No | Deficient, Provider has date of correction | December 16, 2025 |
| December 12, 2025 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | December 23, 2025 |
| December 12, 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 | December 22, 2025 |
| December 12, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 18, 2025 |
| December 12, 2025 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | No | Deficient, Provider has date of correction | December 18, 2025 |
| October 25, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | November 17, 2024 |
| October 25, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | November 17, 2024 |
| October 25, 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 | November 17, 2024 |
| October 25, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | November 17, 2024 |
| October 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. | E | No | Deficient, Provider has date of correction | November 17, 2024 |
| October 25, 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 | November 17, 2024 |
| October 25, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | B | No | Deficient, Provider has date of correction | November 17, 2024 |
| October 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. | D | No | Deficient, Provider has date of correction | November 17, 2024 |
| October 25, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | November 17, 2024 |
| October 25, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | November 17, 2024 |
| October 25, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | November 17, 2024 |
| October 25, 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | E | No | Deficient, Provider has date of correction | November 17, 2024 |
| October 25, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | November 17, 2024 |
| August 20, 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 | September 13, 2024 |
| August 20, 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 | September 13, 2024 |
| August 20, 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. | G | Yes | Deficient, Provider has date of correction | September 13, 2024 |
| August 20, 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. | E | Yes | Deficient, Provider has date of correction | September 13, 2024 |
| November 19, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | December 13, 2023 |
| November 19, 2023 | 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 | December 13, 2023 |
| November 19, 2023 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | December 13, 2023 |
| November 19, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | December 13, 2023 |
| November 19, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | No | Deficient, Provider has date of correction | December 13, 2023 |
| November 19, 2023 | 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 | December 13, 2023 |
| November 19, 2023 | 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 | December 13, 2023 |
| November 19, 2023 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | No | Deficient, Provider has date of correction | December 13, 2023 |
| November 19, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | December 13, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | HOLLENBECK PALMS |
| Date First Approved to Provide Medicare and Medicaid Services | 1967-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Los Angeles |
| Telephone Number | 2132636195 |
| 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 | 106 |
| Average Number of Residents per Day | 53.7 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on HOLLENBECK PALMS: 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 January 16, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for HOLLENBECK PALMS
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.
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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 055115.