Skilled nursing facility · CMS certification number 055247
COUNTRY OAKS CARE CENTER
POMONA, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 81
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,632,387 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,983,547 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,648,840 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,834,879 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$186,039 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,361,888 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,175,849 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,175,849 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 29,646 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,905 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 2,266 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 19,148 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 25,319 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 95 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 258 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 246 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 599 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 8.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 42.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436204, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,482,937 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,569,701 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,913,236 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,638,028 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$724,792 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,762,386 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,037,594 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,037,594 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,948 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,097 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 37.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 23.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392357, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 31, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,604,233 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,382,648 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,221,585 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,510,111 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$288,526 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $732,256 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $443,730 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $443,730 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,209 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 364 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 81.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363661, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 23, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,982,433 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,800,439 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,181,994 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,665,287 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,483,293 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $463,161 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,020,132 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,020,132 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,228 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 335 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 87.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333739, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 20, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,399,970 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,237,094 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,162,876 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,714,091 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$551,215 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $321,723 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$229,492 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$229,492 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,148 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 543 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 266.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302184, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,897,919 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,054,940 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,842,979 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,924,663 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,081,684 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $377,487 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$704,197 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$704,197 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,856 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 159 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 298.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279117, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,311,352 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,995,196 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,316,156 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,997,737 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$681,581 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $406,420 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$275,161 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$275,161 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,183 | 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 | 42.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 409.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 184.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241897, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,226,538 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,986,323 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,240,215 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,508,639 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$268,424 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $329,130 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $60,706 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $60,706 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,012 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,813.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 220.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1198184, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,396,715 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,933,887 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,462,828 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,344,957 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $117,871 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $265,723 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $383,594 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $383,594 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,406 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 246 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 290.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172934, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 2, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,055,485 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,482,502 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,572,983 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,659,165 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$86,182 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $299,664 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $213,482 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $213,482 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,069 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 251 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 221.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139346, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,043,316 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,799,797 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,243,519 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,545,156 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$301,637 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $238,620 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$63,017 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$63,017 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,485 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 184 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 82.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 210.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103328, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on June 13, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,013,755 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,511,347 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,502,408 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,612,110 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$109,702 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $304,262 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $194,560 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $194,560 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,396 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 217.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1064697, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 3, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,558,229 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,383,971 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,174,258 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,416,086 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$241,828 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $311,055 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $69,227 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $69,227 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,278 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 208 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 187.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1031508, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 17, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,931,753 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,443,317 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,488,436 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,946,166 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$457,730 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $389,550 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$68,180 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$68,180 (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 | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,878 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,591.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 215.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1022051, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,862,875 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,194,776 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$331,901 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $276,368 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$55,533 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,661 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 263.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 411353, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,312,999 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,483,756 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$170,757 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $191,468 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $20,711 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,422 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 285.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 211.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 383647, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended July 31, 2008
Cost report for January 1, 2008 to July 31, 2008 — a reporting period of 212 days, not a full year, on form CMS-2540-96, settled, processed by CMS on July 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,767,692 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,925,069 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$157,377 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$157,377 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,807 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 39 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 623.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 328.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 349272, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 28, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,947,861 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,020,872 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$73,011 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$73,011 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,739 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 585.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 303.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 325168, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 21, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,777,935 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,033,383 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$255,448 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$255,448 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,814 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 675.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 400.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292346, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 25, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,857,564 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,811,230 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$953,666 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$953,666 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,492 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 696.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 371.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 263863, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 4, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,436,963 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,127,888 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$690,925 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$690,925 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,723 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,074.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 451.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 229937, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,001,921 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,037,337 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$35,416 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$35,416 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,858 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 53 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,090.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 469.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194147, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 23, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,946,676 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,993,783 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$47,107 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$47,107 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,407 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 763.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 360.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 200406, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 18, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,377,166 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,551,148 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$173,982 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$173,982 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,328 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 53 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 758.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 421.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169165, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 8, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $1,883,541 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,577 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 585.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 379.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80444, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 7, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $1,610,109 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,982 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 44 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 12.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 479.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 340.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80442, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on November 3, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,645,634 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,843,857 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$198,223 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$198,223 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,969 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 39 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 901.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 537.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80441, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 11, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,519,623 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,943,352 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$423,729 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$423,729 (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 | 86 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,578 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 34 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 983.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 546.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80439, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 24, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,062,552 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,989,908 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $72,644 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,003 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $75,647 (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 | 69 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,043 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 337.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 196.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80438, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| COUNTRY OAKS PARTNERS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 11/05/2008 |
| WEST PEARL STREET, LP | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 02/11/2025 |
| COUNTRY OAKS PARTNERS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/05/2008 |
| DEHGHANMANESH, ADRIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2021 |
| FARRALES, MARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2023 |
| KOCHEK, JOSHUA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2022 |
| MANZON, EDWIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/23/2024 |
| OXFORD, MICHEAL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/03/2022 |
| SANDHU, GARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2016 |
| SELVIG, KYLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/05/2022 |
| SUN MAR MANAGEMENT SERVICES | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/12/1989 |
| WEST PEARL STREET, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/11/2025 |
| OXFORD, MICHEAL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/03/2022 |
| CHAMBERS, THOMAS | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 06/10/2008 |
| JOHNSON, DAVID | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 06/10/2008 |
| JOHNSON, FRANK | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 06/10/2008 |
| MARMUR, ELI | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 06/10/2008 |
| JOHNSON, FRANK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/10/2008 |
| COUNTRY OAKS PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/05/2008 |
| DEHGHANMANESH, ADRIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2021 |
| JOHNSON, FRANK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/10/2008 |
| KOCHEK, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2022 |
| MANZON, EDWIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/23/2024 |
| OXFORD, MICHEAL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2022 |
| SANDHU, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2016 |
| SELVIG, KYLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/05/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of COUNTRY OAKS PARTNERS LLC (enrollment ID O20090413000340).
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 |
|---|---|---|---|---|---|
| COUNTRY OAKS PARTNERS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/5/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| WEST PEARL STREET, LP | Organization | 5% OR GREATER SECURITY INTEREST | Not stated in the filing | 2/11/2025 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| ADRIAN DEHGHANMANESH | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COUNTRY OAKS PARTNERS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/5/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| EDWIN MANZON | Individual | ADP OF THE SNF | Not stated in the filing | 5/23/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARY G SANDHU | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA KOCHEK | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KYLE SELVIG | Individual | ADP OF THE SNF | Not stated in the filing | 12/5/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY FARRALES | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHEAL D OXFORD | Individual | ADP OF THE SNF | Not stated in the filing | 1/3/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUN MAR MANAGEMENT SERVICES | Organization | ADP OF THE SNF | Not stated in the filing | 10/12/1989 | Private equity company: No Real estate investment trust: No Holding company: No |
| WEST PEARL STREET, LP | Organization | ADP OF THE SNF | Not stated in the filing | 2/11/2025 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| MICHEAL D OXFORD | Individual | CORPORATE OFFICER | Not stated in the filing | 1/3/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID A JOHNSON | Individual | INDIRECT OWNERSHIP INTEREST | 30 | 6/10/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELI MARMUR | Individual | INDIRECT OWNERSHIP INTEREST | 20 | 6/10/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANK A JOHNSON | Individual | INDIRECT OWNERSHIP INTEREST | 30 | 6/10/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS M CHAMBERS | Individual | INDIRECT OWNERSHIP INTEREST | 20 | 6/10/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANK A JOHNSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/10/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ADRIAN DEHGHANMANESH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COUNTRY OAKS PARTNERS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/5/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| EDWIN MANZON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/23/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANK A JOHNSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/10/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARY G SANDHU | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA KOCHEK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KYLE SELVIG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/5/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHEAL D OXFORD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- August 1, 2026: IRVING H BAUMAN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: IRVING H BAUMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ADRIAN DEHGHANMANESH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: THOMAS M CHAMBERS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ELI MARMUR no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: SUN MAR MANAGEMENT SERVICES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: FRANK A JOHNSON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: FRANK A JOHNSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: FRANK A JOHNSON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: DAVID A JOHNSON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ALESSANDRA HOVEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: WILLIAM C PRESNELL no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MARY FARRALES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: GARY G SANDHU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: GARY G SANDHU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: COUNTRY OAKS PARTNERS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 5, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: COUNTRY OAKS PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 5, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ADRIAN DEHGHANMANESH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ADRIAN DEHGHANMANESH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: THOMAS M CHAMBERS (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 10, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ELI MARMUR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 10, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOSHUA KOCHEK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOSHUA KOCHEK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: EDWIN MANZON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since May 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: EDWIN MANZON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since May 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: SUN MAR MANAGEMENT SERVICES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since October 12, 1989. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: FRANK A JOHNSON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 10, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: FRANK A JOHNSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 10, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: FRANK A JOHNSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 10, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MICHEAL D OXFORD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MICHEAL D OXFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MICHEAL D OXFORD (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: DAVID A JOHNSON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 10, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KYLE SELVIG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KYLE SELVIG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: WEST PEARL STREET, LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: WEST PEARL STREET, LP (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
Recent changes on this record
- August 1, 2026: IRVING H BAUMAN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: IRVING H BAUMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ADRIAN DEHGHANMANESH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: THOMAS M CHAMBERS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ELI MARMUR no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: SUN MAR MANAGEMENT SERVICES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: FRANK A JOHNSON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: FRANK A JOHNSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: FRANK A JOHNSON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: DAVID A JOHNSON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ALESSANDRA HOVEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: WILLIAM C PRESNELL no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MARY FARRALES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: GARY G SANDHU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: GARY G SANDHU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: COUNTRY OAKS PARTNERS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 5, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: COUNTRY OAKS PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 5, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ADRIAN DEHGHANMANESH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ADRIAN DEHGHANMANESH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: THOMAS M CHAMBERS (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 10, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ELI MARMUR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 10, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOSHUA KOCHEK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOSHUA KOCHEK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: EDWIN MANZON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since May 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: EDWIN MANZON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since May 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: SUN MAR MANAGEMENT SERVICES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since October 12, 1989. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: FRANK A JOHNSON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 10, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: FRANK A JOHNSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 10, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: FRANK A JOHNSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 10, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MICHEAL D OXFORD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MICHEAL D OXFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MICHEAL D OXFORD (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: DAVID A JOHNSON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 10, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KYLE SELVIG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KYLE SELVIG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: WEST PEARL STREET, LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: WEST PEARL STREET, LP (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since February 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 31, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 8, 2026 | May 8, 2026 | 10 | 10 |
| 2 | March 6, 2025 | March 6, 2025 | 28 | 4 |
| 3 | February 23, 2024 | February 23, 2024 | 32 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
70 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 8, 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 | No | Deficient, Provider has date of correction | May 26, 2026 |
| May 8, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | May 26, 2026 |
| May 8, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | May 26, 2026 |
| May 8, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | May 26, 2026 |
| May 8, 2026 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | May 26, 2026 |
| May 8, 2026 | 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 | May 26, 2026 |
| May 8, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | May 26, 2026 |
| May 8, 2026 | 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 | May 26, 2026 |
| April 16, 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | April 22, 2026 |
| March 24, 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | April 15, 2026 |
| July 17, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | August 7, 2025 |
| July 17, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | August 8, 2025 |
| July 17, 2025 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Yes | Deficient, Provider has date of correction | August 7, 2025 |
| April 16, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | April 22, 2025 |
| April 16, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Yes | Deficient, Provider has date of correction | April 23, 2025 |
| April 16, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | April 17, 2025 |
| March 6, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | March 6, 2025 |
| March 6, 2025 | 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 | March 7, 2025 |
| March 6, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | March 12, 2025 |
| March 6, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | March 14, 2025 |
| March 6, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | March 12, 2025 |
| March 6, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | March 12, 2025 |
| March 6, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | March 12, 2025 |
| March 6, 2025 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | No | Deficient, Provider has date of correction | March 10, 2025 |
| March 6, 2025 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | No | Deficient, Provider has date of correction | March 12, 2025 |
| March 6, 2025 | 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 | March 10, 2025 |
| March 6, 2025 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | March 10, 2025 |
| March 6, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | March 12, 2025 |
| March 6, 2025 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | March 14, 2025 |
| March 6, 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. | D | No | Deficient, Provider has date of correction | March 12, 2025 |
| March 6, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | March 12, 2025 |
| March 6, 2025 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | March 14, 2025 |
| March 6, 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | No | Deficient, Provider has date of correction | March 12, 2025 |
| February 19, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | March 13, 2025 |
| February 19, 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Yes | Deficient, Provider has date of correction | February 26, 2025 |
| October 29, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | November 4, 2024 |
| October 23, 2024 | Health | F 0776 | Administration Deficiencies | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Yes | Deficient, Provider has date of correction | November 12, 2024 |
| September 25, 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Yes | Deficient, Provider has date of correction | October 24, 2024 |
| August 28, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Yes | Deficient, Provider has date of correction | August 29, 2024 |
| August 28, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | August 29, 2024 |
| August 28, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | Yes | Deficient, Provider has date of correction | August 29, 2024 |
| August 12, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | August 26, 2024 |
| August 1, 2024 | 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 | August 2, 2024 |
| July 27, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | July 29, 2024 |
| July 15, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | July 31, 2024 |
| July 15, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | July 28, 2024 |
| July 15, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | July 15, 2024 |
| June 11, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | July 9, 2024 |
| May 7, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | May 31, 2024 |
| April 17, 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 | Yes | Deficient, Provider has date of correction | May 16, 2024 |
| April 17, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Yes | Deficient, Provider has date of correction | May 16, 2024 |
| March 19, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | March 20, 2024 |
| March 19, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Yes | Deficient, Provider has date of correction | March 21, 2024 |
| March 7, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Yes | Deficient, Provider has date of correction | April 2, 2024 |
| February 23, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | March 18, 2024 |
| February 23, 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. | E | No | Deficient, Provider has date of correction | March 18, 2024 |
| February 23, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | March 18, 2024 |
| February 23, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | No | Deficient, Provider has date of correction | March 18, 2024 |
| February 23, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | March 18, 2024 |
| February 23, 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | E | No | Deficient, Provider has date of correction | March 18, 2024 |
| February 23, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | March 18, 2024 |
| February 23, 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | March 18, 2024 |
| February 23, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | March 18, 2024 |
| February 23, 2024 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | No | Deficient, Provider has date of correction | March 18, 2024 |
| February 23, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | March 18, 2024 |
| February 23, 2024 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Waiver has been granted | March 18, 2024 |
| February 23, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Yes | Deficient, Provider has date of correction | March 18, 2024 |
| February 23, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | March 18, 2024 |
| December 26, 2023 | 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 | January 18, 2024 |
| December 26, 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. | D | Yes | Deficient, Provider has date of correction | January 17, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | COUNTRY OAKS PARTNERS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1971-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Los Angeles |
| Telephone Number | 9096221067 |
| Chain Name | DAVID JOHNSON |
| Chain ID | 851 |
| 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 | 81 |
| Average Number of Residents per Day | 72.3 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on COUNTRY OAKS CARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for COUNTRY OAKS CARE CENTER
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 055247.