Skilled nursing facility · CMS certification number 055331
SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP
SAN RAFAEL, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 54
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: 2 · Fines: 1 · Fines, total amount: $8,278.00 · Payment denials: 1. The most recent penalty on file: March 20, 2025, Fine, $8,278. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 19, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,101,440 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,577,488 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,523,952 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,296,842 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $227,110 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$18,057 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $209,053 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $209,053 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 19,710 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,170 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,053 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,987 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 18,210 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 58 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 50 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 261.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445057, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 7, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,569,986 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,414,265 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,155,721 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,827,652 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$671,931 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $377,679 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$294,252 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$294,252 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,390 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 481.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 185.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401817, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,169,561 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $738,281 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,431,280 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,991,978 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,560,698 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $254,341 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,306,357 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,306,357 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,797 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 430.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 234.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371479, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,923,263 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,923,263 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,484,939 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$561,676 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $92,180 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$469,496 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$283,786 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,423 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,497 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 200.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340018, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 13, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,907,289 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $70,232 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,837,057 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,123,912 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$286,855 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $745,149 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $458,294 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $458,294 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,786 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,004.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308428, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,072,177 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $969,447 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,102,730 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,364,021 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$261,291 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60,448 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$200,843 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$200,843 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,606 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 111 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 82.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,691.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 158.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279430, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 29, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,038,839 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $897,435 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,141,404 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,550,925 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$409,521 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,600 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$365,921 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$365,921 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,609 | 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 | 43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,537 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 169.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250067, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,782,175 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,214,282 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,567,893 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,253,861 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$685,968 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $48,420 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$637,548 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$637,548 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,676 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,593.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 191.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218836, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 18, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,951,058 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,061,691 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,889,367 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,601,605 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $287,762 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $53,953 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $341,715 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $341,715 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,295 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 164 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,297.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182062, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 13, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,129,511 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,059,112 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,070,399 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,227,116 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$156,717 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,166 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$100,551 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$100,551 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,404 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 978.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179966, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,053,914 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,022,036 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,031,878 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,931,650 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $100,228 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $78,040 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $178,268 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $178,268 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,023 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 165 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 174.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117846, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 27, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,194,330 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,245,775 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,948,555 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,649,749 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $298,806 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,188 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $340,994 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $340,994 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,842 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 397.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085043, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for November 1, 2012 to June 30, 2013 — a reporting period of 241 days, not a full year, on form CMS-2540-10, settled, processed by CMS on February 3, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,048,272 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,000,645 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,047,627 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,712,755 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $334,872 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,130 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $358,002 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $358,002 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,489 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055092, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended October 31, 2012
Cost report for July 1, 2012 to October 31, 2012 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,876,411 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $210,708 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,665,703 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,910,589 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$244,886 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $448 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$244,438 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$244,438 (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 | 52 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,853 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 386.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043427, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,973,508 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,340,676 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$367,168 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,254 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$364,914 (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 | 52 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,205 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 459.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 420348, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 24, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,825,184 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,998,074 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$172,890 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$5,695 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$178,585 (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 | 52 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,242 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 312.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 168.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 390016, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 13, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,964,678 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,958,579 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $6,099 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,035 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $8,134 (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 | 52 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,564 | 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 | 36.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 154.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362268, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 29, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,789,347 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,933,449 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$144,102 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,309 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$138,793 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,162 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 108.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 332856, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 21, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,376,661 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,722,627 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$345,966 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,710 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$335,256 (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 | 54 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,683 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 142.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 327047, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 5, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,255,026 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,406,873 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$151,847 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,206 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$143,641 (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 | 54 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,621 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 156 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 119.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271711, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 26, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,452,050 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,738,484 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$286,434 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,717 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$279,717 (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 | 57 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,006 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 126 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 150.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241410, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 21, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,416,837 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,489,215 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$72,378 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,836 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$66,542 (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 | 57 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,757 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 114 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 173.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205115, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,174,186 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,149,659 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $24,527 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,394 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $27,921 (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 | 57 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,684 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 218.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 198163, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 26, 2001 to June 30, 2002 — a reporting period of 339 days, on form CMS-2540-96, settled, processed by CMS on January 22, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,828,281 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,664,658 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $163,623 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,941 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $173,564 (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 | 57 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,817 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 153.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 166753, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended July 26, 2001
Cost report for October 1, 2000 to July 26, 2001 — a reporting period of 298 days, not a full year, on form CMS-2540-96, as submitted, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,334,682 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,071,096 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $263,586 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,354 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $274,940 (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 | 57 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,655 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 86.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 373.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 313.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 137570, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on May 9, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,479,132 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,992,399 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$513,267 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,534 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$497,733 (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 | 57 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,635 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,192.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 564.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80657, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on April 21, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,442,077 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,260,263 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $181,814 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,630 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $197,444 (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 | 57 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,127 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 28 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,400.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 718.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80656, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for January 1, 1998 to September 30, 1998 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 31, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,483,925 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,736,072 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$252,147 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,170 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$247,977 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,021 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 991.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 424.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80654, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for March 1, 1997 to December 31, 1997 — a reporting period of 305 days, on form CMS-2540-96, settled, processed by CMS on May 18, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,699,444 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,850,171 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$150,727 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,854 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$146,873 (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 | 57 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,077 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 81.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 379.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 169.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 80652, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CORPORATE INTERFACE SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/27/2025 |
| DHUGGA, GURPREET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2019 |
| ERETZ SAN RAFAEL PROPERTIES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/15/2014 |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/27/2025 |
| WHITE, CHARLES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/16/2023 |
| SAN RAFAEL WELLNESS GP LLC | GENERAL PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/01/2012 |
| MAJER, SOL | LIMITED PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/01/2019 |
| RECHNITZ, SHLOMO | LIMITED PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 11/01/2012 |
| CORPORATE INTERFACE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/18/2024 |
| DHUGGA, GURPREET | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2019 |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/01/2012 |
| WHITE, CHARLES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/16/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SAN RAFAEL HEALTHCARE & WELLNESS CENTRE LP (enrollment ID O20121231000207).
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 |
|---|---|---|---|---|---|
| CHARLES WHITE | Individual | ADP OF THE SNF | Not stated in the filing | 10/16/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CORPORATE INTERFACE SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/27/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ERETZ SAN RAFAEL PROPERTIES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/15/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| GURPREET DHUGGA | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/27/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAN RAFAEL WELLNESS GP LLC | Organization | GENERAL PARTNERSHIP INTEREST | 0.1 | 11/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHLOMO RECHNITZ | Individual | LIMITED PARTNERSHIP INTEREST | 97.9 | 11/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOL MAJER | Individual | LIMITED PARTNERSHIP INTEREST | 2 | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES WHITE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/16/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CORPORATE INTERFACE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 3/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| GURPREET DHUGGA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- July 1, 2026: CHARLES WHITE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ERETZ SAN RAFAEL PROPERTIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 15, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CORPORATE INTERFACE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GURPREET DHUGGA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GURPREET DHUGGA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROCKPORT ADMINISTRATIVE SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROCKPORT ADMINISTRATIVE SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHARLES WHITE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHARLES WHITE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- September 1, 2024: SHLOMO RECHNITZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: CORPORATE INTERFACE SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since March 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: CHARLES WHITE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since October 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- July 1, 2026: CHARLES WHITE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ERETZ SAN RAFAEL PROPERTIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 15, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CORPORATE INTERFACE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GURPREET DHUGGA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GURPREET DHUGGA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROCKPORT ADMINISTRATIVE SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROCKPORT ADMINISTRATIVE SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHARLES WHITE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHARLES WHITE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- December 19, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- January 7, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- September 1, 2024: SHLOMO RECHNITZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: CORPORATE INTERFACE SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since March 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: CHARLES WHITE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since October 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- January 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- January 17, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- January 13, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- February 2, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- January 29, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- February 2, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- January 18, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- December 13, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- January 22, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- January 27, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- February 3, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 24, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- December 10, 2012: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- November 17, 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- November 24, 2010: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- January 13, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- January 29, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- October 21, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- February 5, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- January 26, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- January 21, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- October 26, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- January 22, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- April 7, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- May 9, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- October 31, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 20, 2025 | March 20, 2025 | 21 | 5 |
| 2 | May 25, 2023 | May 25, 2023 | 26 | 11 |
| 3 | January 17, 2020 | January 17, 2020 | 7 | 13 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
55 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 1, 2026 | 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. | E | Yes | Deficient, Provider has date of correction | July 21, 2026 |
| June 9, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | June 29, 2026 |
| December 23, 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 | January 2, 2026 |
| July 18, 2025 | 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 | August 7, 2025 |
| June 3, 2025 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Yes | Deficient, Provider has date of correction | July 1, 2025 |
| June 3, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | July 1, 2025 |
| June 3, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | July 1, 2025 |
| May 7, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | May 16, 2025 |
| April 23, 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | May 13, 2025 |
| April 23, 2025 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Yes | Deficient, Provider has date of correction | May 13, 2025 |
| April 10, 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Yes | Deficient, Provider has date of correction | May 1, 2025 |
| March 27, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | April 29, 2025 |
| March 24, 2025 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Yes | Deficient, Provider has date of correction | April 16, 2025 |
| March 24, 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 | Yes | Deficient, Provider has date of correction | April 16, 2025 |
| March 20, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 2025 | Health | F 0559 | Resident Rights Deficiencies | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 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. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 2025 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 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 | April 17, 2025 |
| March 20, 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 | April 17, 2025 |
| March 20, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 2025 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 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 | April 17, 2025 |
| March 20, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 2025 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 20, 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 | No | Deficient, Provider has date of correction | April 17, 2025 |
| February 24, 2025 | Health | F 0559 | Resident Rights Deficiencies | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Yes | Deficient, Provider has date of correction | March 12, 2025 |
| February 24, 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 12, 2025 |
| February 24, 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 | March 12, 2025 |
| August 19, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | September 20, 2024 |
| May 7, 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. | D | Yes | Deficient, Provider has date of correction | July 1, 2024 |
| November 7, 2023 | 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 30, 2023 |
| August 2, 2023 | 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. | E | Yes | Waiver has been granted | August 2, 2023 |
| May 25, 2023 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| May 25, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| May 25, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| May 25, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | July 14, 2023 |
| May 25, 2023 | 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 | July 14, 2023 |
| May 25, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| May 25, 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. | F | No | Deficient, Provider has date of correction | July 14, 2023 |
| May 25, 2023 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| May 25, 2023 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| May 25, 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| May 25, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | July 14, 2023 |
| May 25, 2023 | 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 | July 14, 2023 |
| January 17, 2020 | 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 16, 2020 |
| January 17, 2020 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | No | Deficient, Provider has date of correction | March 16, 2020 |
| January 17, 2020 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | March 16, 2020 |
| January 17, 2020 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | March 16, 2020 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| March 20, 2025 | Fine | $8,278 | 131256 | ||
| March 20, 2025 | Payment Denial | May 13, 2025 | 6 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | SAN RAFAEL HEALTHCARE & WELLNESS CENTRE LP |
| Date First Approved to Provide Medicare and Medicaid Services | 1974-03-29 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Marin |
| Telephone Number | 4154567170 |
| Chain Name | CORPORATE INTERFACE SERVICES |
| Chain ID | 863 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 54 |
| Average Number of Residents per Day | 52.5 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| 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 SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On December 19, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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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 055331.