Velarion Records

Skilled nursing facility · CMS certification number 055565

Waterman Canyon Post Acute

San Bernardino, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 166

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, as submitted, processed by CMS on June 9, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$62,568,857CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$32,544,111CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$30,024,746CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$24,595,970CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$5,428,776CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,386CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$5,437,162CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $5,437,162 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components60,756CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days15,859CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days3,298CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days38,259CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components57,416CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges80CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges25CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges327CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components432CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days198.24CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days131.92CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days132.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1426941, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$33,616,309CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$7,378,967CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$26,237,342CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$22,189,867CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$4,047,475CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,593CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$4,049,068CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,039,618 (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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components56,599CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components540CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days69.21CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days570CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days104.81CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433014, 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 October 28, 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$23,319,259CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$2,364,244CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$25,683,503CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,840,812CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$3,842,691CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$32,760CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,875,451CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,875,451 (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%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components56,409CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components615CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days66.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days458.8CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days91.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1398061, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 23, 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$22,174,059CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,028,706CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$20,145,353CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,840,510CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,304,843CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$975,206CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,280,049CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,293,439 (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%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components54,286CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components632CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days310CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days85.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1368543, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$17,638,226CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$843,754CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$18,481,980CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,026,133CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,455,847CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,572,223CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,028,070CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,028,070 (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%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components52,521CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components577CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.24CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days433CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days91.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1343445, 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 December 23, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$15,935,552CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$537,388CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$16,472,940CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,392,783CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,080,157CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$103,812CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,183,969CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,180,392 (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%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components56,428CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components702CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days491.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days80.38CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1277093, 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 January 15, 2021.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$15,859,807CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$436,706CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$16,296,513CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,529,292CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,767,221CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$53,948CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,821,169CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,819,469 (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%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components56,438CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components659CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days689.7CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days85.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1278169, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$14,373,790CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$361,264CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,735,054CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,160,813CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$574,241CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$396,683CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$970,924CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $970,124 (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%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components56,395CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components656CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days195.41CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days85.97CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209760, 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 21, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$13,678,384CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,323,308CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,001,692CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,484,851CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,516,841CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$26,946CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,543,787CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,547,344 (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%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components55,992CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components605CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days336CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days92.55CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174200, 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 17, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$12,726,144CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$189,816CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,915,960CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,138,267CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$777,693CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,626CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$786,319CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $786,319 (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%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components54,680CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components524CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days373.95CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days104.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141555, 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 August 27, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$11,335,194CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$510,850CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,824,344CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,965,447CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$141,103CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$86,576CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$54,527CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$67,117 (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%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components52,418CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components417CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days445.84CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days125.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108924, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$9,755,013CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$89,211CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,844,224CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,346,841CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$502,617CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,558CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$493,059CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$505,649 (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%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components48,466CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components578CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days253.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days83.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1077387, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 16, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$9,624,951CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$423,926CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,048,877CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,213,307CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$164,430CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,635CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$156,795CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$169,385 (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%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components48,160CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components532CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days259.26CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days90.53CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046553, 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 February 19, 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$9,597,460CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$472,376CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,069,836CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,745,312CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$324,524CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,357CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$332,881CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $319,491 (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%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components49,403CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components511CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days61.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days217.72CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days96.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024869, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$8,556,405CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,542,449CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$13,956CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,949CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$11,790CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $11,115 (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.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components49,881CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components478CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.15CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days297.18CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days104.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415562, 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.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$8,331,687CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,512,272CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$180,585CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$10,597CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$24,380CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$194,368 (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.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components48,032CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components430CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days273.36CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days111.7CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 383667, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended December 31, 2008

Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 10, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$7,858,582CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,207,272CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$348,690CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,523CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$14,052CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$358,219 (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.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components46,551CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components486CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.22CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days201.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days95.78CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 354290, 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 7, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$8,213,318CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,297,481CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$84,163CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$18,355CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$12,590CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$78,398 (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.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components52,631CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components583CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days17.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days248.35CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days90.28CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 323249, 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 June 30, 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$7,693,903CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,163,903CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$470,000CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$19,793CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$97,627CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$547,834 (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.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components52,600CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components577CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.38CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days258.48CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days91.16CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 318264, 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 March 20, 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$8,093,444CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,441,235CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$347,791CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,688CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$2,777CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$341,880 (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.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components55,833CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components561CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days13.11CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days324.97CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days99.52CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 275520, 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 May 15, 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$7,883,798CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,938,842CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$55,044CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$72,730CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$116,728CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$99,042 (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.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components57,046CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components615CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days14.36CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days303.13CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days92.76CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 249305, 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 December 13, 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$6,815,135CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,717,766CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$97,369CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$73,597CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $170,966 (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.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components51,313CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components580CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days13.34CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days224.94CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days88.47CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 202053, 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 May 19, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$6,476,127CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,650,294CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$174,167CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$124,646CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$17,281CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$66,802 (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.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components49,039CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components567CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days16.39CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days210.81CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days86.49CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 176972, 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 September 9, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$6,285,737CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,497,382CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$211,645CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,500CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$494,681CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$697,826 (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.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components50,055CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components501CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.06CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days228.42CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days99.91CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 159021, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended December 31, 2000

Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$5,841,573CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,096,617CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$1,255,044CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,151CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$2,190,016CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$3,438,909 (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.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components51,252CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components381CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days18.61CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days287.77CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days134.52CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 123332, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended December 31, 1999

Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 6, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$5,326,884CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,615,157CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$2,288,273CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,063,897CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$6,124CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $769,500 (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.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components52,007CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components260CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.66CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days307.14CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days200.03CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 73823, 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, reopened, processed by CMS on June 10, 2004.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$4,309,324CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,966,557CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$1,657,233CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,104,505CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$552,728 (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.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,286CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components243CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.38CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days314.4CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days186.36CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 181071, 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 with audit, processed by CMS on October 26, 2000.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$4,440,672CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,020,311CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$2,579,639CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$336,586CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$2,600CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$2,245,653 (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.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,883CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components238CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.75CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days334.78CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days192.79CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 4760, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended December 31, 1996

Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on May 10, 2007.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$4,490,694CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,586,147CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$95,453CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$95,403CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$5,404CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$5,454 (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.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,994CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components235CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days80.28CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days268.57CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days195.72CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 278303, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
GOLBOO, SEPEHRCONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 09/01/2022
APT, FREDERICKCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
HANCOCK, MARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
JERGENSEN, JOSHUACORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
MITCHELL, JOHNCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
JENKINS, NICOLETTAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2022
JENKINS, NICOLETTAW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 05/01/2022

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of WATERMANIDENCE OPCO LLC (enrollment ID O20150622001288).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/30/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
JASON H MURRAYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST41.84/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK D HANCOCKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST41.84/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/30/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/30/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
SEPEHR GOLBOOIndividualCONTRACTED MANAGING EMPLOYEENot stated in the filing9/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
FREDERICK G APTIndividualCORPORATE OFFICERNot stated in the filing1/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN T MITCHELLIndividualCORPORATE OFFICERNot stated in the filing1/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOSHUA O JERGENSENIndividualCORPORATE OFFICERNot stated in the filing1/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK D HANCOCKIndividualCORPORATE OFFICERNot stated in the filing1/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NICOLETTA JENKINSIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing5/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NICOLETTA JENKINSIndividualW-2 MANAGING EMPLOYEENot stated in the filing5/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

  • August 28, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • June 9, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • October 28, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • August 1, 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
  • August 1, 2024: SEPEHR GOLBOO (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
  • August 1, 2024: JOSHUA O JERGENSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
  • November 23, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • October 2, 2023: PROVIDENCE GROUP OF SOUTHERN CALIFORNIA LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
  • October 2, 2023: PROVIDENCE GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
  • October 2, 2023: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
  • October 2, 2023: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
  • October 2, 2023: PROVIDENCE GROUP NH, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
  • October 2, 2023: NICOLETTA JENKINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
  • February 28, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • January 15, 2021: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • December 23, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • August 21, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • August 17, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • August 27, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • August 29, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • August 16, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • February 19, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
  • August 17, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • July 27, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • August 10, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • August 7, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • June 30, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • May 10, 2007: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
  • March 20, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
  • May 15, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
  • December 13, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
  • June 10, 2004: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
  • May 19, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
  • September 9, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
  • February 12, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
  • September 6, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
  • October 26, 2000: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1March 21, 2025March 21, 202543
2June 9, 2023June 9, 2023216
3May 24, 2021May 24, 20211613

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

41 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
February 25, 2026HealthF 0553Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.DYesDeficient, Provider has date of correctionMarch 25, 2026
September 23, 2025HealthF 0627Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DYesDeficient, Provider has date of correctionOctober 23, 2025
May 13, 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DYesDeficient, Provider has date of correctionJune 13, 2025
March 21, 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correctionApril 14, 2025
March 21, 2025HealthF 0912Environmental DeficienciesProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.DNoDeficient, Provider has date of correctionApril 14, 2025
March 6, 2025HealthF 0676Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DYesDeficient, Provider has date of correctionApril 6, 2025
January 21, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correctionFebruary 21, 2025
April 13, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionMay 7, 2024
April 2, 2024HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DYesDeficient, Provider has date of correctionApril 12, 2024
March 11, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionMarch 25, 2024
January 24, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionFebruary 14, 2024
December 15, 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correctionJanuary 2, 2024
October 10, 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionOctober 24, 2023
June 9, 2023HealthF 0584Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.DNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0849Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.ENoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0912Environmental DeficienciesProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BNoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.ENoDeficient, Provider has date of correctionJune 30, 2023
June 9, 2023HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.DNoDeficient, Provider has date of correctionJune 30, 2023
May 24, 2021HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionJune 18, 2021
May 24, 2021HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionJune 18, 2021
May 24, 2021HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionJune 18, 2021
May 24, 2021HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correctionJune 18, 2021
May 24, 2021HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correctionJune 18, 2021
May 24, 2021HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correctionJune 18, 2021
May 24, 2021HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correctionJune 18, 2021
May 24, 2021HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionJune 18, 2021
May 24, 2021HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionJune 18, 2021
May 24, 2021HealthF 0912Environmental DeficienciesProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BNoDeficient, Provider has date of correctionJune 18, 2021

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

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameWATERMANIDENCE OPCO LLC
Date First Approved to Provide Medicare and Medicaid Services1971-01-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSan Bernardino
Telephone Number9098821215
Chain NamePACS GROUP
Chain ID690
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds166
Average Number of Residents per Day153.9
Overall Rating4
Health Inspection Rating4
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating3
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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