Skilled nursing facility · CMS certification number 055571
BUENA PARK NURSING CENTER
BUENA PARK, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 143
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: $8,427.00 · Payment denials: 1. The most recent penalty on file: October 30, 2025, Fine, $8,427. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,277,371 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$463,088 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,740,459 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,396,996 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $343,463 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $519,507 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $862,970 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $762,970 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 52,338 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 10,073 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,196 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 33,766 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 47,035 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 14 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 289 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 8 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 311 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 719.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 11.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436241, 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 September 11, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,333,939 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,846,319 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,180,258 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,416,713 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$236,455 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $638,655 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $402,200 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $351,656 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,263 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 571 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 93.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394475, 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 June 28, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,071,040 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,626,602 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,444,438 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,625,525 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$181,087 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $455,020 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $273,933 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $104,697 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,316 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 699 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 96.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1387233, 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 August 23, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,965,513 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,159,713 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,805,800 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,832,631 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $973,169 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,502,471 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,475,640 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,151,556 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,195 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 488 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 123.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330322, 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 August 12, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,691,989 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,606,683 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,298,672 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,488,589 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,810,083 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $609,901 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,419,984 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,393,806 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,782 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 489 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 126.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329594, 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 June 24, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,802,989 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $166,537 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,636,452 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,630,516 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,005,936 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $231,297 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,237,233 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,221,119 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,813 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 359 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 465.94 | 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 1287105, 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 April 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,007,218 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$76,682 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,083,900 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,431,482 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $652,418 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $171,259 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $823,677 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $812,740 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,787 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 499.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254072, 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 October 28, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,527,749 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $653,448 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,874,301 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,262,135 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $612,166 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $224,499 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $836,665 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $832,121 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,748 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 253 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 192.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1244946, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,239,944 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$129,131 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,369,075 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,600,686 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,768,389 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $217,475 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,985,864 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,985,864 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,061 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 350 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 329.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169015, 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 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,010,817 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,369,108 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,641,709 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,098,598 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $543,111 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $101,305 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $644,416 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $644,416 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,045 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 605 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 142.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142168, 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 19, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,524,013 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,470,356 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,053,657 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,621,247 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$567,590 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $212,140 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$355,450 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$355,450 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,400 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 576 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 114.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108219, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on June 20, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,573,840 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,325,899 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,247,941 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,908,751 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$660,810 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $444,854 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$215,956 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$216,756 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,661 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 291 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 344.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1066407, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,912,703 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,608,646 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,304,057 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,617,123 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$313,066 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,569 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$311,497 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$311,497 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,688 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 357 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 195.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044715, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 17, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,768,460 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,538,883 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,229,577 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,014,016 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,215,561 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $80,717 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,296,278 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,296,278 (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 | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,535 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 385 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 132.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 123.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1022063, 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 January 27, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,320,856 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,365,770 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$44,914 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $412,291 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $367,377 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,348 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 435 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 220.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 108.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424181, 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 June 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,524,319 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,307,708 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $216,611 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $476,888 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $693,499 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,182 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 531 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 160.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 83.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 405220, 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 17, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,858,077 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,492,985 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$634,908 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,498 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,261 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$636,671 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,021 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 478 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 219.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 94.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354802, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 28, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,078,625 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,717,100 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$638,475 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,214 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $69,201 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$681,462 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,046 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 591 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 188.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 321866, 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 January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,830,703 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,370,421 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $460,282 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,541 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $29,247 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $435,576 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,788 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 638 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 288.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 70.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300450, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,012,703 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,881,312 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $131,391 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,297 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,424 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $136,264 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,387 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 661 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 158.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 70.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 275521, 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 22, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,405,354 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,731,353 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$325,999 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $86,708 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$239,291 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,860 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 594 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 327.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249914, 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 July 29, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,834,555 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,842,488 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$7,933 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,901 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,002 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $37,966 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,655 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 613 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 219.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 71.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 229408, 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 June 29, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,845,059 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,023,255 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$178,196 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,437 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$169,759 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,029 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 572 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 284.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 82.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 185520, 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 May 25, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,115,955 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,464,914 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $651,041 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,048 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $15,869 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $661,220 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,257 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 671 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 130.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 70.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 178013, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,256,022 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,918,973 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $337,049 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $79,904 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $416,953 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,771 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 680 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 184.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 68.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 121019, 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 24, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,097,872 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,567,547 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $530,325 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,842 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $550,167 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,178 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 523 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 209.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 86.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 73825, 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 April 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,910,525 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,198,777 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$288,252 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $33,032 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$255,220 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,909 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 560 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 165.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 213478, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on November 15, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,675,725 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,674,860 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $865 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,792 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $33,657 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,970 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 381 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 120.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 199700, 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 February 18, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,765,502 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,089,935 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$324,433 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,286 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$278,147 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,639 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 351 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 138.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 4765, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CASTRO-GARCIA, MARIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/06/2019 |
| GVBP REAL ESTATE HOLDINGS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/05/2023 |
| HANSEN | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| JACINTO, JOCELYN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/09/2023 |
| MANDELBAUM, SIMCHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2026 |
| MOYO, MARICOR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/09/2022 |
| NAVARRO, FRENCITA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2022 |
| PHAM, JULIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2000 |
| RAMA, VANN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2024 |
| SHAMS, FARIBORZ | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2021 |
| SKILLSERVE INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/20/2007 |
| MANDELBAUM, JANET | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2023 |
| CASTRO-GARCIA, MARIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/04/2021 |
| MANDELBAUM, JANET | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/02/2019 |
| MANDELBAUM, BRENDA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2025 |
| CASTRO-GARCIA, MARIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/06/2019 |
| JACINTO, JOCELYN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/09/2023 |
| MANDELBAUM, JANET | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
| MANDELBAUM, SIMCHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2026 |
| MOYO, MARICOR | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/09/2022 |
| NAVARRO, FRENCITA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2022 |
| PHAM, JULIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/16/2000 |
| RAMA, VANN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2024 |
| SHAMS, FARIBORZ | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2021 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of 8520 WESTERN AVENUE INC (enrollment ID O20120109000535).
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 |
|---|---|---|---|---|---|
| THE BENTZION MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE JANET MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| FARIBORZ SHAMS | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRENCITA NAVARRO | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GVBP REAL ESTATE HOLDINGS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/5/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| HANSEN | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOCELYN JACINTO | Individual | ADP OF THE SNF | Not stated in the filing | 10/9/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE PHAM | Individual | ADP OF THE SNF | Not stated in the filing | 3/16/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIA CASTRO-GARCIA | Individual | ADP OF THE SNF | Not stated in the filing | 11/6/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARICOR MOYO | Individual | ADP OF THE SNF | Not stated in the filing | 3/9/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SIMCHA MANDELBAUM | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SKILLSERVE INC | Organization | ADP OF THE SNF | Not stated in the filing | 12/20/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| VANN RAMA | Individual | ADP OF THE SNF | Not stated in the filing | 11/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANET MANDELBAUM | Individual | CORPORATE DIRECTOR | 50 | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANET MANDELBAUM | Individual | CORPORATE OFFICER | Not stated in the filing | 1/2/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIA CASTRO-GARCIA | Individual | CORPORATE OFFICER | Not stated in the filing | 1/4/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FARIBORZ SHAMS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRENCITA NAVARRO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANET MANDELBAUM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOCELYN JACINTO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/9/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE PHAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/16/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIA CASTRO-GARCIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/6/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARICOR MOYO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/9/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SIMCHA MANDELBAUM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VANN RAMA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- May 1, 2026: CLINTON WILLIAMS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CLINTON WILLIAMS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CRYSTAL ROBERTS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CRYSTAL ROBERTS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JENNY UM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JENNY UM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JOSE MALDONADO no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JOSE MALDONADO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JULIE PHAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SIMCHA MANDELBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SIMCHA MANDELBAUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- September 1, 2025: ROXANNE Y AYALA no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BRENDA MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARIA CASTRO-GARCIA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SYMON CALIMBAHIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JEFF SCHACHTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JULIE PHAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 16, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CLINTON WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CLINTON WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRYSTAL ROBERTS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRYSTAL ROBERTS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JENNY UM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 5, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JENNY UM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 5, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARICOR MOYO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 9, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARICOR MOYO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 9, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: VANN RAMA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: VANN RAMA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARIA CASTRO-GARCIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARIA CASTRO-GARCIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SKILLSERVE INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 20, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FRENCITA NAVARRO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FRENCITA NAVARRO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GVBP REAL ESTATE HOLDINGS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOCELYN JACINTO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOCELYN JACINTO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HANSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FARIBORZ SHAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FARIBORZ SHAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOSE MALDONADO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 18, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOSE MALDONADO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 18, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JANET MANDELBAUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JULIE PHAM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 16, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JULIE PHAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 16, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- July 17, 2023: THE YITZCHOK MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: THE CHAIM MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BRENDA MANDELBAUM no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: THE ADINA COHEN 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JULIE PHAM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BRENDA MANDELBAUM (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: MARIA CASTRO-GARCIA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JANET MANDELBAUM (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Recent changes on this record
- July 23, 2026: A deficiency was cited under tag F 0686, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 3, 2026: A deficiency was cited under tag F 0690, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- May 1, 2026: CLINTON WILLIAMS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CLINTON WILLIAMS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CRYSTAL ROBERTS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CRYSTAL ROBERTS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JENNY UM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JENNY UM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JOSE MALDONADO no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JOSE MALDONADO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JULIE PHAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SIMCHA MANDELBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SIMCHA MANDELBAUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- September 1, 2025: ROXANNE Y AYALA no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BRENDA MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARIA CASTRO-GARCIA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SYMON CALIMBAHIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JEFF SCHACHTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JULIE PHAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 16, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CLINTON WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CLINTON WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRYSTAL ROBERTS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRYSTAL ROBERTS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JENNY UM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 5, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JENNY UM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 5, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARICOR MOYO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 9, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARICOR MOYO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 9, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: VANN RAMA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: VANN RAMA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARIA CASTRO-GARCIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARIA CASTRO-GARCIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SKILLSERVE INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 20, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FRENCITA NAVARRO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FRENCITA NAVARRO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GVBP REAL ESTATE HOLDINGS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOCELYN JACINTO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOCELYN JACINTO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HANSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FARIBORZ SHAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FARIBORZ SHAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 18, 2026 | March 18, 2026 | 41 | 11 |
| 2 | November 21, 2024 | November 21, 2024 | 20 | 6 |
| 3 | June 28, 2022 | June 28, 2022 | 17 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
78 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 23, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | July 30, 2026 |
| July 3, 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | July 16, 2026 |
| June 4, 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 25, 2026 |
| May 6, 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 | May 19, 2026 |
| March 18, 2026 | 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 | April 10, 2026 |
| March 18, 2026 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | 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 10, 2026 |
| March 18, 2026 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | 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 10, 2026 |
| March 18, 2026 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | Yes | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0836 | Administration Deficiencies | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 18, 2026 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| January 30, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | February 28, 2026 |
| January 30, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | February 28, 2026 |
| November 3, 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | B | Yes | Deficient, Provider has date of correction | November 20, 2025 |
| November 3, 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 | November 20, 2025 |
| November 3, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | November 20, 2025 |
| October 31, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | November 20, 2025 |
| October 30, 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. | G | Yes | Deficient, Provider has date of correction | December 11, 2025 |
| November 21, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | B | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | B | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | 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 | December 20, 2024 |
| November 21, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | 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 | December 20, 2024 |
| November 21, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 21, 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| August 1, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | August 30, 2024 |
| July 2, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | B | Yes | Deficient, Provider has date of correction | August 1, 2024 |
| July 2, 2024 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Yes | Deficient, Provider has date of correction | August 1, 2024 |
| May 30, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | June 28, 2024 |
| May 30, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | June 28, 2024 |
| December 21, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | January 19, 2024 |
| November 29, 2023 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | B | Yes | Deficient, Provider has date of correction | December 31, 2023 |
| June 28, 2022 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | July 27, 2022 |
| June 28, 2022 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | July 27, 2022 |
| June 28, 2022 | 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 27, 2022 |
| June 28, 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | July 27, 2022 |
| June 28, 2022 | 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 | July 27, 2022 |
| June 28, 2022 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | July 27, 2022 |
| June 28, 2022 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | July 27, 2022 |
| June 28, 2022 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | July 27, 2022 |
| June 28, 2022 | 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 | July 27, 2022 |
| June 28, 2022 | 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 27, 2022 |
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 |
|---|---|---|---|---|---|
| October 30, 2025 | Fine | $8,427 | 137725 | ||
| October 30, 2025 | Payment Denial | November 28, 2025 | 13 |
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 - Corporation |
| Legal Business Name | 8520 WESTERN AVENUE INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1977-04-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Orange |
| Telephone Number | 7148288222 |
| Chain Name | THE MANDELBAUM FAMILY |
| Chain ID | 798 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 143 |
| Average Number of Residents per Day | 126.6 |
| Overall Rating | 2 |
| Health Inspection Rating | 1 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on BUENA PARK NURSING CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 23, 2026: A deficiency was cited under tag F 0686, scope and severity D. That is one line of the alert.
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The citable document for BUENA PARK NURSING CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 055571.