Skilled nursing facility · CMS certification number 055581
JURUPA HILLS POST ACUTE
RIVERSIDE, 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: 3 · Fines: 3 · Fines, total amount: $60,945.00 · Payment denials: 0. The most recent penalty on file: September 11, 2024, Fine, $34,132. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on June 13, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $53,560,020 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $29,151,385 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,408,635 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,304,519 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,104,116 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,541 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,105,657 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,105,657 (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 | 11,172 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,981 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 35,887 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 49,040 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 100 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 6 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 316 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 422 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 111.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 330.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1426943, 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 April 18, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $36,400,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,648,176 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,751,976 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,334,239 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,417,737 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,033 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,439,770 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,439,770 (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 | 48,610 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 545 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 232.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1419783, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,583,160 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,896,214 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,686,946 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,015,935 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,671,011 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,501 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,702,512 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,702,512 (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 | 48,435 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 627 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 118.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392363, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 23, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,788,425 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,108,409 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,680,016 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,309,736 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,370,280 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,280,194 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,650,474 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,663,864 (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 | 48,250 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 562 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 106.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1368544, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,587,341 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,206,614 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,380,727 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,788,185 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,592,542 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,230,073 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,822,615 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,822,615 (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 | 36,647 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,434 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 192.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343446, 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 April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,230,262 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,026,336 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,203,926 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,229,690 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,974,236 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $108,175 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,082,411 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,078,730 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,626 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 498 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 198.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313718, 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 September 19, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,775,532 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,349,244 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,124,776 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,383,421 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,741,355 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $75,284 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,816,639 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,814,939 (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 | 48,605 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 442 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 292.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243028, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,554,645 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$207,127 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,761,772 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,222,189 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$460,417 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,023 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$438,394 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$439,194 (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 | 48,355 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 423 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 81.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209761, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,496,290 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$904,111 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,400,401 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,172,175 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$771,774 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,035 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$764,739 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$765,452 (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 | 46,414 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 414 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 393.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174201, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 17, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,273,386 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$85,430 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,358,816 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,696,927 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $661,889 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,404 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $666,293 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $666,293 (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 | 45,694 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 454 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 339.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141556, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 27, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,807,053 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $634,007 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,173,046 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,379,694 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$206,648 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $389,117 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $182,469 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $169,879 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 143 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,876 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 351 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 363.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108925, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,918,750 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $223,152 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,695,598 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,879,911 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$184,313 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,597 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$176,716 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$189,306 (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 | 46,542 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 335 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 359.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077388, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 16, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,967,055 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $213,624 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,753,431 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,146,218 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$392,787 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,365 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$388,422 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$401,012 (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 | 43,345 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 91.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 324.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 174.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046555, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,466,332 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $236,584 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,229,748 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,209,374 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $20,374 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,903 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $26,277 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $12,887 (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 | 45,601 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 211 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 107.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 371.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 216.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024870, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,689,940 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,788,554 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$98,614 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,420 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,790 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$106,984 (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 | 47,143 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 165 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 114 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 331.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 285.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415565, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,113,306 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,891,250 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $222,056 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,971 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $24,606 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $200,421 (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 | 48,266 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 179 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 158.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 328.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 269.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 383668, 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 5, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,703,865 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,880,268 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$176,403 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,941 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $12,590 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$186,052 (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 | 46,819 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 103 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 263.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 227.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353917, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 6, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,138,068 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,338,660 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$200,592 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,644 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $12,590 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$209,538 (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 | 45,290 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 201 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 297.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 225.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323119, 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 May 28, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,484,246 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,669,545 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$185,299 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,394 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,627 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$176,532 (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 | 48,130 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 241 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 256.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 199.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 310135, 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 December 26, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,476,941 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,294,432 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $182,509 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,247 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $187,756 (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 | 48,892 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 229 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 14.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 244.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 213.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 269613, 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 | $6,243,490 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,062,893 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $180,597 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,073 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $191,670 (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 | 50,238 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 253 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 279.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 198.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249915, 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 November 15, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,708,982 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,470,433 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $238,549 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,999 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $260,548 (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 | 47,068 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 277 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 233.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 169.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 199707, 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 | $5,645,890 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,700,277 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$54,387 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,862 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$45,525 (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 | 45,933 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 276 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 226.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 166.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 185517, 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 August 25, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,374,046 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,251,262 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $122,784 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,367 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,357 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $116,794 (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 | 44,846 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 237 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 14.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 289.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 189.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 157500, 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 April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,322,510 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,758,312 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $564,198 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,302 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $566,500 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| 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 | 48,921 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 193 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 315.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 253.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 139589, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 6, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,816,191 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,102,273 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $713,918 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,961 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $718,879 (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 | 49,558 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 201 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 385.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 246.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 73827, 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, settled, processed by CMS on September 25, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,434,900 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,037,136 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $397,764 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,507 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $403,271 (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 | 45,813 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 167 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 568.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 274.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 4775, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on October 26, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,713,142 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,269,744 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $443,398 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,450 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,511 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $446,337 (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 | 47,999 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 415.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 274.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 4773, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on May 10, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,587,977 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,610,338 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$22,361 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,280 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$81 (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 | 47,851 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 104.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 424.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 270.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 278304, 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 |
|---|---|---|---|---|
| PROVIDENCE GROUP OF SOUTHERN CALIFORNIA LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2015 |
| MANGOBA, LUTHER | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/30/2015 |
| APT, FREDERICK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| HANCOCK, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| HYDER, ERIC | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 05/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MT RUBIDOUXIDENCE OPCO LLC (enrollment ID O20150611003438).
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 |
|---|---|---|---|---|---|
| PROVIDENCE GROUP OF SOUTHERN CALIFORNIA LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2015 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JASON H MURRAY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41.8 | 4/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK D HANCOCK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41.8 | 4/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PROVIDENCE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/1/2015 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| LUTHER B MANGOBA | Individual | CONTRACTED MANAGING EMPLOYEE | Not stated in the filing | 6/30/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FREDERICK G APT | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN T MITCHELL | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA O JERGENSEN | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK D HANCOCK | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIC HYDER | Individual | W-2 MANAGING EMPLOYEE | 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 |
Changes in ownership
- July 1, 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JOSHUA O JERGENSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: LUTHER MANGOBA (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since June 30, 2015. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- February 1, 2024: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
Recent changes on this record
- June 13, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- April 18, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 16, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- July 1, 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JOSHUA O JERGENSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: LUTHER MANGOBA (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since June 30, 2015. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- February 1, 2024: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- November 23, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- February 28, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 21, 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- September 19, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 21, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 17, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 27, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 29, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 16, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- February 19, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- August 17, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- July 27, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 5, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 6, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- May 28, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- May 10, 2007: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
- December 26, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- May 22, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- November 15, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- June 29, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- August 25, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- April 7, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- September 6, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- October 26, 2000: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- September 25, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 27, 2025 | March 27, 2025 | 17 | 3 |
| 2 | March 29, 2024 | March 29, 2024 | 16 | 3 |
| 3 | June 14, 2021 | June 14, 2021 | 24 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
57 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 2, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | June 10, 2026 |
| May 7, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | May 21, 2026 |
| May 7, 2026 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | May 21, 2026 |
| May 7, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | May 21, 2026 |
| May 7, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | May 21, 2026 |
| April 8, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | April 16, 2026 |
| April 8, 2026 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Yes | Deficient, Provider has date of correction | April 16, 2026 |
| January 14, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | February 3, 2026 |
| August 8, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | August 28, 2025 |
| August 8, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | August 28, 2025 |
| August 7, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Yes | Deficient, Provider has date of correction | August 19, 2025 |
| June 23, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 17, 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | Yes | Deficient, Provider has date of correction | June 25, 2025 |
| March 27, 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 27, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 27, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 27, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 27, 2025 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 27, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 27, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 27, 2025 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 27, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 17, 2025 |
| December 4, 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | Yes | Deficient, Provider has date of correction | December 16, 2024 |
| November 4, 2024 | 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 | Yes | Deficient, Provider has date of correction | November 22, 2024 |
| September 11, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | September 23, 2024 |
| June 25, 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 | July 19, 2024 |
| June 25, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | July 19, 2024 |
| June 25, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | July 19, 2024 |
| June 25, 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | Yes | Deficient, Provider has date of correction | July 19, 2024 |
| June 5, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | June 30, 2024 |
| June 5, 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 30, 2024 |
| March 29, 2024 | 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 19, 2024 |
| March 29, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | E | No | Deficient, Provider has date of correction | April 19, 2024 |
| March 29, 2024 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | No | Deficient, Provider has date of correction | April 19, 2024 |
| March 29, 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 | April 19, 2024 |
| March 29, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | April 19, 2024 |
| March 29, 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. | F | No | Deficient, Provider has date of correction | April 19, 2024 |
| March 29, 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 | April 19, 2024 |
| March 29, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | April 19, 2024 |
| November 29, 2023 | 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 | December 16, 2023 |
| October 10, 2023 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Yes | Deficient, Provider has date of correction | November 1, 2023 |
| September 21, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | November 3, 2023 |
| June 14, 2021 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | July 15, 2021 |
| June 14, 2021 | 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. | E | No | Deficient, Provider has date of correction | July 15, 2021 |
| June 14, 2021 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | July 15, 2021 |
| June 14, 2021 | 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 | July 15, 2021 |
| June 14, 2021 | Health | F 0660 | Resident Assessment and Care Planning Deficiencies | Plan the resident's discharge to meet the resident's goals and needs. | D | No | Deficient, Provider has date of correction | July 15, 2021 |
| June 14, 2021 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | July 15, 2021 |
| June 14, 2021 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | July 15, 2021 |
| June 14, 2021 | 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 15, 2021 |
| June 14, 2021 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | July 15, 2021 |
| June 14, 2021 | 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 15, 2021 |
| June 14, 2021 | 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 | July 15, 2021 |
| June 14, 2021 | 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 | July 15, 2021 |
| June 14, 2021 | Health | F 0807 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | No | Deficient, Provider has date of correction | July 15, 2021 |
| June 14, 2021 | 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 15, 2021 |
| June 14, 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 15, 2021 |
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 |
|---|---|---|---|---|---|
| September 11, 2024 | Fine | $34,132 | 130835 | ||
| June 5, 2024 | Fine | $16,777 | 130530 | ||
| March 29, 2024 | Fine | $10,036 | 130403 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | MT RUBIDOUXIDENCE OPCO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1972-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Riverside |
| Telephone Number | 9516812200 |
| Chain Name | PACS GROUP |
| Chain ID | 690 |
| 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 | 132.7 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| 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.
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