Skilled nursing facility · CMS certification number 055646
Palo Alto Post-Acute
PALO ALTO, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 66
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 17, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,498,523 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,514,661 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,983,862 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,490,573 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $493,289 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$25,710 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $467,579 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $467,579 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 24,156 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,591 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,432 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 12,908 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 20,931 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 281 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 67 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 390 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 738 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 21.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 28.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439695, 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 June 18, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,347,043 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,270,998 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,076,045 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,627,644 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $448,401 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$20,064 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $428,337 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $428,337 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,538 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 630 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 17.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 32.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1429439, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,325,301 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,428,384 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,896,917 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,957,710 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $939,207 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $807 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $940,014 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $940,014 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,706 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 648 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 23.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 30.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397305, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 23, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,614,080 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,351,956 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,262,124 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,251,591 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,010,533 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $44,477 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,055,010 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,055,010 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,904 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 637 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 28.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 29.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333751, 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 December 21, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,868,265 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,523,882 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,344,383 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,832,250 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $512,133 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $661,149 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,173,282 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,173,282 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,856 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 579 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 54.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 32.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1307671, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 14, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,221,839 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,046,169 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,175,670 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,227,140 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $948,530 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,125 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $955,655 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $955,655 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,096 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 692 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 344.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 30.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1277971, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 5, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,356,507 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,247,083 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,109,424 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,589,383 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $520,041 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,309 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $551,350 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $551,350 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,575 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 567 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 310.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 36.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239432, 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 23, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,162,659 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $605,709 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,556,950 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,870,108 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $686,842 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,448 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $707,290 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $707,290 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,896 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 448 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 266.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 44.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1210188, 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 25, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,834,155 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $851,371 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,982,784 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,370,646 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$387,862 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$46,467 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$434,329 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$434,329 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,934 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 363 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 254.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 49.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174925, 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 26, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,949,252 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $622,178 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,327,074 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,926,861 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $400,213 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$20,503 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $379,710 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $379,710 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,513 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 550 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 347.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 35.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142764, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,454,822 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,142,420 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,312,402 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,053,236 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $259,166 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $112,762 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $371,928 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $371,928 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,604 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 643 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 160.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 32.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103815, 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 26, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,512,697 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,239,551 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,273,146 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,937,583 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $335,563 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,279 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $372,842 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $372,842 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,322 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 631 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 165.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 32.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077048, 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 | $9,811,463 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,262,976 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,548,487 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,086,483 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $462,004 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $78,398 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $540,402 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $540,402 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,502 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 526 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 40.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044718, 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 January 31, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,129,351 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,222,708 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,906,643 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,490,941 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $415,702 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,172 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $447,874 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $447,874 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,107 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 394 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,312.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024285, 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 1, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,777,842 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,904,902 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $872,940 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,793 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $878,733 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,899 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 447 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 404.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 46.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 414148, 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 August 13, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,412,696 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,743,348 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $669,348 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $16,058 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $653,290 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,212 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 331 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 320.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 64.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385541, 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 October 13, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,448,215 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,148,651 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $299,564 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,008 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $307,572 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,924 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 462 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 156.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 45.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 357449, 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 4, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,001,561 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,723,366 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $278,195 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,051 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $291,246 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,735 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 406 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 210.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 51.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322610, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,434,318 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,348,843 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $85,475 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,115 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $94,587 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,598 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 311 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 530.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 66.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 291735, 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 July 27, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,050,707 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,900,853 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $149,854 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,388 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $899 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $158,343 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,741 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 214 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 365.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 96.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 259868, 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 June 27, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,461,992 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,718,844 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$256,852 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,134 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$242,718 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,863 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 242 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 219.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 86.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 225618, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,862,602 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,334,879 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$472,277 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,342 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$467,935 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,836 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 213 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 193.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 97.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194460, 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 March 2, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,510,709 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,241,313 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$730,604 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,986 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$724,618 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,646 | 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 | 24.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 357.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 131.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169862, 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 5, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,374,437 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,153,929 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$779,492 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,335 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$770,157 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,693 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 479.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 169.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175306, 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 September 9, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,141,160 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,540,008 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$398,848 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,277 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$395,571 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,656 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 130 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 230.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 166.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159043, 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, reopened, processed by CMS on August 16, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,493,174 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,262,361 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$769,187 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,613 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$765,574 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,693 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 105 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 420.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 178.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230822, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on November 12, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,892,871 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,109,556 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$216,685 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,646 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$206,039 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,732 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 287.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 101.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81181, 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, as submitted, processed by CMS on June 17, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,277,155 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,210,623 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $66,532 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$3,738 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $62,794 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,127 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 223 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 246 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 94.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81180, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 24, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,977,214 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,110,590 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$133,376 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,753 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$115,623 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,426 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 256 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 285.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 83.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81178, 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 |
|---|---|---|---|---|
| COVENANT CARE CALIFORNIA, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/01/1995 |
| COVENANT CARE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/14/2006 |
| CENTRE CAPITAL INVESTORS V, LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (B), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (Q), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (S), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/19/2008 |
| CENTRE V SECONDARY FUND, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| COVENANT HOLDCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| COVENANT SUBCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| EVANS, MARY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| LEVIN, ROBERT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| SIMS, CHRISTINE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/19/2008 |
| STOCKWELL FUND II LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/19/2008 |
| TOROK, ANDREW | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| MIDCAP FUNDING IV TRUST | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 02/20/2014 |
| ASHLEY, DAVA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/17/2018 |
| CARNEY, KEVIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2013 |
| EVANS, MARY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2013 |
| HASSELL, LANCE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/17/2018 |
| LEVIN, ROBERT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2013 |
| SIMS, CHRISTINE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2013 |
| TOROK, ANDREW | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2013 |
| ASHLEY, DAVA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/26/2018 |
| COVENANT CARE CALIFORNIA, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/01/1995 |
| EVANS, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/14/2006 |
| HASSELL, LANCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/17/2018 |
| LEVIN, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/14/2006 |
| SIMS, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/14/2006 |
| SPARKS, CAROL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/05/2001 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of COVENANT CARE CALIFORNIA, LLC (enrollment ID O20081017000385).
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 |
|---|---|---|---|---|---|
| COVENANT CARE CALIFORNIA, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/1/1995 | Private equity company: No Real estate investment trust: No Holding company: No |
| COVENANT CARE, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/14/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREW F TOROK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.3 | 7/17/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CENTRE CAPITAL INVESTORS V, LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.7 | 7/17/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| CENTRE COVENANT PURCHASER (B), LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.4 | 7/17/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| CENTRE COVENANT PURCHASER (Q), LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.7 | 7/17/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| CENTRE COVENANT PURCHASER (S), LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.7 | 12/19/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| CENTRE V SECONDARY FUND, L.P. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.4 | 7/17/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHRISTINE M SIMS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.3 | 7/17/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COVENANT HOLDCO, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 7/17/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| COVENANT SUBCO, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 7/17/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARY A EVANS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.3 | 7/17/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT A LEVIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13.1 | 7/17/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.5 | 12/19/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| STOCKWELL FUND II LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.7 | 12/19/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| MIDCAP FUNDING IV TRUST | Organization | 5% OR GREATER SECURITY INTEREST | 25 | 2/20/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREW F TOROK | Individual | CORPORATE OFFICER | 0 | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTINE M SIMS | Individual | CORPORATE OFFICER | Not stated in the filing | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVA A ASHLEY | Individual | CORPORATE OFFICER | Not stated in the filing | 5/17/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN P CARNEY | Individual | CORPORATE OFFICER | Not stated in the filing | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LANCE A HASSELL | Individual | CORPORATE OFFICER | Not stated in the filing | 5/17/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY A EVANS | Individual | CORPORATE OFFICER | Not stated in the filing | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT A LEVIN | Individual | CORPORATE OFFICER | Not stated in the filing | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROL A SPARKS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/5/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTINE M SIMS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/14/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COVENANT CARE CALIFORNIA, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/1995 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVA A ASHLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/26/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LANCE A HASSELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 5/17/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY A EVANS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/14/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT A LEVIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/14/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- January 1, 2026: CAROL A SPARKS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DAVA A ASHLEY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: COVENANT CARE CALIFORNIA, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARY A EVANS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROBERT A LEVIN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CHRISTINE M SIMS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAROL A SPARKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 5, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DAVA A ASHLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 26, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: COVENANT CARE CALIFORNIA, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 1995. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARY A EVANS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 14, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROBERT A LEVIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 14, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CHRISTINE M SIMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 14, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
Recent changes on this record
- January 1, 2026: CAROL A SPARKS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DAVA A ASHLEY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: COVENANT CARE CALIFORNIA, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARY A EVANS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROBERT A LEVIN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CHRISTINE M SIMS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAROL A SPARKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 5, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DAVA A ASHLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 26, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: COVENANT CARE CALIFORNIA, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 1995. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARY A EVANS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 14, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROBERT A LEVIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 14, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CHRISTINE M SIMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 14, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- September 17, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 18, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 16, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 23, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- December 21, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- January 14, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 5, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 23, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 25, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 26, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 24, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 26, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 1, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- January 31, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- August 1, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- August 13, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- October 13, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 4, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- August 13, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- July 27, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- August 16, 2005: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- June 27, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- September 21, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- May 5, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- March 2, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- September 9, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- November 12, 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- June 17, 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 30, 2025 | May 30, 2025 | 17 | 6 |
| 2 | February 26, 2024 | February 26, 2024 | 11 | 12 |
| 3 | April 8, 2022 | April 8, 2022 | 10 | 17 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
38 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 30, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | June 30, 2025 |
| May 30, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | June 30, 2025 |
| May 30, 2025 | 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. | D | No | Deficient, Provider has date of correction | June 30, 2025 |
| May 30, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | June 30, 2025 |
| May 30, 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 | June 30, 2025 |
| May 30, 2025 | 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 | June 30, 2025 |
| May 30, 2025 | 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 | June 30, 2025 |
| May 30, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | June 30, 2025 |
| May 30, 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 | June 30, 2025 |
| May 30, 2025 | 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 | June 30, 2025 |
| May 30, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | June 30, 2025 |
| May 30, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | June 30, 2025 |
| May 30, 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | No | Deficient, Provider has date of correction | June 30, 2025 |
| May 30, 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 | No | Deficient, Provider has date of correction | June 30, 2025 |
| May 30, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | June 30, 2025 |
| May 30, 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | June 30, 2025 |
| May 30, 2025 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | No revisit needed | |
| February 26, 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 | March 26, 2024 |
| February 26, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | March 26, 2024 |
| February 26, 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. | E | No | Deficient, Provider has date of correction | March 26, 2024 |
| February 26, 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 | March 26, 2024 |
| February 26, 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 | March 26, 2024 |
| February 26, 2024 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Yes | Deficient, Provider has date of correction | March 26, 2024 |
| February 26, 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 | March 26, 2024 |
| February 26, 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | March 26, 2024 |
| February 26, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | March 26, 2024 |
| February 26, 2024 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Yes | Waiver has been granted | |
| February 26, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | March 26, 2024 |
| January 31, 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 | March 2, 2024 |
| April 8, 2022 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | May 8, 2022 |
| April 8, 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | May 8, 2022 |
| April 8, 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. | E | No | Deficient, Provider has date of correction | May 8, 2022 |
| April 8, 2022 | 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. | E | No | Deficient, Provider has date of correction | May 8, 2022 |
| April 8, 2022 | 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. | E | No | Deficient, Provider has date of correction | May 8, 2022 |
| April 8, 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 | May 8, 2022 |
| April 8, 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 | May 8, 2022 |
| April 8, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | May 8, 2022 |
| April 8, 2022 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | No | Waiver has been granted | May 8, 2022 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | COVENANT CARE CALIFORNIA, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1971-10-23 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Santa Clara |
| Telephone Number | 6503270511 |
| Chain Name | COVENANT CARE |
| Chain ID | 166 |
| 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 | 66 |
| Average Number of Residents per Day | 62.7 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| 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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The citable document for Palo Alto Post-Acute
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