Skilled nursing facility · CMS certification number 055708
Arrowhead Springs Healthcare
San Bernardino, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 119
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 June 17, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,413,730 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,896,932 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,516,798 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,391,892 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,124,906 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,734 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,131,640 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,131,640 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,554 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,805 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 25,606 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,759 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 41,170 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 67 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 69 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 468 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 604 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 371.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1429443, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 15, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,659,991 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,211,042 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,448,949 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,886,774 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$437,825 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,581 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$434,244 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$434,244 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,906 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 432 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 232.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392222, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for February 1, 2022 to December 31, 2022 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on June 7, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,186,114 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,458,601 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,727,513 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,285,656 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$558,143 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $591 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$557,552 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$557,552 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,052 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 178 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 355.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 174.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1381722, read from the public cost report file SNF10FY2022.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 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,075,105 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,261,847 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,813,258 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,979,149 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,165,891 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,286,877 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $120,986 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $120,986 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,420 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 286 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 226.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1306755, 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 | $15,050,102 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $613,114 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,436,988 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,537,879 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,100,891 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $431,084 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$669,807 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$669,807 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,718 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 310 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 156.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1277889, 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 21, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,776,198 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $277,757 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,498,441 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,523,390 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,024,949 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $474,963 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$549,986 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$549,986 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,114 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 316 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 134.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241467, 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 June 14, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,744,833 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $321,532 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,423,301 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,452,297 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,028,996 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $593,070 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$435,926 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$435,926 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,082 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 356 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 166.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1193063, 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 22, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,550,310 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,437,766 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,112,544 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,986,519 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,873,975 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $466,475 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,407,500 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,407,500 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,522 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 323 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 206.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174494, 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 April 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,186,377 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,529 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,177,848 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,690,938 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$513,090 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $358,874 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$154,216 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$154,216 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,428 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 323 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 303.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1155850, 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 October 19, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,871,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $615,646 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,256,326 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,845,824 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$589,498 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $362,792 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$226,706 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$226,706 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,792 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 298 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 191.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144808, 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 July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,180,581 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $714,281 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,466,300 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,416,211 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $50,089 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $306,294 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $356,383 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $356,383 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,303 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 233.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 137.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1072786, 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 June 3, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,887,138 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$19,565 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,906,703 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,156,330 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,750,373 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $378,369 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,128,742 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,128,742 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,176 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 309 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 212.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1031520, 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 September 28, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,384,131 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $235,093 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,149,038 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,602,263 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,546,775 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $402,444 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,949,219 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,949,219 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,625 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 259 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 206.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1013063, 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 July 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,552,489 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,877,519 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,674,970 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $470,331 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,145,301 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,961 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 269 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 215.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 133.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 411373, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,743,962 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,892,287 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $851,675 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $437,858 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,289,533 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,674 | 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 | 64.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 188.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 139.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 383674, 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 July 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,346,738 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,243,135 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $103,603 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $484,996 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $588,599 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,736 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 342 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 157.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 104.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 348956, 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 June 17, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,892,299 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,271,714 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$379,415 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $439,744 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $60,329 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,025 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 364 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 131.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 93.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 315064, 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 March 27, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,020,968 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,986,974 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,966,006 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,820,321 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $854,315 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,521 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 500 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 114.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305484, 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 January 30, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,546,618 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,389,020 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $157,598 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $457,800 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $615,398 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,080 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 482 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 145.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 76.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271355, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 11, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,868,558 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,600,010 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$731,452 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,008,915 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,936 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $275,527 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,267 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 426 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 123.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249087, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 11, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,046,264 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,932,251 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $114,013 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,343 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $927 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $117,429 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,101 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 392 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 120.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 226380, 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, reopened, processed by CMS on June 16, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,330,585 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,969,825 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$639,240 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,103 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$631,137 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,867 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 404 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 104.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 78.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 182518, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for February 1, 2001 to December 31, 2001 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on October 15, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,815,328 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,161,237 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$345,909 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,867 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $21,091 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$338,133 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,178 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 234 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 133.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 103.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 197095, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended January 31, 2000
Cost report for February 1, 1999 to January 31, 2000 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 6, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,714,764 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,849,029 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$134,265 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $217,291 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $82,226 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,758 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 277 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 160.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 114.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 73876, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended January 31, 1999
Cost report for February 1, 1998 to January 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on October 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,531,678 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,643,550 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$111,872 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,285 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $19,648 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$89,235 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,713 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 260 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 223.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 4892, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended January 31, 1998
Cost report for February 1, 1997 to January 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 12, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,079,662 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,097,966 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$18,304 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,589 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $22,285 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,232 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 296 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 384.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 4890, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended January 31, 1997
Cost report for February 1, 1996 to January 31, 1997 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on February 18, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,293,666 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,308,754 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$15,088 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,877 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $26,789 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,490 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 348 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 336.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 4888, 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 |
|---|---|---|---|---|
| ALVARADO HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/01/2022 |
| MANGOBA, LUTHER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2022 |
| SANCHEZ GONZALEZ, YAMALIEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2022 |
| STANDARD BEARER HEALTHCARE OP, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| THE ENSIGN GROUP INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2022 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2014 |
| PORT, BARRY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2019 |
| WILLITS, ADAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/29/2021 |
| BURNAM, SOON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/01/2022 |
| MANGOBA, LUTHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2022 |
| SANCHEZ GONZALEZ, YAMALIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PERRIS HILLS HEALTHCARE LLC (enrollment ID O20220621001449).
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 |
|---|---|---|---|---|---|
| FLAGSTONE HEALTHCARE CENTRAL LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 2/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALVARADO HEALTH HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 2/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUTHER B MANGOBA | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STANDARD BEARER HEALTHCARE OP, LP | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE ENSIGN GROUP INC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| YAMALIEL SANCHEZ GONZALEZ | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 2/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| ADAM WILLITS | Individual | CORPORATE OFFICER | 0 | 3/29/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BARRY PORT | Individual | CORPORATE OFFICER | 0 | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHAD KEETCH | Individual | CORPORATE OFFICER | 0 | 1/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | CORPORATE OFFICER | 0 | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LUTHER B MANGOBA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YAMALIEL SANCHEZ GONZALEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- December 1, 2025: YAMALIEL SANCHEZ GONZALEZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CRAIG FITCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ALICIA GAMERO no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOON BURNAM (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: YAMALIEL SANCHEZ GONZALEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: STANDARD BEARER HEALTHCARE OP, LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ALVARADO HEALTH HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ADAM WILLITS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: THE ENSIGN GROUP INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: BARRY PORT (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LUTHER B MANGOBA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LUTHER B MANGOBA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- April 1, 2024: JEFFERY B HENDRICKSON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: JEFFERY B HENDRICKSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: JEFFERY B HENDRICKSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: JBH TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: LEGACY STANDARD INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: JENNIFER HENDRICKSON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: JDH TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: HENDRICKSON REVOCABLE TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: SOON E BURNAM (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: YAMALIEL SANCHEZ GONZALEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: YAMALIEL SANCHEZ GONZALEZ (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: CRAIG FITCH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: ALICIA GAMERO (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: THE ENSIGN GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: FLAGSTONE HEALTHCARE CENTRAL LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
Recent changes on this record
- December 1, 2025: YAMALIEL SANCHEZ GONZALEZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CRAIG FITCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ALICIA GAMERO no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOON BURNAM (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: YAMALIEL SANCHEZ GONZALEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: STANDARD BEARER HEALTHCARE OP, LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ALVARADO HEALTH HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ADAM WILLITS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: THE ENSIGN GROUP INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: BARRY PORT (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LUTHER B MANGOBA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LUTHER B MANGOBA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- June 17, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 15, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 7, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 1, 2024: JEFFERY B HENDRICKSON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: JEFFERY B HENDRICKSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: JEFFERY B HENDRICKSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: JBH TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: LEGACY STANDARD INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: JENNIFER HENDRICKSON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: JDH TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: HENDRICKSON REVOCABLE TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: SOON E BURNAM (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: YAMALIEL SANCHEZ GONZALEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: YAMALIEL SANCHEZ GONZALEZ (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: CRAIG FITCH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: ALICIA GAMERO (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: THE ENSIGN GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: FLAGSTONE HEALTHCARE CENTRAL LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- December 23, 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- December 10, 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 21, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- June 14, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 22, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- April 18, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 4, 2026 | June 4, 2026 | 9 | 3 |
| 2 | April 24, 2025 | April 24, 2025 | 9 | 1 |
| 3 | May 26, 2022 | May 26, 2022 | 11 | 10 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
30 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 4, 2026 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | June 25, 2026 |
| June 4, 2026 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | No | Deficient, Provider has date of correction | June 25, 2026 |
| June 4, 2026 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | June 25, 2026 |
| June 4, 2026 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | No | Deficient, Provider has date of correction | June 25, 2026 |
| June 4, 2026 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | June 25, 2026 |
| June 4, 2026 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | No | Deficient, Provider has date of correction | June 25, 2026 |
| June 4, 2026 | 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 25, 2026 |
| June 4, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | June 25, 2026 |
| June 4, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 25, 2026 |
| April 24, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | May 16, 2025 |
| April 24, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | May 16, 2025 |
| April 24, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | May 16, 2025 |
| April 24, 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 | Yes | Deficient, Provider has date of correction | May 16, 2025 |
| April 24, 2025 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | Yes | Deficient, Provider has date of correction | May 16, 2025 |
| April 24, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | May 16, 2025 |
| March 7, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | March 17, 2025 |
| February 12, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | February 24, 2025 |
| November 6, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| May 24, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | June 6, 2024 |
| September 1, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | September 14, 2023 |
| August 31, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | September 14, 2023 |
| May 26, 2022 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | June 22, 2022 |
| May 26, 2022 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | June 22, 2022 |
| May 26, 2022 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | June 22, 2022 |
| May 26, 2022 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | June 22, 2022 |
| May 26, 2022 | 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 22, 2022 |
| May 26, 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. | D | No | Deficient, Provider has date of correction | June 22, 2022 |
| May 26, 2022 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | June 22, 2022 |
| May 26, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 22, 2022 |
| May 26, 2022 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | F | No | Deficient, Provider has date of correction | June 22, 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 - Corporation |
| Legal Business Name | PERRIS HILLS HEALTHCARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1971-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | San Bernardino |
| Telephone Number | 9098850268 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| 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 | 119 |
| Average Number of Residents per Day | 109.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Arrowhead Springs Healthcare: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On June 17, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Arrowhead Springs Healthcare
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in California
- BRYAN HENRY ORDONEZ JUAREZ, HAWTHORNE Motor carrier
- LEGACY OVER LEISURE LLC, LOS ANGELES Motor carrier
- ANGEL RAMIREZ DELIVERS LLC, JURUPA VALLEY Motor carrier
- J. FUENTES EXPRESS LLC, RICHMOND Motor carrier
- LYSTEK INTERNATIONAL, FAIRFIELD Water discharge permit
- SOCWA COASTAL TP, LAGUNA NIGUEL Water discharge permit
- CITY OF HOLLISTER INDUSTRIAL WASTEWATER TREATMENT FACILITY, HOLLISTER Water discharge permit
- CALEXICO, CITY OF, CALEXICO Water discharge permit
- US MINE CO. - IONE PLANT, IONE Air emission source
- AMPINE: A DIVISION OF TIMBER PRODUCTS COMPANY, MARTELL Air emission source
- NORTHROP GRUMMAN CORP, PALMDALE Air emission source
- LANDCASTER LANDFILL, LANCASTER Air emission source
- GAGANPRIT SINGH, Fremont Hazardous waste handler
- H AND D TRUCKING, San Leandro Hazardous waste handler
- SAN FRANCISCO COUNTY/EMERG RESPONSE ONLY, -- Hazardous waste handler
- GOLDEN STATE WATER COMPANY, San Luis Obispo Hazardous waste handler
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 055708.