Velarion Records

Skilled nursing facility · CMS certification number 055742

HARBOR VILLA CARE CENTER

ANAHEIM, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 99

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 August 29, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$14,929,054CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,145,242CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,783,812CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,705,407CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$78,405CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$166,854CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$245,259CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $245,259 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components36,234CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,049CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days1,656CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days28,951CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components33,656CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges63CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges9CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges411CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components483CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days184CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days69.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438529, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 6, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$13,002,613CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$149,342CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,853,271CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,505,963CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$347,308CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$416,469CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$763,777CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $763,777 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,868CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components412CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days72.64CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days5,808.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days79.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394073, 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 September 9, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$12,236,235CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$527,785CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,708,450CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,464,886CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$243,564CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$125,701CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$369,265CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $369,265 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,070CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components324CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days75.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days6,087.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days102.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1363978, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$11,343,341CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,188,092CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,155,249CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,247,471CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$92,222CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$699,720CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$607,498CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $607,498 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,342CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components322CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,798.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days94.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330326, 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 November 24, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$12,036,099CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,156,519CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,879,580CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,892,348CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$987,232CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$227,547CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,214,779CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,214,779 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,663CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components340CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.19CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days5,737.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days90.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305277, 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 November 30, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$12,495,703CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,564,591CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,931,112CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,514,878CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$416,234CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$127,317CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$543,551CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $543,551 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,703CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components421CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days8,467CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days77.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274432, 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 14, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$11,876,579CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,135,399CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,741,180CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,761,315CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$979,865CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$133,413CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,113,278CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,113,278 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,515CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components343CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days23,229CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days88.97CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240673, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

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

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$10,856,556CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,811,515CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,045,041CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,942,859CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,102,182CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$100,624CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,202,806CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,202,806 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,706CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components234CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.66CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days6,681.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days118.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208380, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 21, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$11,026,466CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,647,957CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,378,509CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,671,846CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$706,663CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$131,083CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$837,746CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $837,746 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,664CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components247CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.19CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days10,302CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days112CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170435, 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 23, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$10,914,549CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,976,777CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,937,772CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,603,982CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$333,790CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$103,913CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$437,703CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $437,703 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,226CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components204CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.15CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days241CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days143.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142288, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended December 31, 2014

Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$10,767,890CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,689,443CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,078,447CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,702,222CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$376,225CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$91,432CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$467,657CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $467,657 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,568CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components215CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.24CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days86.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days142.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108532, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on June 26, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$8,884,923CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,444,088CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,440,835CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,414,576CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$26,259CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$80,231CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$106,490CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $106,490 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,969CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components214CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days9.04CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days144.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1069000, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

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

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$9,307,965CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,467,919CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,840,046CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,454,681CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$385,365CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,154CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$387,519CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $387,519 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,429CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components278CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days230.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.05CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046562, 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 24, 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$10,194,201CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,338,543CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,855,658CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,364,185CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$491,473CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,745CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$495,218CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $495,218 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,069CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components272CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days188.37CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days117.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1023547, 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.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$7,594,042CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,920,377CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$673,665CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,947CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $675,612 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,697CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components232CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days61.89CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days243.86CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days140.94CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 411374, 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.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$7,531,378CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,683,195CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$848,183CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,805CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $855,988 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,257CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components297CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51.86CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days179.83CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days111.98CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385549, 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 September 8, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$7,561,025CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,604,710CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$956,315CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$28,735CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $985,050 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,042CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components312CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days182.08CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days109.11CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 356199, 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 1, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$6,740,632CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,933,298CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$807,334CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$167,699CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $975,033 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,015CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components268CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days48.59CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days211.66CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days126.92CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 322547, 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 16, 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$6,424,592CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,717,571CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$707,021CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$210,126CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$12,590CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $904,557 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,394CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components211CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days49.15CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days380.77CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days163CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 292021, 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 September 15, 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$6,144,521CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,400,559CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$743,962CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,260CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$6,800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $740,422 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,661CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components181CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days57.38CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days412.58CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days185.97CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 263057, 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 July 19, 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$5,288,079CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,498,990CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$789,089CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$903CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$6,800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $783,192 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components30,506CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components204CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days44.18CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days354.55CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days149.54CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 228138, 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 March 21, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$3,587,941CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,839,325CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$251,384CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,093CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$250,291 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,497CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components128CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days75.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days281.86CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days207.01CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 211704, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended December 31, 2002

Cost report for February 1, 2002 to December 31, 2002 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on September 21, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$2,786,519CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,977,617CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$191,098CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$758CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$190,340 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,189CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components161CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.12CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days237.93CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days125.4CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 195220, 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 June 3, 2004.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$2,707,475CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,808,716CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$101,241CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,432CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$93,809 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,325CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components129CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.77CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days173.06CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 179586, 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 January 2, 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$2,603,293CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,530,091CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$73,202CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,833CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $80,035 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,965CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components177CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days119.85CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days142.72CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days129.75CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 81324, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended December 31, 1999

Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 3, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$2,566,507CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,264,489CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$302,018CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,341CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$7,535CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $301,824 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,134CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components117CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days111.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days291.49CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days197.73CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 81322, 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 3, 1999.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$2,718,823CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,527,417CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$191,406CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,959CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$8,028CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $190,337 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,908CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components115CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days319.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days233.98CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 81321, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended December 31, 1997

Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 11, 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$2,900,932CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,379,592CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$521,340CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,685CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$7,512CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $519,513 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,550CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components145CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days36.68CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days243.48CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days203.79CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 81319, 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, as submitted, processed by CMS on June 23, 1997.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$2,953,304CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,556,997CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$396,307CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$126,233CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$8,309CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $514,231 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components30,099CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components94CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days81.82CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days632.16CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days320.2CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 81318, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
WIN WIN ENTERPRISES, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization57%since 10/22/2002
DANIEL WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 20205% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 11/23/2020
ELIZABETH WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23,20205% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 11/23/2020
JEREMY WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 20205% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 11/23/2020
MARK WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 20205% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 11/23/2020
PHILLIP WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 20205% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 11/23/2020
SHERRY LATT LOWY LIVING TRUST UTD JULY 31, 19925% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 10/22/2002
WINTNER, DANIEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 11/23/2020
WINTNER, ELIZABETH5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 11/23/2020
WINTNER, JEREMY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 11/23/2020
WINTNER, MARK5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 11/23/2020
WINTNER, PHILLIP5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 11/23/2020
861 SOUTH HARBOR BLVD.ADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2022
BUTENKO, JULIEADP OF THE SNFIndividualNOT APPLICABLEsince 07/24/2023
CAMBRIDGE HEALTHCARE SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/15/2025
CAPELA, HEIDIADP OF THE SNFIndividualNOT APPLICABLEsince 04/03/2023
DANIEL WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 2020ADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2022
ELIZABETH WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23,2020ADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2022
HASSELL, LANCEADP OF THE SNFIndividualNOT APPLICABLEsince 04/25/2022
JEREMY WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 2020ADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2022
KOONTZ, ROBERTADP OF THE SNFIndividualNOT APPLICABLEsince 09/07/2021
KUIZON, KRISTINAADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2025
LUTZ, LINDAADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2012
MARK WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 2020ADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2022
PHILLIP WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 2020ADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2022
PREFERRED BANKADP OF THE SNFOrganizationNOT APPLICABLEsince 01/24/2025
PROFESSIONAL DIRECTIONS FOR HEALTH CAREADP OF THE SNFOrganizationNOT APPLICABLEsince 05/23/2013
SALAZAR, PAULINAADP OF THE SNFIndividualNOT APPLICABLEsince 12/14/2020
WIN WIN ENTERPRISES, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2022
WINTNER, DANIELADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2022
WINTNER, ELIZABETHADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2022
WINTNER, JEREMYADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2022
WINTNER, MARKADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2022
WINTNER, PHILLIPADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2022
WINTNER, JACOBCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/22/2002
WINTNER, FRANCINEINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 10/22/2002
WINTNER, JACOBINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 10/22/2002
HASSELL, LANCEINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 05/12/2026
KOONTZ, ROBERTMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 09/07/2021
KUIZON, KRISTINAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/01/2025
KOONTZ, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/07/2021
KUIZON, KRISTINAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2025
SALAZAR, PAULINAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/14/2020

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CASA PACIFICA NURSING CENTER LLC (enrollment ID O20110511000544).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
IRA E SMEDRA LIVING TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST201/1/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
SHERSHER LPOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST22.2210/22/2002
Private equity company: No
Real estate investment trust: No
Holding company: No
WIN WIN ENTERPRISES, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST56.6710/22/2002
Private equity company: No
Real estate investment trust: No
Holding company: No
DANIEL WINTNERIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST11.3311/23/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DANIEL WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 2020Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST5.6711/23/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
ELIZABETH WINTNERIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST11.3311/23/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ELIZABETH WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23,2020Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST5.6711/23/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
IRA SMEDRAIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST201/1/2016
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEREMY WINTNERIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST11.3311/23/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEREMY WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 2020Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST5.6711/23/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
MARK WINTNERIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST11.3311/23/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 2020Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST5.6711/23/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
PHILLIP WINTNERIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST11.3311/23/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PHILLIP WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 2020Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST5.6711/23/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
SHERRY LATT LOWY LIVING TRUST UTD JULY 31, 1992Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST22.2210/22/2002
Private equity company: No
Real estate investment trust: No
Holding company: No
861 SOUTH HARBOR BLVD.OrganizationADP OF THE SNFNot stated in the filing2/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
CAMBRIDGE HEALTHCARE SERVICES LLCOrganizationADP OF THE SNFNot stated in the filing4/15/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
DANIEL WINTNERIndividualADP OF THE SNFNot stated in the filing2/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DANIEL WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 2020OrganizationADP OF THE SNFNot stated in the filing2/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
ELIZABETH WINTNERIndividualADP OF THE SNFNot stated in the filing2/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ELIZABETH WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23,2020OrganizationADP OF THE SNFNot stated in the filing2/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
HEIDI CAPELAIndividualADP OF THE SNFNot stated in the filing4/3/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEREMY WINTNERIndividualADP OF THE SNFNot stated in the filing2/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEREMY WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 2020OrganizationADP OF THE SNFNot stated in the filing2/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
JULIE BUTENKOIndividualADP OF THE SNFNot stated in the filing7/24/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KRISTINA KUIZONIndividualADP OF THE SNFNot stated in the filing4/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LANCE A HASSELLIndividualADP OF THE SNFNot stated in the filing4/25/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LINDA LUTZIndividualADP OF THE SNFNot stated in the filing2/1/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK WINTNERIndividualADP OF THE SNFNot stated in the filing2/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 2020OrganizationADP OF THE SNFNot stated in the filing2/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
PAULINA SALAZARIndividualADP OF THE SNFNot stated in the filing12/14/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PHILLIP WINTNERIndividualADP OF THE SNFNot stated in the filing2/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PHILLIP WINTNER 2020 IRREVOCABLE GIFT TRUST DATED NOVEMBER 23, 2020OrganizationADP OF THE SNFNot stated in the filing2/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
PREFERRED BANKOrganizationADP OF THE SNFNot stated in the filing1/24/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
PROFESSIONAL DIRECTIONS FOR HEALTH CAREOrganizationADP OF THE SNFNot stated in the filing5/23/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
ROBERT D KOONTZIndividualADP OF THE SNFNot stated in the filing9/7/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WIN WIN ENTERPRISES, LLCOrganizationADP OF THE SNFNot stated in the filing2/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
JACOB WINTNERIndividualCORPORATE OFFICER0.5610/22/2002
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingOrganizationDIRECT OWNERSHIP INTEREST1.117/8/1992
Private equity company: No
Real estate investment trust: No
Holding company: No
FRANCINE WINTNERIndividualINDIRECT OWNERSHIP INTEREST0.5610/22/2002
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JACOB WINTNERIndividualINDIRECT OWNERSHIP INTEREST0.5610/22/2002
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KRISTINA KUIZONIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing4/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT D KOONTZIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing9/7/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KRISTINA KUIZONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PAULINA SALAZARIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/14/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT D KOONTZIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing9/7/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1April 10, 2026April 10, 2026222
2January 10, 2025January 10, 2025354
3August 23, 2022August 23, 20222410

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

Deficiencies cited

83 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
April 10, 2026HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0605Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.BNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.ENoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.ENoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0887Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DNoDeficient, Provider has date of correctionMay 10, 2026
April 10, 2026HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.DNoDeficient, Provider has date of correctionMay 10, 2026
January 23, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionFebruary 17, 2026
August 1, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionAugust 30, 2025
June 12, 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionJuly 11, 2025
June 12, 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correctionJuly 11, 2025
June 12, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.BYesDeficient, Provider has date of correctionJuly 11, 2025
April 10, 2025HealthF 0622Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DYesDeficient, Provider has date of correctionMay 1, 2025
March 27, 2025HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DYesDeficient, Provider has date of correctionApril 26, 2025
March 27, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionApril 26, 2025
March 4, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionApril 4, 2025
March 4, 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correctionApril 4, 2025
January 10, 2025HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.BNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.BNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesBNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.BNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.BNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.BNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0758Pharmacy Service DeficienciesImplement 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.ENoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.BNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0849Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.DNoDeficient, Provider has date of correctionFebruary 10, 2025
January 10, 2025HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.BNoDeficient, Provider has date of correctionFebruary 10, 2025
July 17, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correctionAugust 1, 2024
June 5, 2024HealthF 0622Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DYesDeficient, Provider has date of correctionJune 28, 2024
June 5, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionJune 28, 2024
February 12, 2024HealthF 0745Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.DYesDeficient, Provider has date of correctionFebruary 26, 2024
October 30, 2023HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DYesDeficient, Provider has date of correctionNovember 8, 2023
October 30, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionNovember 8, 2023
August 22, 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correctionSeptember 6, 2023
August 22, 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionSeptember 6, 2023
August 23, 2022HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0578Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.LNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0700Quality of Life and Care DeficienciesTry 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.DNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.BNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionSeptember 21, 2022
August 23, 2022HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.DNoDeficient, Provider has date of correctionSeptember 21, 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

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameCASA PACIFICA NURSING CENTER LLC
Date First Approved to Provide Medicare and Medicaid Services1967-05-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishOrange
Telephone Number7146358131
Chain NameCAMBRIDGE HEALTHCARE SERVICES
Chain ID98
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds99
Average Number of Residents per Day89.5
Overall Rating2
Health Inspection Rating2
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating4
Processing Date2026-09-01

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

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