Skilled nursing facility · CMS certification number 055798
VASONA CREEK HEALTHCARE CENTER
LOS GATOS, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 148
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, as submitted, processed by CMS on June 10, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $55,593,175 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $21,336,818 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $34,256,357 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,493,367 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,762,990 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$1 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,762,989 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,762,989 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 54,168 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 8,480 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,070 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 40,319 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 51,869 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 160 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 879 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 1,064 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 122.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1426959, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $44,052,150 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $12,516,043 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $31,536,107 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,885,498 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,650,609 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,880 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,669,489 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,670,733 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,987 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 982 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,402.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436263, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 11, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $41,111,680 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,057,537 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $32,054,143 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,230,550 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,823,593 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $205,922 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $5,029,515 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,029,281 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,607 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,158 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 429.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 42.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366060, 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 October 17, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $36,039,505 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,434,890 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $30,604,615 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,620,334 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,984,281 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $391,982 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $5,376,263 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,365,013 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,068 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,196 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 359.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 42.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334992, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 30, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,245,924 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,091,083 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,154,841 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,753,538 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,401,303 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $891,943 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,293,246 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,293,246 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,985 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 890 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 301.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1339264, 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 February 4, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $36,291,102 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,430,446 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $28,860,656 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,945,144 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,915,512 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,281 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,926,793 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,926,793 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,532 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,193 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 555.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 44.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279637, 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 1, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $34,758,332 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,106,223 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,652,109 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,528,968 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,123,141 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,113 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,131,254 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,131,254 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,252 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,016 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 588.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 51.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239022, 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 July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $33,087,440 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,857,138 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,230,302 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,620,706 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,609,596 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,939 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,611,535 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,611,535 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,009 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 943 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 802.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1199613, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,335,265 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,559,976 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,775,289 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,591,571 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,183,718 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,729 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,199,447 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,199,447 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,960 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 744 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,023.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1168813, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,419,343 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,157,117 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,262,226 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,283,134 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,979,092 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,219 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,994,311 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,994,311 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,743 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 875 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 667.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142134, 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 April 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,414,693 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,272,948 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,141,745 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,009,259 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,132,486 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,851 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,141,337 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,141,337 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,100 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 801 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 792.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121661, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 15, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,586,253 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,476,961 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,109,292 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,178,048 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$68,756 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,091 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$62,665 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$62,665 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,007 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 979 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 700.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111504, 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 November 19, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,981,670 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,709,434 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,272,236 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,889,206 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,383,030 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,723 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,394,753 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,394,753 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,796 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,015 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 450.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 51.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080522, 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 May 16, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,869,984 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,938,546 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,931,438 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,705,626 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,225,812 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,952 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,253,764 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,253,764 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,395 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,002 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 502.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029392, 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 October 21, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $21,387,808 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,793,262 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $3,594,546 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $52,143 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $3,646,689 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,124 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,036 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 404.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 50.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418743, 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 May 13, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $20,804,018 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,941,158 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $3,862,860 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,993 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $3,878,853 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,048 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,035 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 332.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 49.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 399398, 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 June 18, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $20,461,178 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,831,454 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $3,629,724 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,473 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $3,652,197 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,313 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,028 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 193.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 50.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 345687, 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 14, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,281,371 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,248,900 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $3,032,471 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,664 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $3,049,135 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,220 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,296 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 115.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 40.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323890, 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 July 25, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,528,692 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,926,889 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,601,803 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,913 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,620,716 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,983 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,271 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 121.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 40.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 288425, 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 August 22, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,498,271 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,091,223 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,407,048 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,369 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,416,417 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,745 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 867 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 249.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 59.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261596, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 24, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,497,863 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,505,039 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $992,824 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,661 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,011,485 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,460 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,146 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 80.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 41.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 225304, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for September 11, 2003 to December 31, 2003 — a reporting period of 111 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 22, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,806,802 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,083,786 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$276,984 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,811 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$275,173 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,504 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 237 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 310.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 52.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 208368, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended April 30, 2002
Cost report for May 1, 2001 to April 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,429,728 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,929,151 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,499,423 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $77,681 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,421,742 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,220 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 911 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 451.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 54.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191896, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended April 30, 2001
Cost report for May 1, 2000 to April 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 26, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,408,156 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,096,166 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,688,010 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $89,656 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$2,598,354 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,328 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 574 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 551.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81356, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended April 30, 2000
Cost report for May 1, 1999 to April 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on November 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,461,981 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,254,749 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,792,768 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $105,512 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,687,256 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,298 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 802 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 569.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 61.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81355, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended April 30, 1999
Cost report for May 1, 1998 to April 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on July 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,377,325 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,650,758 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,273,433 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,406 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,226,027 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,919 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,011 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 283.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 47.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81354, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended April 30, 1998
Cost report for May 1, 1997 to April 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on March 18, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,733,959 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,924,421 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,190,462 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,441 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,139,021 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,992 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,043 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 368.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 46.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81352, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended April 30, 1997
Cost report for May 1, 1996 to April 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 24, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,016,900 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,865,573 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$848,673 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,834 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$836,839 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,568 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 949 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 309.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 52.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81351, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| HUDSON RIVER OPCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 10/01/2019 |
| BAY BRIDGE CAPITAL PARTNERS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 08/15/2014 |
| CHI, ANDREW | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/02/2016 |
| APT, FREDERICK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| EDWARDS, JEFF | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/31/2023 |
| EDWARDS, JEFF | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/31/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GOLDEN OAK HOLDINGS, LLC (enrollment ID O20030424000025).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HUDSON RIVER OPCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BAY BRIDGE CAPITAL PARTNERS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 8/15/2014 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JASON H MURRAY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41.8 | 4/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK D HANCOCK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41.8 | 4/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PROVIDENCE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 11/5/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ANDREW Y CHI | Individual | CONTRACTED MANAGING EMPLOYEE | Not stated in the filing | 2/2/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FREDERICK G APT | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN T MITCHELL | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA O JERGENSEN | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFF EDWARDS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFF EDWARDS | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 1/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 3, 2024: MARK D HANCOCK no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JOSHUA O JERGENSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: ANDREW Y CHI (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since February 2, 2016. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- February 1, 2024: ERIC L FELTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: ERIC L FELTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: JEFF EDWARDS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since January 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: JEFF EDWARDS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since January 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
Recent changes on this record
- August 28, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 10, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 3, 2024: MARK D HANCOCK no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JOSHUA O JERGENSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: ANDREW Y CHI (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since February 2, 2016. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- February 1, 2024: ERIC L FELTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: ERIC L FELTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: JEFF EDWARDS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since January 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: JEFF EDWARDS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since January 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- October 11, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- December 30, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- October 17, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- February 4, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 1, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 19, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 22, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- April 20, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- October 15, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- November 19, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- May 16, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- October 21, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- May 13, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- June 18, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 14, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- July 25, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- August 22, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- June 24, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- February 22, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- September 1, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- March 24, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- February 4, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- February 26, 2002: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- November 2, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- July 3, 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- March 18, 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- March 24, 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | October 31, 2024 | October 31, 2024 | 11 | 6 |
| 2 | November 22, 2021 | November 22, 2021 | 27 | 8 |
| 3 | May 10, 2019 | May 10, 2019 | 42 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
80 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 2, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | June 16, 2026 |
| May 27, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | June 5, 2026 |
| March 26, 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | April 3, 2026 |
| March 26, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | April 3, 2026 |
| September 11, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | September 22, 2025 |
| April 17, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | April 22, 2025 |
| March 20, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | April 5, 2025 |
| March 17, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | March 28, 2025 |
| February 10, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | February 18, 2025 |
| February 10, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | February 18, 2025 |
| January 27, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | February 10, 2025 |
| December 4, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | December 18, 2024 |
| November 25, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | December 14, 2024 |
| November 25, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | December 14, 2024 |
| October 31, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | November 28, 2024 |
| October 31, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | November 28, 2024 |
| October 31, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | November 28, 2024 |
| October 31, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | November 28, 2024 |
| October 31, 2024 | Health | F 0911 | Environmental Deficiencies | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | D | No | Deficient, Provider has date of correction | November 28, 2024 |
| October 31, 2024 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | No | Waiver has been granted | November 28, 2024 |
| October 3, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| August 26, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | September 13, 2024 |
| July 19, 2024 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | August 2, 2024 |
| July 19, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | August 6, 2024 |
| July 19, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | August 2, 2024 |
| June 18, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | July 1, 2024 |
| June 18, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | July 1, 2024 |
| June 13, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | June 24, 2024 |
| April 30, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Yes | Deficient, Provider has date of correction | May 30, 2024 |
| April 30, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | May 30, 2024 |
| April 30, 2024 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Yes | Deficient, Provider has date of correction | May 30, 2024 |
| April 24, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | May 1, 2024 |
| March 13, 2024 | Health | F 0573 | Resident Rights Deficiencies | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Yes | Deficient, Provider has date of correction | March 26, 2024 |
| March 13, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | March 26, 2024 |
| February 9, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | March 4, 2024 |
| February 9, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | March 4, 2024 |
| February 9, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | March 4, 2024 |
| January 11, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | February 2, 2024 |
| January 11, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | February 2, 2024 |
| December 28, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | December 29, 2023 |
| December 27, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | January 12, 2024 |
| December 11, 2023 | Health | F 0660 | Resident Assessment and Care Planning Deficiencies | Plan the resident's discharge to meet the resident's goals and needs. | D | Yes | Deficient, Provider has date of correction | January 8, 2024 |
| December 11, 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | January 8, 2024 |
| December 7, 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | December 20, 2023 |
| November 16, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | December 4, 2023 |
| November 15, 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Yes | Deficient, Provider has date of correction | December 1, 2023 |
| November 6, 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Yes | Deficient, Provider has date of correction | November 14, 2023 |
| October 12, 2023 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Yes | Deficient, Provider has date of correction | November 10, 2023 |
| September 29, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | October 25, 2023 |
| November 22, 2021 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0885 | Infection Control Deficiencies | Report COVID19 data to residents and families. | D | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0911 | Environmental Deficiencies | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | No | Deficient, Provider has date of correction | January 20, 2022 |
| November 22, 2021 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | January 20, 2022 |
| May 10, 2019 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | June 4, 2019 |
| May 10, 2019 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | June 4, 2019 |
| May 10, 2019 | Health | F 0675 | Quality of Life and Care Deficiencies | Honor each resident's preferences, choices, values and beliefs. | D | No | Deficient, Provider has date of correction | June 4, 2019 |
| May 10, 2019 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | June 4, 2019 |
| May 10, 2019 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | June 4, 2019 |
| May 10, 2019 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | June 4, 2019 |
| May 10, 2019 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | June 4, 2019 |
| May 10, 2019 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | June 4, 2019 |
| May 10, 2019 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | June 4, 2019 |
| May 10, 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | June 4, 2019 |
| May 10, 2019 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | June 4, 2019 |
| May 10, 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 4, 2019 |
| May 10, 2019 | Health | F 0911 | Environmental Deficiencies | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | No | Deficient, Provider has date of correction | June 4, 2019 |
| May 10, 2019 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Waiver has been granted | June 4, 2019 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | GOLDEN OAK HOLDINGS, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1980-03-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Santa Clara |
| Telephone Number | 4083562191 |
| Chain Name | PACS GROUP |
| Chain ID | 690 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 148 |
| Average Number of Residents per Day | 145.7 |
| Overall Rating | 2 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The citable document for VASONA CREEK HEALTHCARE CENTER
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