Skilled nursing facility · CMS certification number 055850
PINE RIDGE CARE CENTER
SAN RAFAEL, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 101
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 23, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,981,024 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,541,806 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,439,218 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,832,624 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $606,594 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,263 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $609,857 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $609,857 (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 | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 36,966 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,767 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 25,104 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,628 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 33,499 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 69 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 57 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 84 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 440.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439970, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,272,525 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,689,615 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,582,910 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,532,276 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$949,366 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $854,026 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$95,340 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$95,340 (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 | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,431 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 155 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 85.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 416.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 209.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395456, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 7, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,990,781 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $15,990,781 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,112,673 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$121,892 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,477,920 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,356,028 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,356,028 (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 | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,408 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 165 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 90.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 398.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 208.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391294, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,586,779 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,272,929 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,313,850 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,893,113 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,579,263 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,036,814 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $457,551 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $457,551 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,669 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 335.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 181.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333961, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 24, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,408,971 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,446,759 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,962,212 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,646,135 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$683,923 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $62,909 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$621,014 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$621,014 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,806 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 122.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 471.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 334.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305282, 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 September 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,014,055 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,643,459 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,370,596 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,038,590 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$667,994 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $195 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$667,799 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$667,799 (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 | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,980 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,424.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 360.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1298240, 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 26, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,883,715 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,495,918 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,387,797 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,426,240 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$38,443 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,543 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$36,900 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$36,900 (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 | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,005 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 113 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 710.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 309.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242271, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,193,207 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,092,984 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,100,223 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,279,652 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$179,429 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $449 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$178,980 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$178,980 (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 | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,610 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 456.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 245.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208391, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 3, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,875,427 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,244,399 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,631,028 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,750,045 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $880,983 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $611 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $881,594 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $881,590 (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 | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,029 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 198 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 81.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 458.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171696, 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 | $12,793,179 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,145,827 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,647,352 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,968,797 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$321,445 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,877 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$318,568 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$318,568 (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 | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,988 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 127 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 822.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 267.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142172, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 10, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,905,203 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,982,047 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,923,156 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,700,487 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $222,669 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $493 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $223,162 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $223,162 (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 | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,551 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,186.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 353.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107194, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 26, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,335,486 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,281,283 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,054,203 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,474,809 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$420,606 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $249 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$420,357 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$420,357 (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 | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,136 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,340.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 422.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077051, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,946,917 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,633,588 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,313,329 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,673,753 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $639,576 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $148 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $639,724 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $639,724 (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 | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,255 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 439.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 237.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044735, 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 November 16, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,573,201 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,344,813 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,228,388 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,631,385 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $597,003 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $55 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $597,058 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $597,058 (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 | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,965 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 165 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 436.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 193.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1020346, 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 May 31, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,386,444 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,513,481 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $872,963 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$63 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $872,900 (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 | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,053 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 132 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 493.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 242.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429676, 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 June 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,209,396 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,025,722 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $183,674 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,554 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $185,228 (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 | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,945 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 447.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 217.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 405227, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 21, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,348,784 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,482,654 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$133,870 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,368 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$131,502 (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 | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,943 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 164 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 519.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 182.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355127, 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 January 20, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,851,092 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,701,682 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $149,410 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $308 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $149,718 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,885 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 607.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 154.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 331722, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 20, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,611,731 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,029,328 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $582,403 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$7,283 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $575,120 (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 | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,530 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 208 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 374.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 156.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305139, 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 May 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,612,593 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,235,956 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $376,637 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,788 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $384,425 (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 | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,737 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 181 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 511.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 180.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 277240, 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 December 23, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,487,068 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,714,424 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$227,356 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,223 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$215,133 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,358 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 130 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 771.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 241.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 239999, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 30, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,936,705 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,338,643 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$401,938 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,781 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$392,157 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,899 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 394.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 194.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 200968, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for June 1, 2002 to December 31, 2002 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,474,186 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,594,055 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$119,869 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,369 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$113,500 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,772 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 330.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 213.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173756, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended May 31, 2001
Cost report for June 1, 2000 to May 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,404,143 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,615,526 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$211,383 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,886 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$200,497 (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 | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,949 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 436.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 255.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 145101, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended May 31, 2000
Cost report for June 1, 1999 to May 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,148,866 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,208,035 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$59,169 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,323 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$46,846 (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 | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,321 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 114 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,375.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 283.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81426, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended May 31, 1999
Cost report for June 1, 1998 to May 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 1, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,165,533 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,929,291 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $236,242 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,380 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $260,622 (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 | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,701 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 233 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 495.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81425, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended May 31, 1998
Cost report for January 1, 1998 to May 31, 1998 — a reporting period of 150 days, not a full year, on form CMS-2540-96, as submitted, processed by CMS on December 18, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,688,564 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,435,299 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $253,265 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,863 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,936 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $254,192 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,630 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 475.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 225.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81424, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 11, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,984,540 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,385,523 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $599,017 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,098 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$43,574 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $662,689 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,188 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 146 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 509.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 241.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81422, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 24, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,813,511 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,208,886 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $604,625 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,650 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$68,320 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $685,595 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,459 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 181 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 422.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 184.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81421, 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 |
|---|---|---|---|---|
| GC HOLDING COMPANY 3, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 99% | since 08/01/2022 |
| GRANCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/21/2005 |
| GRUNSTEIN, EMILY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 02/06/2019 |
| MARINER HEALTH CARE, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/21/2015 |
| MHC HOLDING COMPANY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/21/2005 |
| MHC WEST HOLDING COMPANY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/21/2005 |
| NATIONAL SENIOR CARE, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/21/2005 |
| CAPITAL FUNDING GROUP, LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 11/01/2021 |
| MELIJOY, ADAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/27/2012 |
| MONROE, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/24/2022 |
| SARCAUGA, DENNIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/06/2025 |
| SERRANO, NOEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2021 |
| SAN RAFAEL OPERATING COMPANY GP, LLC | GENERAL PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 12/21/2005 |
| GC HOLDING COMPANY 3, LLC | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/01/2022 |
| MELIJOY, ADAN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/27/2012 |
| MONROE, MICHAEL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/24/2022 |
| SARCAUGA, DENNIS | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/06/2025 |
| MELIJOY, ADAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/27/2012 |
| MONROE, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/24/2022 |
| SARCAUGA, DENNIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/06/2025 |
| SERRANO, NOEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SAN RAFAEL OPERATING COMPANY LP (enrollment ID O20131112001077).
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 |
|---|---|---|---|---|---|
| GC HOLDING COMPANY 3, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99 | 8/1/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| EMILY GRUNSTEIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/6/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GRANCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/21/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARINER HEALTH CARE, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| MHC HOLDING COMPANY | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/21/2005 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| MHC WEST HOLDING COMPANY | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/21/2005 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| NATIONAL SENIOR CARE, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/21/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAPITAL FUNDING GROUP, LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 11/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| ADAN MELIJOY | Individual | ADP OF THE SNF | Not stated in the filing | 8/27/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENNIS SARCAUGA | Individual | ADP OF THE SNF | Not stated in the filing | 2/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL MONROE | Individual | ADP OF THE SNF | Not stated in the filing | 5/24/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NOEL SERRANO | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAN RAFAEL OPERATING COMPANY GP, LLC | Organization | GENERAL PARTNERSHIP INTEREST | 1 | 12/21/2005 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| GC HOLDING COMPANY 3, LLC | Organization | LIMITED PARTNERSHIP INTEREST | 99 | 8/1/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ADAN MELIJOY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 8/27/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENNIS SARCAUGA | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL MONROE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/24/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ADAN MELIJOY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/27/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENNIS SARCAUGA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL MONROE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/24/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NOEL SERRANO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 1, 2026: ADAN MELIJOY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL MONROE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NOEL SERRANO no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LINDA W TAETZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADAN MELIJOY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 27, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADAN MELIJOY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 27, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADAN MELIJOY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 27, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DENNIS SARCAUGA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DENNIS SARCAUGA (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DENNIS SARCAUGA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL MONROE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL MONROE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL MONROE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NOEL SERRANO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- January 1, 2025: NOEL SERRANO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: NOEL SERRANO (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- September 15, 2023: LANCASTER POLLARD MORTGAGE COMPANY LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DEVIN M EHRLICH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: HENRY G BRUMLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: SAN RAFAEL OPERATING COMPANY LP no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: MICHAEL MONROE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since May 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: CAPITAL FUNDING BANCORP INC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since November 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- January 1, 2023: GRANCARE LLC no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: GRANCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: SAN RAFAEL OPERATING COMPANY GP, LLC (GENERAL PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since December 21, 2005. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: GC HOLDING COMPANY 3, LLC (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: GC HOLDING COMPANY 3, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: GRANCARE LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since December 21, 2005. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- April 1, 2026: ADAN MELIJOY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL MONROE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NOEL SERRANO no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LINDA W TAETZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADAN MELIJOY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 27, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADAN MELIJOY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 27, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADAN MELIJOY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 27, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DENNIS SARCAUGA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DENNIS SARCAUGA (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DENNIS SARCAUGA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL MONROE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL MONROE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL MONROE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NOEL SERRANO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- September 23, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- January 1, 2025: NOEL SERRANO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: NOEL SERRANO (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- September 23, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 7, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 15, 2023: LANCASTER POLLARD MORTGAGE COMPANY LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DEVIN M EHRLICH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: HENRY G BRUMLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: SAN RAFAEL OPERATING COMPANY LP no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: MICHAEL MONROE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since May 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: CAPITAL FUNDING BANCORP INC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since November 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- January 1, 2023: GRANCARE LLC no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: GRANCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: SAN RAFAEL OPERATING COMPANY GP, LLC (GENERAL PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since December 21, 2005. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: GC HOLDING COMPANY 3, LLC (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: GC HOLDING COMPANY 3, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: GRANCARE LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since December 21, 2005. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- September 26, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 24, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 16, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 26, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 3, 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
- August 10, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 26, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 5, 2025 | December 5, 2025 | 15 | 9 |
| 2 | December 12, 2024 | December 12, 2024 | 10 | 10 |
| 3 | August 12, 2021 | August 12, 2021 | 18 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
43 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 12, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Yes | Deficient, Provider has date of correction | March 4, 2026 |
| February 12, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | March 4, 2026 |
| January 8, 2026 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Yes | Deficient, Provider has date of correction | February 3, 2026 |
| December 5, 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | No | Deficient, Provider has date of correction | January 4, 2026 |
| December 5, 2025 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has date of correction | January 4, 2026 |
| December 5, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | January 4, 2026 |
| December 5, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | January 4, 2026 |
| December 5, 2025 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | January 4, 2026 |
| December 5, 2025 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | January 4, 2026 |
| December 5, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F | No | Deficient, Provider has date of correction | January 4, 2026 |
| December 5, 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | January 4, 2026 |
| December 5, 2025 | Health | F 0807 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | No | Deficient, Provider has date of correction | January 4, 2026 |
| December 5, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | January 4, 2026 |
| December 5, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | January 4, 2026 |
| September 8, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | September 25, 2025 |
| August 4, 2025 | 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 | August 29, 2025 |
| August 4, 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Yes | Deficient, Provider has date of correction | August 29, 2025 |
| August 4, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | August 29, 2025 |
| July 16, 2025 | 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 | August 4, 2025 |
| April 17, 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 | May 22, 2025 |
| April 17, 2025 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Yes | Deficient, Provider has date of correction | May 22, 2025 |
| December 12, 2024 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | January 2, 2025 |
| December 12, 2024 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | January 2, 2025 |
| December 12, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | January 2, 2025 |
| December 12, 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 | January 2, 2025 |
| May 28, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | July 29, 2024 |
| March 19, 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 | May 3, 2024 |
| September 11, 2023 | 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 | October 27, 2023 |
| August 12, 2021 | Health | F 0576 | Resident Rights Deficiencies | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | No | Deficient, Provider has date of correction | October 13, 2021 |
| August 12, 2021 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | No | Deficient, Provider has date of correction | October 13, 2021 |
| August 12, 2021 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | No | Deficient, Provider has date of correction | October 13, 2021 |
| August 12, 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. | E | No | Deficient, Provider has date of correction | October 13, 2021 |
| August 12, 2021 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | October 13, 2021 |
| August 12, 2021 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | E | No | Deficient, Provider has date of correction | October 13, 2021 |
| August 12, 2021 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | October 13, 2021 |
| August 12, 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. | E | No | Deficient, Provider has date of correction | October 13, 2021 |
| August 12, 2021 | Health | F 0802 | Nutrition and Dietary Deficiencies | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | No | Deficient, Provider has date of correction | October 13, 2021 |
| August 12, 2021 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | October 13, 2021 |
| August 12, 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 | October 13, 2021 |
| August 12, 2021 | Health | F 0841 | Nursing and Physician Services Deficiencies | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | E | No | Deficient, Provider has date of correction | October 13, 2021 |
| August 12, 2021 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | E | No | Deficient, Provider has date of correction | October 13, 2021 |
| August 12, 2021 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | No | Deficient, Provider has date of correction | October 13, 2021 |
| August 12, 2021 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | No | Deficient, Provider has date of correction | October 13, 2021 |
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 - Partnership |
| Legal Business Name | SAN RAFAEL OPERATING COMPANY LP |
| Date First Approved to Provide Medicare and Medicaid Services | 1967-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Marin |
| Telephone Number | 4154793610 |
| Chain Name | MARINER HEALTH CARE |
| Chain ID | 334 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 101 |
| Average Number of Residents per Day | 86.5 |
| Overall Rating | 5 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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