Skilled nursing facility · CMS certification number 055885
Country Drive Post Acute
FREMONT, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 126
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 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,114,025 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$3,162,339 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,276,364 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,696,813 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,579,551 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $256,905 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,836,456 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,056,379 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 46,116 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,473 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,115 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 35,124 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 40,712 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 74 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 527 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 83 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 684 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 5.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439101, 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 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,709,389 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,289,048 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,420,341 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,903,123 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $517,218 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $328,365 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $845,583 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $768,667 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,522 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 899 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 73.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 42.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394892, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 21, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,418,511 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,862,023 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,556,488 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,626,631 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,070,143 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $238,108 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$832,035 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$832,035 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,189 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 621 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 229.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365132, 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 27, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,837,173 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $659,085 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,178,088 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,269,992 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,091,904 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $296,525 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,795,379 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,795,379 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,903 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 450 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 221.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334163, 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 | $14,228,701 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$412,926 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,641,627 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,734,907 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$93,280 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,163,036 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,069,756 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,069,756 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,446 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 368 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 293.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305286, 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 December 18, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,788,664 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$815,333 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,603,997 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,187,364 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,416,633 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $289,440 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,706,073 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,706,073 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,775 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 810 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 119.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 49.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1276733, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,888,137 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$570,976 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,459,113 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,029,551 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,429,562 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $360,981 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,790,543 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,790,543 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,704 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,006 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 219.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239024, 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 | $18,238,125 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$955,777 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,193,902 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,469,920 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,723,982 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,856 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,739,838 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,739,838 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,467 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 124.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 38.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209006, 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 4, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,669,233 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$715,390 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,384,623 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,735,004 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,649,619 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,769 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,654,388 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,654,388 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,686 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,140 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 119.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 37.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171937, 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 July 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,631,388 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $14,631,388 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,500,625 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $130,763 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $314,237 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $445,000 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,046,764 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,765 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 988 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 123.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 42.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138978, 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 12, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,960,241 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,327,080 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,287,321 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,932,755 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,354,566 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $96,535 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,451,101 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,425,221 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,421 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 612 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 294.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1140940, 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 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,431,808 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$470,797 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,902,605 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,787,101 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,115,504 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,272 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,140,776 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,138,641 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,980 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 715 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 190.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108646, 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 May 8, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,096,865 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$209,381 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,306,246 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,702,620 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,603,626 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $44,404 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,648,030 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,645,155 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,954 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 692 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 221.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1059564, 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 August 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,473,235 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $252,563 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,220,672 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,285,178 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,935,494 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,123 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,967,617 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,964,917 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,816 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 591 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 264.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044741, 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 16, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,817,811 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,883,164 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $934,647 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,800 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,545 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $946,902 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,912 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 490 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 283.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 81.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429101, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,477,751 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,999,985 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,477,766 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $69,973 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,547,739 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,630 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 520 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 80.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385565, 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 January 18, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,045,398 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,154,019 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $891,379 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,748 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $897,127 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,962 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 409 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 105.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362525, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for April 1, 2007 to December 31, 2007 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 4, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,683,238 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,081,827 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $601,411 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,102 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $606,513 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,550 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 391 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 80.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322613, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 25, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,485,290 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,125,399 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $359,891 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,223 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $375,114 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,706 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 401 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 298.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 104 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 289715, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 24, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,363,075 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,244,798 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $118,277 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $149,869 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $268,146 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,161 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 379 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 105.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261789, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 21, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,870,339 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,269,420 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $600,919 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$2,001 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $598,918 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,772 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 336 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 127.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 228522, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for April 1, 2003 to December 31, 2003 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on December 13, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,489,033 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,193,771 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $295,262 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,203 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $302,465 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,602 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 356 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 88.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 202301, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 16, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,860,248 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,840,893 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $19,355 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,901 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $30,256 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,515 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 325 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 133.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159747, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,773,829 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,927,568 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$153,739 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,562 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$142,177 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,537 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 443 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 98.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 128601, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,597,531 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,156,014 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $441,517 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,166 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $459,683 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,195 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 340 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 127.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 127924, read from the public cost report file SNFFY2000.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on February 15, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,121,611 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,543,994 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$422,383 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,221 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$396,162 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,132 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 327 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 131.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 63259, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended March 31, 1997
Cost report for January 1, 1997 to March 31, 1997 — a reporting period of 89 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 24, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,531,811 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,589,833 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$58,022 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,024 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$47,998 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,720 | 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 | 15.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 82.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81509, 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 | $6,229,829 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,518,083 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$288,254 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $56,319 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$231,935 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,901 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 414 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 103.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81508, 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 |
|---|---|---|---|---|
| ANTELOPE HOLDINGS I, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 06/30/2023 |
| ANTELOPE REALTY HOLDINGS I, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 11/08/2024 |
| WINDSOR NORCAL 13 HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/01/2007 |
| COUTO, DOROTHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/20/2024 |
| NEWGEN ADMINISTRATIVE SERVICES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/30/2023 |
| SHAW, PAMELA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/23/2023 |
| WIN, HTAY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2024 |
| ROBIN, AARON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/14/2023 |
| TRESS, AVROHOM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/14/2023 |
| COUTO, DOROTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/20/2024 |
| SHAW, PAMELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/30/2023 |
| WIN, HTAY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of WINDSOR COUNTRY DRIVE CARE CENTER, LLC (enrollment ID O20070719000082).
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 |
|---|---|---|---|---|---|
| ANTELOPE HOLDINGS I, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ANTELOPE REALTY HOLDINGS I, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/8/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| WINDSOR NORCAL 13 HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2007 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| 9560 PICO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| AARON H ROBIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 6/30/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AVROHOM L TRESS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 6/30/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PICO AR LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| DOROTHY COUTO | Individual | ADP OF THE SNF | Not stated in the filing | 3/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HTAY WIN | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NEWGEN ADMINISTRATIVE SERVICES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| PAMELA SHAW | Individual | ADP OF THE SNF | Not stated in the filing | 6/23/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AARON H ROBIN | Individual | CORPORATE OFFICER | Not stated in the filing | 8/14/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AVROHOM L TRESS | Individual | CORPORATE OFFICER | Not stated in the filing | 8/14/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOROTHY COUTO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HTAY WIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAMELA SHAW | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/30/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2026: TRESS, AVROHOM no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: ROBIN, AARON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- July 1, 2026: PAMELA SHAW no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANTELOPE HOLDINGS I, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAMELA SHAW (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAMELA SHAW (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DOROTHY COUTO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DOROTHY COUTO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANTELOPE REALTY HOLDINGS I, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANTELOPE HOLDINGS I, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NEWGEN ADMINISTRATIVE SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HTAY WIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HTAY WIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- February 1, 2024: LEE C SAMSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: LEE SAMSON 2015 IRREVOCABLE DELAWARE TRUST FBO DANIEL SAMSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: DONNY FELDMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: SAMSON HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: LEE SAMSON 2015 IRREVOCABLE DELAWARE TRUST FBO AVITAL SLIFKIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: BRADLEY GIBSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: S&F MANAGEMENT COMPANY LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: LAWRENCE E FEIGEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: LAWRENCE E FEIGEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: LAWRENCE E FEIGEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: CARMEN PRESTON-FOO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: LEE SAMSON 2015 IRREVOCABLE DELAWARE TRUST FBO ALIZA ROSENSTEIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: AARON H ROBIN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since August 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: AARON H ROBIN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: PAMELA SHAW (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: AVROHOM L TRESS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since August 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: AVROHOM L TRESS (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: ANTELOPE HOLDINGS I, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: PICO AR LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: 9560 PICO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
Recent changes on this record
- September 1, 2026: TRESS, AVROHOM no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: ROBIN, AARON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- July 1, 2026: PAMELA SHAW no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANTELOPE HOLDINGS I, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAMELA SHAW (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAMELA SHAW (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DOROTHY COUTO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DOROTHY COUTO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANTELOPE REALTY HOLDINGS I, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANTELOPE HOLDINGS I, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NEWGEN ADMINISTRATIVE SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HTAY WIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HTAY WIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- February 1, 2024: LEE C SAMSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: LEE SAMSON 2015 IRREVOCABLE DELAWARE TRUST FBO DANIEL SAMSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: DONNY FELDMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: SAMSON HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: LEE SAMSON 2015 IRREVOCABLE DELAWARE TRUST FBO AVITAL SLIFKIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: BRADLEY GIBSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: S&F MANAGEMENT COMPANY LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: LAWRENCE E FEIGEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: LAWRENCE E FEIGEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: LAWRENCE E FEIGEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: CARMEN PRESTON-FOO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: LEE SAMSON 2015 IRREVOCABLE DELAWARE TRUST FBO ALIZA ROSENSTEIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: AARON H ROBIN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since August 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: AARON H ROBIN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: PAMELA SHAW (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: AVROHOM L TRESS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since August 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: AVROHOM L TRESS (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: ANTELOPE HOLDINGS I, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: PICO AR LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: 9560 PICO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- September 21, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 27, 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
- December 18, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 1, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 24, 2025 | April 24, 2025 | 9 | 9 |
| 2 | May 18, 2023 | May 18, 2023 | 11 | 12 |
| 3 | March 21, 2019 | March 21, 2019 | 16 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
36 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 23, 2026 | Health | F 0559 | Resident Rights Deficiencies | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Yes | Deficient, Provider has date of correction | March 20, 2026 |
| February 23, 2026 | Health | F 0567 | Resident Rights Deficiencies | Honor the resident's right to manage his or her financial affairs. | D | Yes | Deficient, Provider has date of correction | March 20, 2026 |
| February 23, 2026 | Health | F 0572 | Resident Rights Deficiencies | Give residents a notice of rights, rules, services and charges. | E | Yes | Deficient, Provider has date of correction | March 20, 2026 |
| February 23, 2026 | 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 | March 20, 2026 |
| August 8, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | August 29, 2025 |
| April 24, 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | May 7, 2025 |
| April 24, 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | May 7, 2025 |
| April 24, 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | No | Deficient, Provider has date of correction | May 7, 2025 |
| April 24, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | May 7, 2025 |
| April 24, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | May 7, 2025 |
| March 6, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | March 14, 2025 |
| May 18, 2023 | 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 | No | Deficient, Provider has date of correction | June 14, 2023 |
| May 18, 2023 | 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. | D | No | Deficient, Provider has date of correction | June 14, 2023 |
| May 18, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | June 14, 2023 |
| May 18, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | June 14, 2023 |
| May 18, 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | No | Deficient, Provider has date of correction | June 14, 2023 |
| May 18, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | June 14, 2023 |
| May 18, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | June 14, 2023 |
| May 18, 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | June 14, 2023 |
| May 18, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | June 14, 2023 |
| March 21, 2019 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | April 30, 2019 |
| March 21, 2019 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | April 30, 2019 |
| March 21, 2019 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | April 30, 2019 |
| March 21, 2019 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | April 30, 2019 |
| March 21, 2019 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | April 30, 2019 |
| March 21, 2019 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | April 30, 2019 |
| March 21, 2019 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | April 30, 2019 |
| March 21, 2019 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | April 30, 2019 |
| March 21, 2019 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | April 30, 2019 |
| March 21, 2019 | 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 | April 30, 2019 |
| March 21, 2019 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | April 30, 2019 |
| March 21, 2019 | 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 | April 30, 2019 |
| March 21, 2019 | Health | F 0809 | Nutrition and Dietary Deficiencies | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | No | Deficient, Provider has date of correction | April 30, 2019 |
| March 21, 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | April 30, 2019 |
| March 21, 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 30, 2019 |
| March 21, 2019 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | E | No | Deficient, Provider has date of correction | April 30, 2019 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | WINDSOR COUNTRY DRIVE CARE CENTER, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1968-03-11 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Alameda |
| Telephone Number | 5107924242 |
| Chain Name | WINDSOR |
| Chain ID | 566 |
| 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 | 126 |
| Average Number of Residents per Day | 112.1 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Country Drive Post Acute: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Country Drive Post Acute
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in California
- HUGO ROMAN MOLINA, TORRANCE Motor carrier
- STONE TRUCK LINE INC, FRESNO Motor carrier
- THE OFFICE PLANNING GROUP INC, RANCHO CORDOVA Motor carrier
- G I C MOTORSPORTS INC, SHAFTER Motor carrier
- TEST, O Water discharge permit
- GRAPHIC RESEARCH, INC., CHATSWORTH Water discharge permit
- QUALITY FINISHING INC, SUN VALLEY Water discharge permit
- VALLEY PLATING WORKS INCORPORATED, LOS ANGELES Water discharge permit
- US MINE CO. - IONE PLANT, IONE Air emission source
- AMPINE: A DIVISION OF TIMBER PRODUCTS COMPANY, MARTELL Air emission source
- NORTHROP GRUMMAN CORP, PALMDALE Air emission source
- LANDCASTER LANDFILL, LANCASTER Air emission source
- GAGANPRIT SINGH, Fremont Hazardous waste handler
- H AND D TRUCKING, San Leandro Hazardous waste handler
- SAN FRANCISCO COUNTY/EMERG RESPONSE ONLY, -- Hazardous waste handler
- GOLDEN STATE WATER COMPANY, San Luis Obispo Hazardous waste handler
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 055885.