Skilled nursing facility · CMS certification number 055989
HERITAGE MANOR
MONTEREY PARK, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 99
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $17,940.00 · Payment denials: 0. The most recent penalty on file: March 28, 2025, Fine, $17,940. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,784,259 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,455,925 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,328,334 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,482,830 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,845,504 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,499,009 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $7,344,513 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,344,513 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 36,234 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 12,276 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 276 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 20,706 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 33,258 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 199 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 182 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 49 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 430 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436288, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,254,409 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,233,689 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,020,720 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,819,239 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,201,481 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,330,652 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,532,133 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,532,133 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,673 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 449 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 85.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392857, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,050,899 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,046,220 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,004,679 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,917,126 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,087,553 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $286,161 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,373,714 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,373,714 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,251 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 203.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364243, 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 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,405,092 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,349,573 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,055,519 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,504,289 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $551,230 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $242,802 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $794,032 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $794,032 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,026 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 295 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 162.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332366, 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 October 20, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,088,879 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,052,260 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,036,619 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,191,188 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $845,431 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $222,636 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,068,067 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,033,997 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,300 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 230 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 311.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302189, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 22, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,616,923 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,840,315 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,776,608 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,533,915 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $242,693 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $277,271 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $519,964 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $519,964 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,443 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 374 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 272.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278837, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,303,282 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,946,501 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,356,781 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,415,474 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,941,307 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $236,073 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,177,380 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,177,380 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,633 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 264 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 357.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241471, 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 | $16,337,227 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,049,259 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,287,968 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,023,024 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,264,944 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $255,780 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,520,724 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,520,724 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,688 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 213 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 302.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208407, 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 15, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,978,306 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,617,162 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,361,144 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,942,488 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $418,656 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $264,204 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $682,860 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $682,860 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,514 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 219 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 263.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173246, 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 | $16,364,306 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,821,800 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,542,506 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,474,612 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,067,894 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $206,832 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,274,726 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,274,726 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,831 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 182 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 79.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 305.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 191.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139019, 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 September 22, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,057,844 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,627,563 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,430,281 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,774,391 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $655,890 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $221,761 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $877,651 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $877,651 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,095 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 86.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 363.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 227.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1110271, 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 1, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,536,300 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,586,506 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,949,794 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,515,924 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $433,870 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $247,364 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $681,234 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $681,234 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,818 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 93.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 273.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 196.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074746, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 3, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,759,532 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,705,203 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,054,329 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,223,318 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$168,989 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $283,515 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $114,526 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $114,526 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,317 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 327.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 210.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1031526, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,806,217 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,576,642 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,229,575 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,745,268 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$515,693 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $244,449 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$271,244 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$271,244 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,613 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 95.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 355.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 243.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023563, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,375,415 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,660,573 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$285,158 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $301,237 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $16,079 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,384 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 179 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 80.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 308.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 192.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 411382, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,754,030 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,483,194 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$729,164 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $159,128 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$570,036 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,327 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 199 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 313.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 172.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 383690, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 10, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,734,348 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,779,770 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$45,422 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $95,585 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $50,163 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,566 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 363.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 184.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354299, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 7, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,581,686 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,517,932 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $63,754 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $76,097 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $139,851 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,601 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 156 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 98.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 319.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 221.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323259, 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 February 26, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,674,886 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,269,523 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $405,363 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $163 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $405,526 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,488 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 260 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 318.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303022, 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 December 26, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,811,045 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,579,733 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $231,312 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,879 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $235,191 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,081 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 217 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 388.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 157.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 269616, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 12, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,048,783 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,982,301 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $66,482 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $33 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $66,515 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,486 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 694.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 172.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249200, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 23, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,596,134 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,434,689 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $161,445 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $334 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $161,779 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,025 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 165 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 961.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 212.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 212160, 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 November 2, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,899,195 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,674,183 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $225,012 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $601 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $225,613 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,080 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 670.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 222.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 198708, 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 August 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,886,597 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,484,017 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $402,580 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,610 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $417,190 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,882 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 686.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 205.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156697, 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 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,281,921 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,108,520 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $173,401 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,019 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $101,516 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $75,904 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,695 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 944.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 210.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 124527, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 17, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,140,530 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,850,503 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $290,027 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,386 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,300 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $287,113 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,547 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 224 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 696.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 149.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 73981, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on April 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,780,670 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,756,190 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $24,480 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $581,534 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,300 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $600,714 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,928 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 297 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 753.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 114.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 73980, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on November 26, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,817,132 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,286,585 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $530,547 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,784 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,600 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $532,731 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,022 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 435 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 329.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 75.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 5113, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 11, 1996 to December 31, 1996 — a reporting period of 355 days, on form CMS-2540-96, settled with audit, processed by CMS on July 20, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,610,770 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,103,138 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$492,368 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,973 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$483,195 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,697 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 446 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 231.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 71.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 5112, 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 |
|---|---|---|---|---|
| HERITAGE MANOR HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/11/1996 |
| HERITAGE MONTEREY ASSOCIATES LP | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 02/11/2025 |
| CIBC BANK USA | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/08/2025 |
| DEHGHANMANESH, ADRIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2021 |
| FARRALES, MARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2023 |
| HERITAGE MANOR HEALTHCARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/11/1996 |
| HERITAGE MONTEREY ASSOCIATES LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/11/2025 |
| KOCHEK, JOSHUA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2022 |
| LAI, EN MING | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2015 |
| OXFORD, MICHEAL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/03/2022 |
| SALAMA, OMAR AHMED | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/07/2022 |
| SUN MAR MANAGEMENT SERVICES | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/12/1989 |
| TANTAMCO, REMEDIOS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/1999 |
| JOHNSON, FRANK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/24/1995 |
| DEHGHANMANESH, ADRIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2021 |
| FARRALES, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
| HERITAGE MANOR HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/11/1996 |
| JOHNSON, FRANK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/24/1995 |
| KOCHEK, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2022 |
| LAI, EN MING | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2015 |
| OXFORD, MICHEAL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2022 |
| SALAMA, OMAR AHMED | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2022 |
| SUN MAR MANAGEMENT SERVICES | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/12/1989 |
| TANTAMCO, REMEDIOS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/1999 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HERITAGE MANOR HEALTHCARE LLC (enrollment ID O20100202000393).
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 |
|---|---|---|---|---|---|
| HERITAGE MANOR HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/11/1996 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID A JOHNSON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16.67 | 1/24/1995 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELI MARMUR | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33.33 | 1/24/1995 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANK A JOHNSON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 1/24/1995 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HERITAGE MONTEREY ASSOCIATES LP | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 2/11/2025 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| ADRIAN DEHGHANMANESH | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CIBC BANK USA | Organization | ADP OF THE SNF | Not stated in the filing | 4/8/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| EN MING LAI | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HERITAGE MANOR HEALTHCARE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/11/1996 | Private equity company: No Real estate investment trust: No Holding company: No |
| HERITAGE MONTEREY ASSOCIATES LP | Organization | ADP OF THE SNF | Not stated in the filing | 2/11/2025 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| JOSHUA KOCHEK | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY FARRALES | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHEAL D OXFORD | Individual | ADP OF THE SNF | Not stated in the filing | 1/3/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OMAR AHMED SALAMA | Individual | ADP OF THE SNF | Not stated in the filing | 2/7/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REMEDIOS TANTAMCO | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/1999 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUN MAR MANAGEMENT SERVICES | Organization | ADP OF THE SNF | Not stated in the filing | 10/12/1989 | Private equity company: No Real estate investment trust: No Holding company: No |
| FRANK A JOHNSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/24/1995 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ADRIAN DEHGHANMANESH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EN MING LAI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANK A JOHNSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/24/1995 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HERITAGE MANOR HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/11/1996 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOSHUA KOCHEK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY FARRALES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHEAL D OXFORD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OMAR AHMED SALAMA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/7/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REMEDIOS TANTAMCO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/1999 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUN MAR MANAGEMENT SERVICES | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/12/1989 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- August 1, 2025: IRVING H BAUMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: IRVING H BAUMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ELI MARMUR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ELI MARMUR no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FRANK A JOHNSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FRANK A JOHNSON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WILLIAM C PRESNELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CIBC BANK USA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: OMAR AHMED SALAMA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: OMAR AHMED SALAMA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MARY FARRALES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MARY FARRALES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: REMEDIOS TANTAMCO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 1, 1999. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: REMEDIOS TANTAMCO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 1, 1999. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ADRIAN DEHGHANMANESH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ADRIAN DEHGHANMANESH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ELI MARMUR (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 24, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOSHUA KOCHEK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOSHUA KOCHEK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HERITAGE MONTEREY ASSOCIATES LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HERITAGE MONTEREY ASSOCIATES LP (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: EN MING LAI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: EN MING LAI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FRANK A JOHNSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 24, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FRANK A JOHNSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 24, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FRANK A JOHNSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 24, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MICHAEL D OXFORD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MICHAEL D OXFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DAVID A JOHNSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 24, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HERITAGE MANOR HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 11, 1996. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HERITAGE MANOR HEALTHCARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 11, 1996. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HERITAGE MANOR HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 11, 1996. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SUN MAR MANAGEMENT SERVICES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 12, 1989. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SUN MAR MANAGEMENT SERVICES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 12, 1989. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2025: IRVING H BAUMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: IRVING H BAUMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ELI MARMUR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ELI MARMUR no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FRANK A JOHNSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FRANK A JOHNSON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WILLIAM C PRESNELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CIBC BANK USA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: OMAR AHMED SALAMA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: OMAR AHMED SALAMA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MARY FARRALES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MARY FARRALES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: REMEDIOS TANTAMCO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 1, 1999. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: REMEDIOS TANTAMCO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 1, 1999. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ADRIAN DEHGHANMANESH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ADRIAN DEHGHANMANESH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ELI MARMUR (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 24, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOSHUA KOCHEK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOSHUA KOCHEK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HERITAGE MONTEREY ASSOCIATES LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HERITAGE MONTEREY ASSOCIATES LP (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: EN MING LAI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: EN MING LAI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FRANK A JOHNSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 24, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FRANK A JOHNSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 24, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FRANK A JOHNSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 24, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MICHAEL D OXFORD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MICHAEL D OXFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DAVID A JOHNSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 24, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HERITAGE MANOR HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 11, 1996. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HERITAGE MANOR HEALTHCARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 11, 1996. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HERITAGE MANOR HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 11, 1996. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SUN MAR MANAGEMENT SERVICES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 12, 1989. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SUN MAR MANAGEMENT SERVICES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 12, 1989. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 22, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 9, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- October 20, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- January 22, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 30, 2026 | April 30, 2026 | 19 | 10 |
| 2 | March 28, 2025 | March 28, 2025 | 23 | 9 |
| 3 | April 12, 2024 | April 12, 2024 | 23 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
65 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 1, 2026 | Health | F 0620 | Resident Rights Deficiencies | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | E | Yes | Deficient, Provider has date of correction | May 19, 2026 |
| May 1, 2026 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | E | Yes | Deficient, Provider has date of correction | May 19, 2026 |
| April 30, 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | May 20, 2026 |
| April 30, 2026 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | May 20, 2026 |
| April 30, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | May 20, 2026 |
| April 30, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | May 20, 2026 |
| April 30, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | May 27, 2026 |
| April 30, 2026 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | May 27, 2026 |
| April 30, 2026 | 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 | May 27, 2026 |
| April 30, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | E | No | Deficient, Provider has date of correction | May 27, 2026 |
| April 30, 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | No | Deficient, Provider has date of correction | May 20, 2026 |
| April 30, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | May 20, 2026 |
| April 30, 2026 | 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 | May 21, 2026 |
| April 30, 2026 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | No | Deficient, Provider has date of correction | May 20, 2026 |
| April 30, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | May 21, 2026 |
| April 30, 2026 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | May 20, 2026 |
| February 26, 2026 | 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 | Yes | Deficient, Provider has date of correction | March 20, 2026 |
| February 26, 2026 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Yes | Deficient, Provider has date of correction | March 20, 2026 |
| February 26, 2026 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Yes | Deficient, Provider has date of correction | March 20, 2026 |
| August 14, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | September 5, 2025 |
| August 14, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | September 5, 2025 |
| August 14, 2025 | 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 | Yes | Deficient, Provider has date of correction | September 5, 2025 |
| August 14, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Yes | Deficient, Provider has date of correction | September 5, 2025 |
| March 28, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | April 21, 2025 |
| March 28, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | April 21, 2025 |
| March 28, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | E | No | Deficient, Provider has date of correction | April 21, 2025 |
| March 28, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | April 21, 2025 |
| March 28, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | April 21, 2025 |
| March 28, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | April 21, 2025 |
| March 28, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | April 21, 2025 |
| March 28, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | J | No | Deficient, Provider has date of correction | April 21, 2025 |
| March 28, 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 | April 21, 2025 |
| March 28, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | April 21, 2025 |
| March 28, 2025 | Health | F 0802 | Nutrition and Dietary Deficiencies | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | No | Deficient, Provider has date of correction | April 21, 2025 |
| March 28, 2025 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | April 21, 2025 |
| March 28, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | April 21, 2025 |
| March 28, 2025 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | No | Deficient, Provider has date of correction | April 21, 2025 |
| March 28, 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | April 21, 2025 |
| February 18, 2025 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Yes | Deficient, Provider has date of correction | March 10, 2025 |
| December 5, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | December 27, 2024 |
| December 5, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | December 27, 2024 |
| October 16, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | November 1, 2024 |
| July 3, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | July 19, 2024 |
| April 23, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | May 20, 2024 |
| April 12, 2024 | 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 | May 6, 2024 |
| April 12, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 12, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 12, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 12, 2024 | 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 | May 6, 2024 |
| April 12, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 12, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 12, 2024 | 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 | May 6, 2024 |
| April 12, 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 12, 2024 | Health | F 0711 | Nursing and Physician Services Deficiencies | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 12, 2024 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | E | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 12, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 12, 2024 | 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 6, 2024 |
| April 12, 2024 | 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 | May 6, 2024 |
| April 12, 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 12, 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 12, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| March 7, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | March 28, 2024 |
| November 21, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | December 18, 2023 |
| November 21, 2023 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Yes | Deficient, Provider has date of correction | December 18, 2023 |
| November 14, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | December 5, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| March 28, 2025 | Fine | $17,940 | 131192 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | HERITAGE MANOR HEALTHCARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1970-09-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Los Angeles |
| Telephone Number | 6265733141 |
| Chain Name | DAVID JOHNSON |
| Chain ID | 851 |
| 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 | 99 |
| Average Number of Residents per Day | 95.0 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on HERITAGE MANOR: 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 August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for HERITAGE MANOR
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.
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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 055989.