Skilled nursing facility · CMS certification number 055992
WEST COVINA HEALTHCARE CENTER
WEST COVINA, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 97
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: 5 · Fines: 3 · Fines, total amount: $78,978.00 · Payment denials: 2. The most recent penalty on file: March 28, 2024, Fine, $29,816. 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 | $12,837,548 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$404,373 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,241,921 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,172,202 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $69,719 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $216,282 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $286,001 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $286,001 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 35,502 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,164 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,100 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 26,176 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 30,440 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 60 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 9 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 381 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 450 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 122.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436289, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 6, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,154,823 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$292,299 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,447,122 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,700,489 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$253,367 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $284,997 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $31,630 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $31,630 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,700 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 523 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,121.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393822, 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 | $11,544,229 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $389,627 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,154,602 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,822,108 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$667,506 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $213,325 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$454,181 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$454,181 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,275 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 468 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,323.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363983, 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 | $10,264,031 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $540,923 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,723,108 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,227,679 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$504,571 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $336,165 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$168,406 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$168,406 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,225 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 473 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 861.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332367, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 17, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,265,367 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,469,855 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,795,512 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,354,785 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $440,727 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $585,424 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,026,151 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,026,151 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,428 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 575 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,153.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304698, 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 | $12,650,518 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,168,166 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,482,352 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,877,934 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $604,418 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $150,803 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $755,221 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $755,221 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,174 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 896 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,504.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 34.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278838, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 14, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,745,710 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,714,808 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,030,902 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,778,368 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $252,534 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $113,388 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $365,922 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $365,922 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,775 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 719 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 6,517 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240677, 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 | $9,686,551 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,809,517 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,877,034 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,852,970 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $24,064 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $142,957 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $167,021 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $167,021 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,617 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 413 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,034.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209010, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 26, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,790,934 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,926,670 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,864,264 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,269,266 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$405,002 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $169,708 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$235,294 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$235,294 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,067 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 324 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 912.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170726, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 15, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,154,839 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,281,245 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,873,594 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,959,735 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$86,141 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $124,686 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $38,545 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $38,545 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,401 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 147.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141171, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 19, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,107,765 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,308,004 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,799,761 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,738,107 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $61,654 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $111,037 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $172,691 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $172,691 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,011 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 357 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 212.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108257, 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 29, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,321,626 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $957,083 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,364,543 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,397,685 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$33,142 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $106,910 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $73,768 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $73,768 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,423 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 312 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 232.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077398, 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 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,617,925 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $257,275 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,360,650 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,264,433 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $96,217 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,905 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $98,122 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $98,122 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,726 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 360 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 174.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1036194, 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 31, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,414,333 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$139,333 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,553,666 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,108,663 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $445,003 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,374 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $446,377 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $446,377 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,024 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 223 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 279.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024307, 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 August 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,853,522 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,674,612 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $178,910 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,514 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $182,424 (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 | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,303 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 293 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 205.99 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 106.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415588, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,554,738 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,354,862 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $199,876 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,024 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $207,900 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,872 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 332 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 187.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 92.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385575, 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 July 20, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,318,945 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,096,128 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $222,817 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,046 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $232,863 (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 | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,795 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 365 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 212.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 351649, 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 | $5,768,116 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,463,665 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $304,451 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,748 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $313,199 (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 | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,238 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 363 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 189.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 86.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323260, 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 April 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,606,404 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,251,255 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $355,149 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $612,971 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $968,120 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,667 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 354 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 234.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306878, 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 19, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,274,624 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,928,346 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $346,278 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $162,210 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $508,488 (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 | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,963 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 420 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 198.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 76.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 269116, 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 February 23, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,794,475 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,565,851 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $228,624 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $197,414 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $426,038 (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 | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,270 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 413 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 150.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 70.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243549, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for January 1, 2003 to September 30, 2003 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 19, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,482,174 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,016,759 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$534,585 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $33,335 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$501,250 (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 | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,343 | 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 | 59.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 104.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 217499, 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 July 16, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,553,780 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,145,887 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $407,893 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,006 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $445,899 (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 | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,767 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 243 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 126.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 186738, 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 September 16, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,733,013 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,117,312 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $615,701 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,308 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $658,009 (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 | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,944 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 201 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 158.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159908, 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, as submitted, processed by CMS on June 12, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,518,215 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,808,008 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $710,207 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,993 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $716,200 (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 | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,064 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 192 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 122.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 167 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 73983, 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, as submitted, processed by CMS on August 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,334,066 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,523,309 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $810,757 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,971 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $826,728 (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 | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,128 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 146 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 101.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 220.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 5120, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on January 6, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,070,598 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,518,430 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $552,168 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $44,309 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $596,477 (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 | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,899 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 139.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 200.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 5119, 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, as submitted, processed by CMS on July 31, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,059,144 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,263,819 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,204,675 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,891,324 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $686,649 (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 | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,831 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 171 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 135.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 191.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 5118, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| AG FACILITIES OPERATIONS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 08/11/2003 |
| IRA E SMEDRA LIVING TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 48% | since 08/11/2017 |
| WIN WIN ENTERPRISES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 48% | since 08/11/2003 |
| AMANDA LEE SORENSEN TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/02/2007 |
| BALTAZAR, EILEEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/12/2025 |
| BUTENKO, JULIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/24/2023 |
| CAMBRIDGE HEALTHCARE SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/12/2025 |
| CAPELA, HEIDI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/03/2023 |
| CHAPEAUX ENTERPRISES | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/02/2007 |
| CORY ANN SORENSEN | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/02/2007 |
| HASSELL, LANCE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/25/2022 |
| LUTZ, LINDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2012 |
| MEHTA, KRUNAL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/09/2013 |
| PAUL AND SUSAN GELLER TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/02/2007 |
| SALAZAR, PAULINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/14/2020 |
| SMEDRA, IRA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/11/2003 |
| SORENSEN FAMILY TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/02/2007 |
| VIDALES, MIGUEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2021 |
| WINTNER, JACOB | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/11/2003 |
| BALTAZAR, EILEEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/07/2022 |
| VIDALES, MIGUEL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 03/01/2021 |
| BALTAZAR, EILEEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2022 |
| BUTENKO, JULIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/24/2023 |
| CAMBRIDGE HEALTHCARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2013 |
| CAPELA, HEIDI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/03/2023 |
| HASSELL, LANCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/25/2022 |
| LUTZ, LINDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2012 |
| MANOJO, SHEILA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/11/2024 |
| MEHTA, KRUNAL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/09/2013 |
| SALAZAR, PAULINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/14/2020 |
| SMEDRA, IRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/11/2003 |
| VIDALES, MIGUEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2021 |
| WINTNER, JACOB | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/11/2003 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of AG WEST COVINA LLC (enrollment ID O20031023000042).
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 |
|---|---|---|---|---|---|
| AG FACILITIES OPERATIONS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/11/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| BH ALLIANCE | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 8/11/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| IRA E SMEDRA LIVING TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 8/11/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| IRA SMEDRA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 8/11/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WIN WIN ENTERPRISES, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 8/11/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMANDA LEE SORENSEN TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 7/2/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAMBRIDGE HEALTHCARE SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/12/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAPEAUX ENTERPRISES | Organization | ADP OF THE SNF | Not stated in the filing | 7/2/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| CORY ANN SORENSEN | Organization | ADP OF THE SNF | Not stated in the filing | 7/2/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| EILEEN BALTAZAR | Individual | ADP OF THE SNF | Not stated in the filing | 11/12/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEIDI CAPELA | Individual | ADP OF THE SNF | Not stated in the filing | 4/3/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IRA SMEDRA | Individual | ADP OF THE SNF | Not stated in the filing | 8/11/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JACOB WINTNER | Individual | ADP OF THE SNF | Not stated in the filing | 8/11/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE BUTENKO | Individual | ADP OF THE SNF | Not stated in the filing | 7/24/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRUNAL J MEHTA | Individual | ADP OF THE SNF | Not stated in the filing | 9/9/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LANCE A HASSELL | Individual | ADP OF THE SNF | Not stated in the filing | 4/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA LUTZ | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIGUEL VIDALES | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL AND SUSAN GELLER TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 7/2/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| PAULINA SALAZAR | Individual | ADP OF THE SNF | Not stated in the filing | 12/14/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SORENSEN FAMILY TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 7/2/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| EILEEN BALTAZAR | Individual | MANAGING CONTROL - GOVERNING BODY | 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 |
| MIGUEL VIDALES | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 3/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAMBRIDGE HEALTHCARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| EILEEN BALTAZAR | 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 |
| HEIDI CAPELA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/3/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IRA SMEDRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/11/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JACOB WINTNER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/11/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE BUTENKO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/24/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRUNAL J MEHTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/9/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LANCE A HASSELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA LUTZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIGUEL VIDALES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAULINA SALAZAR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/14/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHEILA MANOJO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/11/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: PAULINA SALAZAR no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JACOB WINTNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: IRA SMEDRA no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: IRA SMEDRA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAMBRIDGE HEALTHCARE SERVICES LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: IRA SMEDRA (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 11, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CORY ANN SORENSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 2, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SORENSEN FAMILY TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 2, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JULIE BUTENKO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JULIE BUTENKO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAULINA SALAZAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAULINA SALAZAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHEILA MANOJO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 11, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JACOB WINTNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 11, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAUL AND SUSAN GELLER TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 2, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LINDA LUTZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LINDA LUTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MIGUEL VIDALES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MIGUEL VIDALES (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MIGUEL VIDALES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHAPEAUX ENTERPRISES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 2, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KRUNAL J MEHTA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 9, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KRUNAL J MEHTA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 9, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: IRA SMEDRA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 11, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAMBRIDGE HEALTHCARE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAMBRIDGE HEALTHCARE SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LANCE A HASSELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LANCE A HASSELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HEIDI CAPELA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HEIDI CAPELA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AMANDA LEE SORENSEN TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 2, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: EILEEN BALTAZAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: EILEEN BALTAZAR (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: EILEEN BALTAZAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- December 1, 2023: RICHARD T DENNING no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: THE WINTNER LIVING TRUST DATED 7/08/1992 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: JACOB WINTNER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: FRANCINE WINTNER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: IRA SMEDRA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: PAULINA SALAZAR (OTHER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since December 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- December 1, 2023: IRA SMEDRA (OTHER) first listed in CMS’s Medicare enrollment ownership file on December 1, 2023; associated with this enrollment since December 31, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
Recent changes on this record
- July 15, 2026: A deficiency was cited under tag F 0842, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 15, 2026: A deficiency was cited under tag F 0760, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 15, 2026: A deficiency was cited under tag F 0776, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 1, 2026: PAULINA SALAZAR no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JACOB WINTNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: IRA SMEDRA no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: IRA SMEDRA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAMBRIDGE HEALTHCARE SERVICES LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: IRA SMEDRA (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 11, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CORY ANN SORENSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 2, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SORENSEN FAMILY TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 2, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JULIE BUTENKO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JULIE BUTENKO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAULINA SALAZAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAULINA SALAZAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHEILA MANOJO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 11, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JACOB WINTNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 11, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAUL AND SUSAN GELLER TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 2, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LINDA LUTZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LINDA LUTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MIGUEL VIDALES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MIGUEL VIDALES (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MIGUEL VIDALES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHAPEAUX ENTERPRISES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 2, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KRUNAL J MEHTA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 9, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KRUNAL J MEHTA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 9, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: IRA SMEDRA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 11, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAMBRIDGE HEALTHCARE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAMBRIDGE HEALTHCARE SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LANCE A HASSELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LANCE A HASSELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HEIDI CAPELA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HEIDI CAPELA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AMANDA LEE SORENSEN TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 2, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: EILEEN BALTAZAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: EILEEN BALTAZAR (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: EILEEN BALTAZAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 6, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- December 1, 2023: RICHARD T DENNING no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 5, 2025 | December 5, 2025 | 17 | 3 |
| 2 | October 3, 2024 | October 3, 2024 | 14 | 3 |
| 3 | October 13, 2023 | October 13, 2023 | 21 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
53 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 15, 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | August 9, 2026 |
| July 15, 2026 | Health | F 0776 | Administration Deficiencies | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | E | Yes | Deficient, Provider has date of correction | August 12, 2026 |
| July 15, 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | August 9, 2026 |
| May 7, 2026 | 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 | May 29, 2026 |
| April 23, 2026 | Health | F 0573 | Resident Rights Deficiencies | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Yes | Deficient, Provider has date of correction | May 15, 2026 |
| January 2, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | January 23, 2026 |
| December 5, 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | December 24, 2025 |
| December 5, 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 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 | December 26, 2025 |
| December 5, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | 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 | December 26, 2025 |
| December 5, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | B | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | December 24, 2025 |
| December 5, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | December 26, 2025 |
| December 5, 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | December 16, 2025 |
| December 5, 2025 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | December 6, 2025 |
| July 25, 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 | August 18, 2025 |
| December 27, 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 | January 17, 2025 |
| October 3, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | October 25, 2024 |
| October 3, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | No | Deficient, Provider has date of correction | October 25, 2024 |
| October 3, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | October 25, 2024 |
| October 3, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | October 25, 2024 |
| October 3, 2024 | 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 | October 25, 2024 |
| October 3, 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. | E | No | Deficient, Provider has date of correction | October 25, 2024 |
| October 3, 2024 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | October 25, 2024 |
| October 3, 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 | October 25, 2024 |
| October 3, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | October 25, 2024 |
| October 3, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | No | Deficient, Provider has date of correction | October 25, 2024 |
| October 3, 2024 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Waiver has been granted | October 25, 2024 |
| October 3, 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 | October 25, 2024 |
| July 3, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 24, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | July 17, 2024 |
| June 7, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | July 3, 2024 |
| May 6, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | May 30, 2024 |
| May 6, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Yes | Deficient, Provider has date of correction | May 30, 2024 |
| March 28, 2024 | 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 | April 30, 2024 |
| March 28, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | Yes | Deficient, Provider has date of correction | April 30, 2024 |
| March 28, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | April 22, 2024 |
| January 31, 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. | G | Yes | Deficient, Provider has date of correction | February 23, 2024 |
| January 31, 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 | February 23, 2024 |
| November 28, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | December 27, 2023 |
| October 13, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | November 15, 2023 |
| October 13, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | November 1, 2023 |
| October 13, 2023 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | November 1, 2023 |
| October 13, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 13, 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | November 6, 2023 |
| October 13, 2023 | 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. | E | No | Deficient, Provider has date of correction | November 6, 2023 |
| October 13, 2023 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | November 15, 2023 |
| October 13, 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | No | Deficient, Provider has date of correction | November 6, 2023 |
| October 13, 2023 | 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 | November 15, 2023 |
| October 13, 2023 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Waiver has been granted | October 13, 2023 |
| August 7, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | August 25, 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, 2024 | Fine | $29,816 | 130406 | ||
| March 28, 2024 | Payment Denial | April 26, 2024 | 4 | ||
| January 31, 2024 | Fine | $14,211 | 130138 | ||
| October 13, 2023 | Fine | $34,951 | 129431 | ||
| October 13, 2023 | Payment Denial | November 11, 2023 | 6 |
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 | AG WEST COVINA LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1971-12-31 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Los Angeles |
| Telephone Number | 6269623368 |
| Chain Name | CAMBRIDGE HEALTHCARE SERVICES |
| Chain ID | 98 |
| 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 | 97 |
| Average Number of Residents per Day | 89.9 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| 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 WEST COVINA HEALTHCARE CENTER: 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 July 15, 2026: A deficiency was cited under tag F 0842, scope and severity D. That is one line of the alert.
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The citable document for WEST COVINA HEALTHCARE CENTER
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 055992.