Skilled nursing facility · CMS certification number 056198
KIT CARSON NURSING & REHABILITATION CENTER
JACKSON, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 199
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: 4 · Fines: 3 · Fines, total amount: $28,327.00 · Payment denials: 1. The most recent penalty on file: February 19, 2026, Fine, $9,347. 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 | $13,493,266 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,109,924 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,383,342 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,803,111 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$419,769 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,000 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$389,769 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$389,769 (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 | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 72,834 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,015 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 21,707 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,870 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 28,592 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 121 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 32 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 181 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 775.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436328, 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 | $12,031,727 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $85,177 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,946,550 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,111,383 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$164,833 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $766,309 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $601,476 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $601,476 (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 | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,347 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 151 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 585.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 174.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393914, 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 27, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,451,703 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$3,412,993 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,864,696 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,430,535 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,434,161 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $559,901 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,994,062 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,994,062 (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 | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,536 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 169 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 767.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365540, 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 August 3, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,324,289 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$3,524,478 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,848,767 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,178,315 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,670,452 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $778,138 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,448,590 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,448,590 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,942 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 215 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 443.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328700, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,439,846 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,843,833 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,283,679 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,146,062 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,862,383 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $534,086 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,328,297 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,328,297 (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 | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,420 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 581.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335557, 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 October 14, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,197,358 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $519,426 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,677,932 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,894,343 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,216,411 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $269,979 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$946,432 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$946,432 (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 | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,036 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 287 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 783.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1270376, 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 29, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,091,899 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $336,965 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,754,934 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,080,098 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$325,164 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $431,144 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $105,980 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $105,980 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,458 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 281 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 83.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 40.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242732, 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 | $10,639,388 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $320,850 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,318,538 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,455,925 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$137,387 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,155 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$112,232 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$112,232 (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 | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,732 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 241 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 868.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208425, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,106,417 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $653,322 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,453,095 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,219,567 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$766,472 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $326 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$766,146 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$766,146 (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 | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,052 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 919.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 174.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172913, 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 17, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,497,314 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,048,235 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,449,079 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,286,817 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$837,738 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,116 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$832,622 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$832,622 (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 | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,545 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 222 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 796.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 178.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141613, 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 | $11,575,242 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,319,706 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,255,536 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,552,580 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$297,044 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,013 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$278,031 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$278,031 (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 | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,569 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 265 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 652 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108229, 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, as submitted, processed by CMS on June 26, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,755,654 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $923,929 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,831,725 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,928,933 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$97,208 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,196 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$94,012 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$94,012 (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 | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,565 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 224 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 610.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 190.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1068505, 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 July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,211,459 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $687,129 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,524,330 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,262,609 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $261,721 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,411 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $270,132 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $270,132 (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 | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,498 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 242 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 627.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042382, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,148,847 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $412,640 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,736,207 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,593,489 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $142,718 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,619 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $179,337 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $179,337 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 199 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,530 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 291 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 586.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023579, 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 | $8,742,494 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,659,568 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $82,926 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,944 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $129,870 (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 | 199 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,203 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 278 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 578.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 148.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415605, 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 | $8,901,341 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,572,057 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $329,284 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $69,281 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $398,565 (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 | 199 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,597 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 277 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 665.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385601, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 20, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,039,085 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,311,025 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$271,940 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $65,767 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$206,173 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 199 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,180 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 254 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 834.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 158.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355065, 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 13, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,925,439 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,212,579 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$287,140 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $143,443 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$143,697 (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 | 199 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,553 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 213 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 695.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 199.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323760, 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 August 16, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,441,154 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,369,714 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $71,440 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,331 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $112,771 (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 | 199 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,615 | 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 | 38.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 471.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 260.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292024, 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 July 31, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,299,733 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,973,432 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $326,301 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,562 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $356,863 (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 | 199 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,651 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 301 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 315.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 151.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 260012, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 20, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,029,649 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,048,463 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$18,814 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,570 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $10,756 (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 | 199 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,006 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 178 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 511.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 196.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 228326, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on June 23, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,123,022 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,221,024 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,098,002 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,145 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,083,857 (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 | 199 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,954 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 220 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 632.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 204.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 183972, 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 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,324,475 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,852,698 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,528,223 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,281 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $28,724 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,544,666 (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 | 199 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,520 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 191 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 490.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 227.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 186464, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for April 23, 2001 to December 31, 2001 — a reporting period of 252 days, not a full year, on form CMS-2540-96, settled, processed by CMS on January 22, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,499,512 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,433,909 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$934,397 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,423 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$928,974 (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 | 199 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,538 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 450.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 147.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 166763, read from the public cost report file SNFFY2001.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on June 24, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,736,379 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,424,382 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $311,997 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,313 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $328,310 (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 | 199 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,158 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 386 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 150.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 82089, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 7, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,219,762 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,495,433 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $724,329 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,650 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $746,979 (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 | 199 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 69,003 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 356 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 357.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 193.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 82088, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CHEN, JENQ | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 100% | since 08/04/2004 |
| HAWKINS, DOUGLAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/17/2025 |
| SMITH, GREGORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/03/2017 |
| CHEN, JENQ | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/23/2017 |
| CHEN, TZE-YUN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/23/2017 |
| PADAMA, JOHN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/02/2017 |
| HAWKINS, DOUGLAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/11/2025 |
| SMITH, GREGORY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/03/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of RAY PROPERTIES KIT CARSON INC. (enrollment ID O20050629000286).
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 |
|---|---|---|---|---|---|
| JENQ H CHEN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/4/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS HAWKINS | Individual | ADP OF THE SNF | Not stated in the filing | 4/17/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY G SMITH | Individual | ADP OF THE SNF | Not stated in the filing | 2/3/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENQ H CHEN | Individual | CORPORATE DIRECTOR | 50 | 11/23/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TZE-YUN CHEN | Individual | CORPORATE DIRECTOR | 50 | 5/23/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN PADAMA | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/2/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS HAWKINS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/11/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY G SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/3/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- October 1, 2025: JOHN PADAMA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHN PADAMA (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 2, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DOUGLAS HAWKINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DOUGLAS HAWKINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GREGORY G SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 3, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GREGORY G SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 3, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Recent changes on this record
- July 28, 2026: A deficiency was cited under tag F 0657, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 28, 2026: A deficiency was cited under tag F 0610, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 28, 2026: A deficiency was cited under tag F 0609, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 24, 2026: A deficiency was cited under tag F 0755, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- October 1, 2025: JOHN PADAMA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHN PADAMA (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 2, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DOUGLAS HAWKINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DOUGLAS HAWKINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GREGORY G SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 3, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GREGORY G SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 3, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.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
- September 27, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- October 21, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- August 3, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- October 14, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 29, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 11, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 17, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 19, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- June 26, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 23, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- January 24, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- August 17, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- August 13, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 20, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 13, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- August 16, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- July 31, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- July 20, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- July 1, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- June 23, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- January 22, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- June 24, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- October 7, 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 14, 2025 | August 14, 2025 | 43 | 15 |
| 2 | September 12, 2024 | September 12, 2024 | 25 | 16 |
| 3 | March 9, 2023 | March 9, 2023 | 8 | 12 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
76 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 28, 2026 | 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 no plan of correction | |
| July 28, 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has no plan of correction | |
| July 28, 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has no plan of correction | |
| July 24, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has no plan of correction | |
| May 8, 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 24, 2026 |
| April 22, 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | April 28, 2026 |
| April 22, 2026 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | April 28, 2026 |
| April 15, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | April 25, 2026 |
| March 30, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | April 27, 2026 |
| March 30, 2026 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | April 27, 2026 |
| March 30, 2026 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Yes | Deficient, Provider has date of correction | April 27, 2026 |
| March 30, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | April 27, 2026 |
| March 30, 2026 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Yes | Deficient, Provider has date of correction | April 27, 2026 |
| March 17, 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 | April 10, 2026 |
| March 17, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | April 10, 2026 |
| March 10, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | April 10, 2026 |
| March 10, 2026 | Health | F 0710 | Nursing and Physician Services Deficiencies | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Yes | Deficient, Provider has date of correction | April 10, 2026 |
| February 19, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Yes | Deficient, Provider has date of correction | March 19, 2026 |
| February 19, 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | April 10, 2026 |
| February 19, 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 | March 19, 2026 |
| February 19, 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 | April 10, 2026 |
| January 6, 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 | February 5, 2026 |
| December 3, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | January 3, 2026 |
| August 20, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | September 19, 2025 |
| August 14, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 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 | September 13, 2025 |
| August 14, 2025 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 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. | E | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | No | Deficient, Provider has date of correction | September 13, 2025 |
| August 14, 2025 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | No | Deficient, Provider has date of correction | September 13, 2025 |
| June 10, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | June 10, 2025 |
| March 28, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | April 28, 2025 |
| September 12, 2024 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 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 11, 2024 |
| September 12, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | 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 | October 11, 2024 |
| September 12, 2024 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 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. | E | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 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. | E | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0802 | Nutrition and Dietary Deficiencies | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | No | Deficient, Provider has date of correction | October 11, 2024 |
| September 12, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | October 11, 2024 |
| January 11, 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 10, 2024 |
| March 9, 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | E | No | Deficient, Provider has date of correction | April 7, 2023 |
| March 9, 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 | April 7, 2023 |
| March 9, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | April 7, 2023 |
| March 9, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | April 7, 2023 |
| March 9, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | April 7, 2023 |
| March 9, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | April 7, 2023 |
| March 9, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 7, 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 |
|---|---|---|---|---|---|
| February 19, 2026 | Fine | $9,347 | 138983 | ||
| February 19, 2026 | Fine | $9,870 | 138984 | ||
| February 19, 2026 | Payment Denial | April 11, 2026 | 17 | ||
| March 28, 2025 | Fine | $9,110 | 131205 |
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 - Corporation |
| Legal Business Name | RAY PROPERTIES KIT CARSON INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1970-05-04 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Amador |
| Telephone Number | 2092232231 |
| Chain Name | EVA CARE GROUP |
| Chain ID | 213 |
| 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 | 199 |
| Average Number of Residents per Day | 69.8 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on KIT CARSON NURSING & REHABILITATION 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 28, 2026: A deficiency was cited under tag F 0657, scope and severity D. That is one line of the alert.
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The citable document for KIT CARSON NURSING & REHABILITATION 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 056198.