Velarion Records

Skilled nursing facility · CMS certification number 056284

PLEASANT CARE CONVALESCENT-UKIAH

UKIAH, California

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.

This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026.

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 June 1, 2006 to November 4, 2006 — a reporting period of 156 days, not a full year, on form CMS-2540-96, settled, processed by CMS on December 7, 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$944,628CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,518,282CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$573,654CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,537CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$572,117 (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.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components113CMS-2540-96 worksheet S300001 line 900 column 100
Bed days available, all components17,741CMS-2540-96 worksheet S300001 line 900 column 200
Medicare (Title XVIII) patient days108CMS-2540-96 worksheet S300001 line 900 column 400
Medicaid (Title XIX) patient days4,727CMS-2540-96 worksheet S300001 line 900 column 500
Other-payer patient days618CMS-2540-96 worksheet S300001 line 900 column 600
Total patient days, all components5,454CMS-2540-96 worksheet S300001 line 900 column 700
Medicare discharges7CMS-2540-96 worksheet S300001 line 900 column 900
Medicaid discharges10CMS-2540-96 worksheet S300001 line 900 column 1000
Other-payer discharges1CMS-2540-96 worksheet S300001 line 900 column 1100
Total discharges, all components18CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days15.43CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days472.7CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days303CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 297880, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended May 31, 2005

Cost report for June 1, 2004 to May 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 27, 2005.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$2,234,890CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,441,512CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,206,622CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$181,244CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,025,378 (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.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,296CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components121CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.44CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days197.52CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days134.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 240074, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended May 31, 2004

Cost report for June 1, 2003 to May 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 15, 2004.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$2,878,985CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,432,394CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$553,409CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,135CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$549,274 (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.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,314CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components129CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.01CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days314.77CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days141.97CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 199720, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended May 31, 2003

Cost report for June 1, 2002 to May 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 15, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$2,084,156CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,148,319CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,064,163CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,781CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,060,382 (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.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components3,372CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components67CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days36.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days99.08CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days50.33CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 207471, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended May 31, 2002

Cost report for June 1, 2001 to May 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 3, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$2,862,113CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,137,955CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$275,842CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$12,040CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$263,802 (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.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,310CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components158CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.34CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days272.86CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days128.54CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 179606, read from the public cost report file SNFFY2001.zip.

Fiscal year 2001, ended May 31, 2001

Cost report for June 1, 2000 to May 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on January 8, 2002.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$2,777,410CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,955,899CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$178,489CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,142CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$172,347 (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.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,003CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components117CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.78CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days377.4CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days179.51CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 82264, read from the public cost report file SNFFY2000.zip.

Fiscal year 2000, ended May 31, 2000

Cost report for June 1, 1999 to May 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 2, 2001.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$2,329,375CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,836,466CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$507,091CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,909CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$498,182 (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.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,820CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components79CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.67CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days409.43CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days288.86CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 82262, read from the public cost report file SNFFY1999.zip.

Fiscal year 1999, ended May 31, 1999

Cost report for June 1, 1998 to May 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on June 20, 2005.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$2,702,967CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,831,319CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$128,352CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,364CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$122,988 (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.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components113CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,296CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components141CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.22CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days357.4CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days172.31CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 224030, read from the public cost report file SNFFY1998.zip.

Fiscal year 1998, ended May 31, 1998

Cost report for June 1, 1997 to May 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 3, 1999.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$2,362,020CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,800,050CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$438,030CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,675CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$431,355 (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.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,546CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components104CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days20.3CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days405.31CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days245.63CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 82258, read from the public cost report file SNFFY1997.zip.

Fiscal year 1997, ended May 31, 1997

Cost report for June 1, 1996 to May 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 2, 1998.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$1,982,352CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,476,246CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$493,894CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$178,856CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$315,038 (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.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,407CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components80CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days18.88CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days421.54CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days280.09CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 82256, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

Not listed in CMS’s Care Compare data.

Medicare enrollment

No owner listed for this facility in CMS’s Medicare enrollment ownership data.

Changes in ownership

No change in ownership appears in CMS’s ownership data for this facility.

Recent changes on this record

  • December 7, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • December 15, 2006: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • August 22, 2006: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
  • December 27, 2005: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
  • June 20, 2005: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
  • February 15, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
  • November 15, 2004: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
  • June 3, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
  • January 8, 2002: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
  • November 2, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
  • November 3, 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
  • October 2, 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip

Inspections

Not listed in CMS’s Care Compare data.

Deficiencies cited

Not listed in CMS’s Care Compare data.

Penalties

Not listed in CMS’s Care Compare data.

Care Compare provider information

Not listed in CMS’s Care Compare data.

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On December 7, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. That is one line of the alert.

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The citable document for PLEASANT CARE CONVALESCENT-UKIAH

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