Skilled nursing facility · CMS certification number 056376

A GRACE SUB ACUTE & SKILLED CARE

SAN JOSE, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 166

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$23,043,835	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,494,346	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,549,489	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,889,836	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,340,347	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$299,652	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,040,695	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,961,106 (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%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	60,756	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,718	CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days	36,420	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	38,138	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	30	CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges	99	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	129	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	295.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436362, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$25,148,254	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,472,722	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,675,532	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,675,369	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$999,837	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,089,515	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,089,678	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,956,541 (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%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	40,346	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	128	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	315.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393294, 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 August 18, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$21,882,547	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,107,186	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,775,361	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,022,405	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$247,044	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$142,829	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$104,215	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$168,132 (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%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,181	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	128	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	267.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362470, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 23, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$23,007,160	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,722,624	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,284,536	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,433,037	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$851,499	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$48,341	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$899,840	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $877,223 (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%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,896	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	138	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	75.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	245.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333774, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 10, 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$29,356,970	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$12,849,459	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,507,511	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,306,906	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,200,605	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,126,736	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,327,341	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,276,927 (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%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	41,044	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	140	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	71.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	293.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1303641, 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 November 20, 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$32,318,611	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$14,359,083	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,959,528	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,295,754	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,663,774	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$20,210	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,683,984	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,577,601 (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%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	47,088	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	106	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	444.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274091, 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.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$32,691,904	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$14,234,000	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,457,904	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,954,292	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$3,503,612	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,260	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$3,522,872	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,422,836 (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%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	49,094	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	171	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	120.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	287.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1242740, 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.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$31,148,145	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$15,453,112	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,695,033	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,092,296	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,602,737	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$21,059	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,623,796	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,513,802 (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%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	46,729	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	171	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	95.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	273.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208454, 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.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$26,889,337	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$11,850,536	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,038,801	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,651,330	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,387,471	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$29,627	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,417,098	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,303,830 (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%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	45,524	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	280	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	162.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1172981, 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 5, 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$28,776,931	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$12,147,732	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,629,199	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,349,273	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$3,279,926	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$17,194	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$3,297,120	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,141,730 (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%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	50,015	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	230	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	217.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1139884, 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 10, 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$28,001,779	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$11,361,689	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,640,090	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,392,171	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$3,247,919	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,619	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$3,255,538	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,878,715 (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%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	48,182	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	226	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	213.19	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1107202, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 26, 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$27,546,581	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$10,996,932	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,549,649	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,615,901	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,933,748	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,983	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,938,731	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,864,212 (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%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	49,035	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	59.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	220.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1077069, 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.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$26,075,229	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$10,651,384	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,423,845	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,291,009	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,132,836	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,535	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,142,371	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,040,750 (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%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	46,611	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	226	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	206.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1042394, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended December 31, 2011

Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 31, 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$28,394,502	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$10,896,754	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,497,748	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,421,479	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$3,076,269	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$23,066	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$3,099,335	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,753,678 (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%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	48,558	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	70.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	218.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024348, 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.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$18,262,215	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$14,590,608	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$3,671,607	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$14,814	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$184,915	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $3,501,506 (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 2010
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	49,079	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	222	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	104.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	221.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415620, 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.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$17,786,131	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$13,535,641	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$4,250,490	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$49,082	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$209,167	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $4,090,405 (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 2009
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	50,428	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	222	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	87.92	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	227.15	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385629, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended October 31, 2008

Cost report for January 1, 2008 to October 31, 2008 — a reporting period of 304 days, on form CMS-2540-96, settled, processed by CMS on July 29, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$12,174,917	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$12,148,563	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$26,354	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,077	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $29,431 (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 2008
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	42,901	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	189	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	54.82	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	392.92	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	226.99	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 353119, 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 8, 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$14,386,585	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$15,040,115	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$653,530	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$36,935	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$616,595 (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 2007
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	48,925	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	316	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	337.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	154.83	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 323311, 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 May 15, 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$12,645,031	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$13,846,401	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,201,370	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$131,662	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,069,708 (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
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	51,304	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	315	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.92	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	310.27	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	162.87	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 278563, 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.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$10,562,893	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$12,033,164	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,470,271	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$209,037	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,261,234 (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
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	54,752	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	208	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.87	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	452.9	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	263.23	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 260014, 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 18, 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$10,424,018	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,752,511	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$328,493	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$1,457	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$329,950 (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
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	57,494	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	234	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.43	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	419.77	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	245.7	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 228060, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 18, 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$10,048,908	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,174,229	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$125,321	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,731	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$123,590 (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
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	58,492	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	173	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	44.49	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	445.55	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	338.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 197638, 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 April 27, 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$9,501,440	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,481,767	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$19,673	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$431	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $19,242 (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
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	58,053	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	25.64	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	260.45	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	192.87	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 173774, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended December 31, 2001

Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$9,279,979	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,282,973	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$2,994	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,960	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $13,966 (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
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	58,506	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	265	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.63	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	253.27	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	220.78	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 174266, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended December 31, 2000

Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$8,760,641	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,804,265	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$43,624	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$215,123	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $171,499 (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
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	57,788	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	214	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	49.53	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	324.48	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	270.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 82453, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended December 31, 1999

Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 24, 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$7,755,241	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,481,615	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$273,626	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$112,946	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$4,144	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $382,428 (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
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	52,028	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	187	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	501.86	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	278.22	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 82451, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended December 31, 1998

Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 16, 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$8,793,151	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,514,286	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$278,865	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$237,784	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$161,034	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $355,615 (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
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	52,696	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	217	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.69	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	626.06	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	242.84	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 82449, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended December 31, 1997

Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on June 24, 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$8,130,954	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,047,017	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$83,937	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,016	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	−$147,938	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $242,891 (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
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	52,865	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	245	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.35	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	509.91	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	215.78	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 82447, 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 September 11, 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$7,649,810	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,601,230	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$48,580	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,882	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	−$189,821	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $246,283 (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 1996
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	54,228	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	368	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.19	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	180.35	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	147.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 82446, 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

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
ADELMAN, JASON	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 12/15/2008
JAVIER, JULITA	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 12/15/2008
JAVIER, PEPITO	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 12/15/2008
RANDO, JAMES	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 12/15/2008
JAVIER, PEPITO	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/15/2008
SANCHEZ, PELITA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/15/2008
AQUINO, VICTOR	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 04/16/2014

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LITA & AVA INC. (enrollment ID O20090218000677).

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
JAMES RANDO	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	Not stated in the filing	12/15/2008	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JASON S ADELMAN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	Not stated in the filing	12/15/2008	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JULITA A JAVIER	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	Not stated in the filing	12/15/2008	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PEPITO M JAVIER	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	Not stated in the filing	12/15/2008	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PELITA SANCHEZ	Individual	CORPORATE DIRECTOR	Not stated in the filing	12/15/2008	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PEPITO M JAVIER	Individual	CORPORATE DIRECTOR	Not stated in the filing	12/15/2008	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
VICTOR AQUINO	Individual	W-2 MANAGING EMPLOYEE	Not stated in the filing	4/16/2014	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

February 1, 2025: VICTOR AQUINO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 16, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
January 1, 2025: VICTOR AQUINO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv

Recent changes on this record

August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
February 1, 2025: VICTOR AQUINO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 16, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
January 1, 2025: VICTOR AQUINO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
August 28, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
August 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
September 23, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
November 10, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
November 20, 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 5, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
August 10, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
August 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 31, 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
July 29, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
July 27, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2009.zip
August 8, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
May 15, 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 18, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
October 18, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
April 27, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
April 27, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
February 12, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
April 24, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
October 16, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
June 24, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
September 11, 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	October 18, 2024	October 18, 2024	13	11
2	May 13, 2022	May 13, 2022	16	10
3	June 7, 2019	June 7, 2019	18	12

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

47 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
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	Yes	Deficient, Provider has date of correction	September 4, 2025
October 18, 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	November 8, 2024
October 18, 2024	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	November 8, 2024
October 18, 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	November 8, 2024
October 18, 2024	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	E	No	Deficient, Provider has date of correction	November 8, 2024
October 18, 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	November 8, 2024
October 18, 2024	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	No	Deficient, Provider has date of correction	November 8, 2024
October 18, 2024	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	November 8, 2024
October 18, 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	November 8, 2024
October 18, 2024	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	November 8, 2024
October 18, 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	November 8, 2024
October 18, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	November 8, 2024
October 18, 2024	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	D	No	Deficient, Provider has date of correction	November 8, 2024
October 18, 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	No	Deficient, Provider has date of correction	November 8, 2024
July 9, 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	July 10, 2024
March 14, 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	April 11, 2024
December 28, 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	January 29, 2024
May 13, 2022	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	May 16, 2022
May 13, 2022	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	May 25, 2022
May 13, 2022	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	May 25, 2022
May 13, 2022	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	May 25, 2022
May 13, 2022	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	May 27, 2022
May 13, 2022	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	May 25, 2022
May 13, 2022	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	May 25, 2022
May 13, 2022	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	May 27, 2022
May 13, 2022	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	No	Deficient, Provider has date of correction	May 13, 2022
May 13, 2022	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	May 13, 2022
May 13, 2022	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	May 27, 2022
May 13, 2022	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	May 13, 2022
May 13, 2022	Health	F 0790	Quality of Life and Care Deficiencies	Provide routine and 24-hour emergency dental care for each resident.	D	No	Deficient, Provider has date of correction	May 27, 2022
May 13, 2022	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	May 26, 2022
May 13, 2022	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	June 3, 2022
June 7, 2019	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	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	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	Health	F 0813	Nutrition and Dietary Deficiencies	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	D	No	Deficient, Provider has date of correction	June 26, 2019
June 7, 2019	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	June 26, 2019

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	LITA & AVA INC.
Date First Approved to Provide Medicare and Medicaid Services	1980-07-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Santa Clara
Telephone Number	4082413844
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	166
Average Number of Residents per Day	126.2
Overall Rating	4
Health Inspection Rating	3
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	4
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

Get an email when this record changes

One email a day naming what moved on A GRACE SUB ACUTE & SKILLED CARE: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

Follow this record for $99/month

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for A GRACE SUB ACUTE & SKILLED CARE

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.

The citable document with full history — $295

Other public records in California

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 056376.