Skilled nursing facility · CMS certification number 056444
Community Extended Care Hospital Of Montclair
Montclair, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 140
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 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, as submitted, processed by CMS on May 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,682,475 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $250,568 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,431,907 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,791,726 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $640,181 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $358,318 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $998,499 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $918,499 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 51,240 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,887 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,664 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 37,029 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 46,580 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 104 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 100 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 183 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 387 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 36.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1423306, 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 October 10, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,661,755 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$249,023 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,910,778 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,941,002 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$30,224 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $737,673 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $707,449 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $606,449 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,995 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 436 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 146.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440691, 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 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,346,141 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $384,058 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,962,083 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,643,458 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$681,375 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $394,842 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$286,533 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$477,472 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,870 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 427 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 146.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392469, 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 October 12, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,875,745 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $593,609 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,282,136 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,559,417 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$277,281 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,973,592 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,696,311 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,696,311 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,887 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 498 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 121.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366519, 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 February 13, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,779,462 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$128,806 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,908,268 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,300,818 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$392,550 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $555,525 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $162,975 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $162,175 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,385 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 477 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 103.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1342271, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,477,280 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,591,705 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,885,575 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,146,747 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$261,172 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $252,929 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$8,243 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$9,043 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,343 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 244 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 524.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 194.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274092, 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 December 23, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,616,044 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,332,054 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,283,990 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,733,563 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$449,573 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $162,865 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$286,708 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$287,508 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,994 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 309 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 261.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1277097, 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 September 19, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,840,858 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,053,654 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,787,204 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,199,793 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$412,589 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $177,584 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$235,005 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$235,805 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,935 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 421 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 398.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243559, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,122,533 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,780,952 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,341,581 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,942,742 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $398,839 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $146,128 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $544,967 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $544,167 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,754 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 442 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 451.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169039, 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 23, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,325,189 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,146,140 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,179,049 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,709,431 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$530,382 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $147,603 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$382,779 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$383,579 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,540 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 580 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 266.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142300, 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 23, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,042,935 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,833,366 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,209,569 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,493,094 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$283,525 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $132,933 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$150,592 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$150,592 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,020 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 605 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 132.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108551, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on June 6, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,299,021 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,898,334 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,400,687 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,185,801 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$785,114 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $83,145 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$701,969 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$703,569 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,443 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 281 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 376.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1062388, 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 August 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,500,128 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,507,547 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,992,581 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,109,570 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$116,989 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,972 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$115,017 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$115,017 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,998 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 262 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 122.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 322.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 175.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044813, 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 February 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,245,756 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,019,619 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,226,137 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,536,299 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,310,162 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,184 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,289,978 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,289,978 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,012 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 265 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 139.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 166.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024889, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,185,542 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,129,484 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,943,942 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $181,331 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,762,611 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,773 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 291 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 124.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 249.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 133.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415628, 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 June 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,043,496 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,806,498 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $236,998 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $93,974 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $330,972 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,237 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 389 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 314.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 113.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 405258, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,702,863 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,210,247 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $492,616 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,102 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $64 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $494,654 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,510 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 432 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 391.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354817, 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 July 30, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,754,933 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,859,143 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$104,210 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,991 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,517 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$58,736 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,862 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 393 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 315.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322293, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,248,423 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,879,246 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $369,177 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,137 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $372,314 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,379 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 411 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 352.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 112.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 307546, 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 February 7, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,956,774 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,255,567 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$298,793 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,532 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,017 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$273,278 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,079 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 447 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 328.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 98.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271926, 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 June 13, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,988,136 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,880,581 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $107,555 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $101,243 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,088 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $207,710 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,209 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 499 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 304.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 92.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 253250, 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 December 13, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,206,306 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,992,000 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $214,306 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,158 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $221,464 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,135 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 587 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 291.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 202054, 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 October 18, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,370,190 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,327,603 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $42,587 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,472 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $44,059 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,421 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 528 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 266.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 91.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 197615, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 30, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,438,061 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,268,051 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $170,010 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,099 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,287 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $167,822 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,192 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 418 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 205.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 112.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 161133, 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 April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,315,033 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,010,279 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $304,754 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $79,823 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $384,577 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,088 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 638 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 188.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 140888, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 24, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,093,602 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,037,596 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $56,006 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,964 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $62,970 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,889 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 767 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 178.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 62.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74226, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on September 21, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,503,514 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,555,351 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$51,837 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,219 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$33,618 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,565 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 833 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 152.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 55.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 294121, 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, reopened, processed by CMS on December 30, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,663,855 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,746,584 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$82,729 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $31,346 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$51,383 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,772 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 834 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 57.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 203777, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 15, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,979,797 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,511,794 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$531,997 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,960 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $351 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$501,388 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,484 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 662 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 71.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 5752, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CASTRO-GARCIA, MARIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/06/2019 |
| COSME, RODOLFO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/03/2024 |
| DALIVA, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2023 |
| FREMONT NF LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/1986 |
| HANSEN | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/25/2025 |
| HIDALGO, ANALIZA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/21/2013 |
| LANDINGIN, ANNE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/16/2024 |
| MANDELBAUM, SIMCHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2026 |
| PHAM, JULIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2000 |
| REAL, JOYCE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/17/2024 |
| SKILLSERVE INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/10/2026 |
| WILLIAMS, CLINTON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/04/2010 |
| CASTRO-GARCIA, MARIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2023 |
| MANDELBAUM, JANET | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/02/2019 |
| MANDELBAUM, BRENDA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/10/2026 |
| CASTRO-GARCIA, MARIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/06/2019 |
| COSME, RODOLFO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/03/2024 |
| DALIVA, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2023 |
| HANSEN | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2023 |
| HIDALGO, ANALIZA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/21/2013 |
| LANDINGIN, ANNE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/16/2024 |
| MANDELBAUM, SIMCHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2026 |
| PHAM, JULIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/16/2000 |
| REAL, JOYCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/17/2024 |
| SKILLSERVE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2023 |
| WILLIAMS, CLINTON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/04/2010 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC (enrollment ID O20100304000753).
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 |
|---|---|---|---|---|---|
| THE BENTZION MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE JANET MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20 | 11/22/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANALIZA HIDALGO | Individual | ADP OF THE SNF | Not stated in the filing | 5/21/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANNE LANDINGIN | Individual | ADP OF THE SNF | Not stated in the filing | 4/16/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLINTON WILLIAMS | Individual | ADP OF THE SNF | Not stated in the filing | 5/4/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FREMONT NF LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/1/1986 | Private equity company: No Real estate investment trust: No Holding company: No |
| HANSEN | Organization | ADP OF THE SNF | Not stated in the filing | 8/25/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN G DALIVA | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOYCE REAL | Individual | ADP OF THE SNF | Not stated in the filing | 12/17/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE PHAM | Individual | ADP OF THE SNF | Not stated in the filing | 3/16/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIA CASTRO-GARCIA | Individual | ADP OF THE SNF | Not stated in the filing | 11/6/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RODOLFO S COSME | Individual | ADP OF THE SNF | Not stated in the filing | 9/3/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SIMCHA MANDELBAUM | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SKILLSERVE INC | Organization | ADP OF THE SNF | Not stated in the filing | 4/10/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| JANET MANDELBAUM | Individual | CORPORATE OFFICER | 50 | 1/2/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIA CASTRO-GARCIA | Individual | CORPORATE OFFICER | 50 | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANALIZA HIDALGO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/21/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANNE LANDINGIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/16/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLINTON WILLIAMS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/4/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HANSEN | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN G DALIVA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOYCE REAL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/17/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE PHAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/16/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIA CASTRO-GARCIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/6/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RODOLFO S COSME | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/3/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SIMCHA MANDELBAUM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SKILLSERVE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- July 1, 2026: ROBERTO FERNANDEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CARLOS RIOS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CARLOS RIOS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ELIDEY SOLANO no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ELIDEY SOLANO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENDA MANDELBAUM no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JANET MANDELBAUM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JANET MANDELBAUM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JULIE PHAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CLINTON WILLIAMS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERTO FERNANDEZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SIMCHA MANDELBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SIMCHA MANDELBAUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- October 1, 2025: BRENDA MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARIA CASTRO-GARCIA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JUMAR M GARCIA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JANET MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CLINTON WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CLINTON WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CLINTON WILLIAMS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ROBERTO FERNANDEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ROBERTO FERNANDEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CARLOS RIOS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 15, 2002. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CARLOS RIOS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 15, 2002. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ELIDEY SOLANO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ELIDEY SOLANO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BRENDA MANDELBAUM (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 22, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANALIZA HIDALGO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 21, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANALIZA HIDALGO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 21, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RODOLFO S COSME (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RODOLFO S COSME (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOYCE REAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 17, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOYCE REAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 17, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARIA CASTRO-GARCIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARIA CASTRO-GARCIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SKILLSERVE INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SKILLSERVE INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHN G DALIVA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHN G DALIVA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANNE LANDINGIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANNE LANDINGIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HANSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HANSEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: FREMONT NF LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 1, 1986. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JANET MANDELBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 2, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JANET MANDELBAUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 2, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JULIE PHAM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JULIE PHAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JULIE PHAM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- July 17, 2023: THE YITZCHOK MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: THE CHAIM MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BRENDA MANDELBAUM no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: THE ADINA COHEN 2021 IRREVOCABLE GIFT TRUST NO 2 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BRENDA MANDELBAUM (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: MARIA CASTRO-GARCIA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: MARIA CASTRO-GARCIA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JANET MANDELBAUM (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Recent changes on this record
- July 1, 2026: ROBERTO FERNANDEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CARLOS RIOS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CARLOS RIOS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ELIDEY SOLANO no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ELIDEY SOLANO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENDA MANDELBAUM no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JANET MANDELBAUM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JANET MANDELBAUM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JULIE PHAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CLINTON WILLIAMS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERTO FERNANDEZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SIMCHA MANDELBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SIMCHA MANDELBAUM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- October 10, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 1, 2025: BRENDA MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARIA CASTRO-GARCIA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JUMAR M GARCIA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JANET MANDELBAUM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CLINTON WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CLINTON WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CLINTON WILLIAMS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 4, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ROBERTO FERNANDEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ROBERTO FERNANDEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CARLOS RIOS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 15, 2002. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CARLOS RIOS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 15, 2002. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ELIDEY SOLANO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ELIDEY SOLANO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BRENDA MANDELBAUM (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 22, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANALIZA HIDALGO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 21, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANALIZA HIDALGO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 21, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RODOLFO S COSME (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RODOLFO S COSME (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOYCE REAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 17, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOYCE REAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 17, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARIA CASTRO-GARCIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARIA CASTRO-GARCIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SKILLSERVE INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SKILLSERVE INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHN G DALIVA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOHN G DALIVA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 26, 2026 | February 26, 2026 | 3 | 7 |
| 2 | January 30, 2025 | January 30, 2025 | 4 | 6 |
| 3 | February 10, 2023 | February 10, 2023 | 12 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
19 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 26, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | March 18, 2026 |
| February 26, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | March 18, 2026 |
| January 2, 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Yes | Deficient, Provider has date of correction | January 16, 2026 |
| May 7, 2025 | Health | F 0573 | Resident Rights Deficiencies | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Yes | Deficient, Provider has date of correction | May 29, 2025 |
| November 15, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | November 28, 2024 |
| November 15, 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 | November 28, 2024 |
| October 30, 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 | November 15, 2024 |
| July 15, 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 | July 26, 2024 |
| February 10, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | March 9, 2023 |
| February 10, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | March 9, 2023 |
| February 10, 2023 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | March 9, 2023 |
| February 10, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | March 9, 2023 |
| February 10, 2023 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | No | Deficient, Provider has date of correction | March 9, 2023 |
| February 10, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | March 9, 2023 |
| February 10, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | March 9, 2023 |
| February 10, 2023 | Health | F 0802 | Nutrition and Dietary Deficiencies | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | No | Deficient, Provider has date of correction | March 9, 2023 |
| February 10, 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | March 9, 2023 |
| February 10, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | March 9, 2023 |
| February 10, 2023 | 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 | March 9, 2023 |
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 - Limited Liability company |
| Legal Business Name | COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1974-03-15 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | San Bernardino |
| Telephone Number | 9096214751 |
| Chain Name | THE MANDELBAUM FAMILY |
| Chain ID | 798 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 140 |
| Average Number of Residents per Day | 124.5 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| 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 Community Extended Care Hospital Of Montclair: 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 October 10, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.
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The citable document for Community Extended Care Hospital Of Montclair
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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