Skilled nursing facility · CMS certification number 056445
CMS certification number 056445
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026.
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 30, 2004.
None of these figures is carried on this report.
CMS report record 188656, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,706,593 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,738,475 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$31,882 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $81,062 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$112,944 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,845 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 44 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 451.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173781, 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 May 18, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,533,966 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,497,551 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $36,415 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $14,676 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $21,739 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,289 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 304.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 176679, 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 March 20, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,685,246 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,826,270 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$141,024 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,856 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$135,168 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,866 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 324.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 82627, 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 November 8, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,610,098 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,599,398 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $10,700 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $10,700 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,919 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 55 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 307.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 82625, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for April 1, 1998 to December 31, 1998 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 16, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,152,473 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,878,737 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$726,264 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $69,704 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$760,958 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $104,398 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,355 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 104.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 359.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 301.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 82623, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended March 31, 1997
Cost report for April 1, 1996 to March 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 27, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,423,508 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,417,155 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $6,353 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,192 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $8,545 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,734 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 16,822 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 102 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 163.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 0.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 82620, 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
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
No change in ownership appears in CMS’s ownership data for this facility.
Recent changes on this record
- July 30, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- May 18, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- April 27, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- March 20, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- November 8, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- October 16, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- June 9, 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- May 27, 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
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On July 30, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. That is one line of the alert.
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The citable document for CMS certification number 056445
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 the same state 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.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 056445.