Skilled nursing facility · CMS certification number 075279
COMPLETE CARE AT KIMBERLY HALL NORTH
WINDSOR, Connecticut · Medicare and Medicaid
Certified beds, as filed in Care Compare: 150
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: 1 · Fines: 1 · Fines, total amount: $13,065.00 · Payment denials: 0. The most recent penalty on file: April 10, 2026, Fine, $13,065. 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 October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,385,533 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $492,857 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,892,676 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,330,523 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,562,153 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $63,320 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,625,473 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,625,473 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 54,900 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 990 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 42,668 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,994 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 52,652 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 12 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 70 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 74 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 82.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 609.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 337.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1419862, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for November 15, 2022 to September 30, 2023 — a reporting period of 319 days, on form CMS-2540-10, settled, processed by CMS on April 11, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,927,183 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $383,626 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,543,557 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,036,294 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$492,737 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $372,338 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$120,399 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$120,399 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,565 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 577.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 299.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376227, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended November 14, 2022
Cost report for October 1, 2022 to November 14, 2022 — a reporting period of 44 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 6, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,685,374 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $914,867 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,770,507 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,076,527 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,306,020 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$198 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,306,218 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,306,218 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,072 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 15 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,338.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 404.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1349758, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 31, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,451,195 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,796,933 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,654,262 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,021,584 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$367,322 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,349,979 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $982,657 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $982,657 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,467 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,191.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 396.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313297, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 3, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,689,834 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,532,085 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,157,749 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,829,968 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$672,219 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$672,219 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$672,219 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,495 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 556.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 399.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280779, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 3, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,061,094 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,347,074 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,714,020 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,501,374 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $212,646 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $212,646 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $212,646 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,842 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,441.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 593.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251761, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,453,634 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,135,891 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,317,743 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,954,480 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$636,737 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$636,737 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$636,737 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,409 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 857.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 465.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222845, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 9, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,201,704 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,145,114 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,056,590 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,593,728 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,537,138 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$6,537,138 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,537,138 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,031 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 96.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 893.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 388.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189471, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,727,690 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,519,417 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,208,273 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,856,030 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,647,757 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $107 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,647,650 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,647,650 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,113 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,182.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 410.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153613, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,586,439 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,095,142 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,491,297 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,812,204 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,320,907 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $144 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,320,763 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,320,763 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,760 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 129 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,113.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 385.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119368, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for January 1, 2014 to September 30, 2014 — a reporting period of 272 days, not a full year, on form CMS-2540-10, settled, processed by CMS on February 20, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,641,218 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,253,435 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,387,783 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,120,023 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,732,240 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,732,240 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,732,240 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,541 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 698.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 320.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1086175, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 30, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,096,985 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,371,963 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,725,022 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,261,104 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,536,082 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,536,082 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,536,082 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,601 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 91.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,266.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 423.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074268, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,451,204 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,555,958 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,895,246 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,445,897 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,550,651 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,550,651 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,550,651 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,486 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,127 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 417.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043407, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for April 1, 2011 to December 31, 2011 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on November 28, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,670,659 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,116,768 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,553,891 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,000,599 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$446,708 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$446,708 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$446,708 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,007 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 95.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,290.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 445.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1020975, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,445,625 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,260,538 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,185,087 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $1,185,087 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,065 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 88.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,313.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 573.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397310, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 12, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,039,341 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,465,748 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $573,593 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $573,593 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,705 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,558.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 301.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 366991, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 22, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,825,510 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,087,682 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $737,828 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $737,828 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,154 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 136 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,216.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 368.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337633, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,812,293 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,633,326 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,178,967 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $1,178,967 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,903 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 118 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,975.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 439.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306456, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 13, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,313,399 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,892,725 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,420,674 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $1,420,674 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,782 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 156 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,453.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 325.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 293728, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 24, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,715,761 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,816,191 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,899,570 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $1,899,570 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,718 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 215 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 384.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 235.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261825, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,714,873 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,503,206 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,211,667 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,720 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,219,387 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,951 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,224.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 335.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 234854, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,412,690 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,399,706 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,012,984 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,135 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,032,119 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,370 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 229 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 97.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 361.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 219.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195076, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,200,283 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,052,509 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,147,774 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,759 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,162,533 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,183 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 196 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 75.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 419.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 261.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156338, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,956,466 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,455,091 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $501,375 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,119 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $514,494 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,859 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 226 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 398.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 229.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 128048, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on September 23, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,278,821 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,464,277 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $814,544 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $71,168 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $885,712 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,706 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 270 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 308.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 195.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 160410, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on September 25, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,502,052 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,744,703 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $757,349 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,750 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $771,099 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,369 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 258 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 248.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 160788, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on April 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,821,012 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,798,744 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,022,268 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $69,075 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $34,041 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,057,302 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,273 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 227 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 225.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306332, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on February 20, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,417,316 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,806,843 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $610,473 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,616 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $664,089 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,307 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 279 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 180.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302675, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on July 30, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,639,201 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,188,144 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $451,057 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$21,429 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $429,628 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,344 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 289 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 167.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 155591, 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 |
|---|---|---|---|---|
| PC GEN CT OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 11/15/2022 |
| PC GEN CT OPCO TOPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 11/15/2022 |
| PC GEN CT TOPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 11/15/2022 |
| SMS 2021 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 11/15/2022 |
| BANTON, BERNADETTE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| BROWN, NATALIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/27/2024 |
| DES CAPITAL LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| GALLAGHER, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| HOCH, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| JRK INVESTMENTS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| KIMBERLY HALL NORTH PROPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| KLUGMAN, JACOB | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| LAGANA, KRISTIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| PC GEN CT PROPCO HOLDCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| PC GEN CT PROPCO TOPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/10/2023 |
| PC GEN CT TOPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| PEACE CAPITAL HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| SMS 2021 TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2022 |
| STERNBUCH, DANIEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| TETREAULT, MARNIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
| STEIN, SHALOM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/15/2022 |
| DES CAPITAL LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/15/2022 |
| JRK INVESTMENTS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/15/2022 |
| KLUGMAN, JACOB | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 11/15/2022 |
| STEIN, SHALOM | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 11/15/2022 |
| STERNBUCH, DANIEL | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 11/15/2022 |
| STEIN, SHALOM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/15/2022 |
| BROWN, NATALIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/27/2024 |
| GALLAGHER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/15/2022 |
| HOCH, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/15/2022 |
| LAGANA, KRISTIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/15/2022 |
| TETREAULT, MARNIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/15/2022 |
| STEIN, SHALOM | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of COMPLETE CARE AT KIMBERLY HALL NORTH LLC (enrollment ID O20230127002021).
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 |
|---|---|---|---|---|---|
| PC GEN CT OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PC GEN CT OPCO TOPCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PC GEN CT TOPCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 90.2 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PEACE CAPITAL HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 90.2 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 85.78 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| BERNADETTE BANTON | Individual | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL STERNBUCH | Individual | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DES CAPITAL LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JACOB KLUGMAN | Individual | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES P GALLAGHER | Individual | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JRK INVESTMENTS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| KIMBERLY HALL NORTH PROPCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| KRISTIN LAGANA | Individual | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARNIE TETREAULT | Individual | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATALIE BROWN | Individual | ADP OF THE SNF | Not stated in the filing | 11/27/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PC GEN CT PROPCO HOLDCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PC GEN CT PROPCO TOPCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/10/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PC GEN CT TOPCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PEACE CAPITAL HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ROBERT J HOCH | Individual | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SMS 2021 TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHALOM STEIN | Individual | CORPORATE OFFICER | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL STERNBUCH | Individual | INDIRECT OWNERSHIP INTEREST | 4.9 | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DES CAPITAL LLC | Organization | INDIRECT OWNERSHIP INTEREST | 4.9 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JACOB KLUGMAN | Individual | INDIRECT OWNERSHIP INTEREST | 4.9 | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JRK INVESTMENTS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 4.9 | 11/15/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SHALOM STEIN | Individual | INDIRECT OWNERSHIP INTEREST | 4.41 | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHALOM STEIN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES P GALLAGHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRISTIN LAGANA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARNIE TETREAULT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATALIE BROWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/27/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT J HOCH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHALOM STEIN | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 11/15/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- December 1, 2025: ROBERT J HOCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SHALOM STEIN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SHALOM STEIN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SHALOM STEIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JRK INVESTMENTS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JRK INVESTMENTS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NATALIE BROWN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 27, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NATALIE BROWN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 27, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JAMES P GALLAGHER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JAMES P GALLAGHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DES CAPITAL LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DES CAPITAL LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ROBERT J HOCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ROBERT J HOCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: KRISTIN LAGANA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: KRISTIN LAGANA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SMS 2021 TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JACOB KLUGMAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JACOB KLUGMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: BERNADETTE BANTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARNIE TETREAULT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARNIE TETREAULT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PC GEN CT PROPCO TOPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 10, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PC GEN CT PROPCO HOLDCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DANIEL STERNBUCH (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DANIEL STERNBUCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PC GEN CT TOPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: KIMBERLY HALL NORTH PROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PEACE CAPITAL HOLDINGS LLC (DE) (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- May 15, 2023: GENESIS HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: GHC HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: WELLTOWER INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: MICHAEL T BERG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: MICHAEL T BERG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: STEVEN E FISHMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: STEVEN E FISHMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: STEVEN E FISHMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: ZAC PROPERTIES XI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: GENESIS HEALTHCARE INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: WENDY A LABATE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: WENDY A LABATE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: ARNOLD M WHITMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: ARNOLD M WHITMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: ARNOLD M WHITMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: STEPHEN S YOUNG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: SUN HEALTHCARE GROUP, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: MICHAEL S SHERMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: GENESIS HEALTHCARE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: GENESIS HEALTHCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: SUNDANCE REHABILITATION HOLDCO INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: GENESIS OPERATIONS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: FC-GEN OPERATIONS INVESTMENT LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: DIANE LOUISE MORRIS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: GEN OPERATIONS II, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: KEN CULLEROT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: GEN OPERATIONS I, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: HCCF MANAGEMENT GROUP XI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: GENESIS CT HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: THOMAS RUSSO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: PC GEN CT OPCO TOPCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: SHALOM STEIN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: ROBERT J HOCH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: PC GEN CT OPCO HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: SMS 2021 TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: PC GEN CT TOPCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: PEACE CAPITAL HOLDINGS LLC (DE) (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Recent changes on this record
- July 17, 2026: A deficiency was cited under tag F 0600, scope and severity G. NH_HealthCitations_Sep2026_2.csv
- December 1, 2025: ROBERT J HOCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SHALOM STEIN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SHALOM STEIN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SHALOM STEIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JRK INVESTMENTS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JRK INVESTMENTS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NATALIE BROWN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 27, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NATALIE BROWN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 27, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JAMES P GALLAGHER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JAMES P GALLAGHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DES CAPITAL LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DES CAPITAL LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ROBERT J HOCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ROBERT J HOCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: KRISTIN LAGANA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: KRISTIN LAGANA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SMS 2021 TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JACOB KLUGMAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JACOB KLUGMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: BERNADETTE BANTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARNIE TETREAULT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARNIE TETREAULT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PC GEN CT PROPCO TOPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 10, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PC GEN CT PROPCO HOLDCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DANIEL STERNBUCH (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DANIEL STERNBUCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PC GEN CT TOPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: KIMBERLY HALL NORTH PROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PEACE CAPITAL HOLDINGS LLC (DE) (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since November 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- April 18, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- April 11, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 6, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2023.zip
- May 15, 2023: GENESIS HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: GHC HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: WELLTOWER INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: MICHAEL T BERG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: MICHAEL T BERG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: STEVEN E FISHMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: STEVEN E FISHMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 19, 2024 | September 19, 2024 | 18 | 4 |
| 2 | May 26, 2022 | May 26, 2022 | 14 | 14 |
| 3 | September 26, 2019 | September 26, 2019 | 10 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
42 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 17, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Past Non-Compliance | |
| May 5, 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | June 8, 2026 |
| May 5, 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | June 8, 2026 |
| May 5, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | June 8, 2026 |
| May 5, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | June 8, 2026 |
| May 5, 2026 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Yes | Deficient, Provider has date of correction | June 8, 2026 |
| April 10, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | |
| April 10, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | May 15, 2026 |
| July 29, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | September 5, 2025 |
| July 29, 2025 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Yes | Deficient, Provider has date of correction | September 5, 2025 |
| June 27, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | August 7, 2025 |
| June 27, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | August 7, 2025 |
| February 4, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Past Non-Compliance | January 30, 2025 |
| December 23, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | February 3, 2025 |
| September 19, 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. | B | No | Deficient, Provider has date of correction | October 28, 2024 |
| September 19, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | October 28, 2024 |
| September 19, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | October 28, 2024 |
| September 19, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | October 28, 2024 |
| September 19, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | October 28, 2024 |
| September 19, 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 | No | Deficient, Provider has date of correction | October 28, 2024 |
| September 19, 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | October 28, 2024 |
| September 19, 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | October 28, 2024 |
| September 19, 2024 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | October 28, 2024 |
| September 19, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 28, 2024 |
| May 8, 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 | Past Non-Compliance | April 19, 2024 |
| May 8, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | June 19, 2024 |
| May 26, 2022 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | No | Deficient, Provider has date of correction | July 6, 2022 |
| May 26, 2022 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | No | Deficient, Provider has date of correction | July 6, 2022 |
| May 26, 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | No | Deficient, Provider has date of correction | June 12, 2022 |
| May 26, 2022 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | No | Deficient, Provider has date of correction | July 6, 2022 |
| May 26, 2022 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | July 6, 2022 |
| May 26, 2022 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | J | No | Deficient, Provider has date of correction | June 12, 2022 |
| May 26, 2022 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | No | Deficient, Provider has date of correction | July 6, 2022 |
| May 26, 2022 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | No | Deficient, Provider has date of correction | July 6, 2022 |
| September 26, 2019 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | November 5, 2019 |
| September 26, 2019 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | B | No | Deficient, Provider has date of correction | November 5, 2019 |
| September 26, 2019 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | November 5, 2019 |
| September 26, 2019 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | November 5, 2019 |
| September 26, 2019 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | November 5, 2019 |
| September 26, 2019 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | November 5, 2019 |
| September 26, 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | November 5, 2019 |
| September 26, 2019 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | November 5, 2019 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 10, 2026 | Fine | $13,065 | 139685 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | COMPLETE CARE AT KIMBERLY HALL NORTH LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1977-01-11 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Capitol |
| Telephone Number | 8606886443 |
| Chain Name | COMPLETE CARE |
| Chain ID | 157 |
| 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 | 150 |
| Average Number of Residents per Day | 142.8 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| 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 COMPLETE CARE AT KIMBERLY HALL NORTH: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 17, 2026: A deficiency was cited under tag F 0600, scope and severity G. That is one line of the alert.
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The citable document for COMPLETE CARE AT KIMBERLY HALL NORTH
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 Connecticut 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.
Other public records in Connecticut
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- HILLANDALE FARMS CONN, LLC, NORTH FRANKLIN Water discharge permit
- HILLANDALE FARMS CONN, LLC, BOZRAH Water discharge permit
- HILLANDALE FARMS CONN, LLC, LEBANON Water discharge permit
- HILLANDALE FARMS CONN, LLC, COLCHESTER Water discharge permit
- LAUREL BROOK FARM LLC, EAST CANAAN Water discharge permit
- GRAYWALL FARM LLC, LEBANON Water discharge permit
- COVENTRY WELL WATER TREATMENT FACILITY, COVENTRY Water discharge permit
- 35 GLOVER PARTNERS, LLC, NORWALK Air emission source
- WILLIMANTIC WASTE PAPER CO., WILLIMANTIC Air emission source
- AUTOBODY FACILITIES, WINDHAM COUNTY Air emission source
- KILLINGLY / DPW (S.S.I.), DANIELSON Air emission source
- COLT'S PLASTICS COMPANY, INC., DAYVILLE Air emission source
- ROGERS CORP / PORON DIV, WOODSTOCK Air emission source
- CL & P - WILLIMANTIC AREA WORK CENTER, WILLIMANTIC Air emission source
- CL & P - PLAINFIELD LINE SHOP, PLAINFIELD Air emission source
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 075279.