Skilled nursing facility · CMS certification number 075341
PENDLETON REHABILITATION AND NURSING CENTER
MYSTIC, Connecticut · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,493,636 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$726 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,494,362 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,028,881 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $465,481 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,509 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $477,990 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $477,990 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,099 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 25,259 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,979 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 41,337 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 122 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 101 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 282 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 505 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 250.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405957, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for January 1, 2023 to September 30, 2023 — a reporting period of 272 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 13, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,206,173 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $11,206,173 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,304,071 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$97,898 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,943 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$95,955 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$95,955 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,211 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 399 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 159.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405147, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for September 1, 2022 to December 31, 2022 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,441,388 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,441,388 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,558,635 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$117,247 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$117,247 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$117,247 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,918 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 176 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 212.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1357512, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 3, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,339,235 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $17,994,256 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,344,979 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,812,053 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$467,074 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $263,388 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$203,686 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$203,686 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,806 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 418 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 150.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328708, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 7, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $33,428,330 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $20,885,643 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,542,687 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,050,657 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$507,970 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,088,039 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $580,069 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $580,069 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,140 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 459 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 154.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1337512, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 15, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,464,800 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $20,072,434 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,392,366 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,336,286 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$943,920 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$251 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$944,171 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$944,171 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,343 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 515 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 142.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1255565, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 26, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,364,778 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $18,622,223 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,742,555 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,410,961 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$668,406 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,794 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$656,612 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$656,612 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,278 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 498 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 156.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1232304, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 27, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,110,930 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $19,028,834 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,082,096 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,625,373 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$543,277 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $137 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$543,140 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$543,140 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,910 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 484 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 315.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214282, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,243,636 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,575,821 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,667,815 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,864,653 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$196,838 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,049 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$192,789 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$192,789 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,136 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 501 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 274.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188873, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 7, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,019,127 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,606,968 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,412,159 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,886,234 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$474,075 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $948 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$473,127 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$473,127 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,380 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 624 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 137.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178009, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,682,077 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,904,740 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,777,337 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,406,017 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$628,680 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,871 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$623,809 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$623,809 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,126 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 428 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 593.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1146881, 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 December 29, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,716,551 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,914,828 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,801,723 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,467,726 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $333,997 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,360 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $340,357 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $340,357 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,150 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 452 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 324.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150348, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,921,398 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,822,689 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,098,709 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,085,361 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,013,348 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $125,478 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,138,826 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,138,826 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,806 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 410 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,454.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1072803, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, reopened, processed by CMS on February 27, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,614,876 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,791,386 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,823,490 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,799,334 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,024,156 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $170,196 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,194,352 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,194,352 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,431 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 509 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 271.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153522, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on July 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,634,319 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,025,660 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $608,659 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $236,794 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $845,453 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,450 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 513 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 334.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 409884, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 6, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,992,058 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,080,877 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $911,181 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $222,887 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,134,068 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,625 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 483 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 308.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 86.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398949, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,008,998 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,165,555 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $843,443 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $214,614 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,058,057 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,101 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 492 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 315.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 85.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368212, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,038,983 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,808,097 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $230,886 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $204,153 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $435,039 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,705 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 420 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 537.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 96.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 331484, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 12, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,573,293 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,048,959 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$475,666 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $172,562 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$303,104 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,626 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 512 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 355.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 79.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308695, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for June 1, 2005 to December 31, 2005 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 28, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,203,971 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,211,273 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$7,302 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $92,123 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $84,821 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,085 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 292 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 303.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 82.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 275996, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,782,628 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,145,035 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $637,593 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $187,809 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $825,402 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,063 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 542 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 381.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 77.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 245185, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 19, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,258,384 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,054,691 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $203,693 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $145,137 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $348,830 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,348 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 553 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 325.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 74.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 203931, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 15, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,401,928 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,384,032 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,017,896 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$17,649,893 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$16,631,997 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,436 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 618 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 342.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 65.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 210868, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,270,505 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,869,393 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,401,112 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $77,085 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,478,197 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,610 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 527 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 523.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 77.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 214130, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 14, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,959,860 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,581,245 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$621,385 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $97,612 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$523,773 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,953 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 667 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 311.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 59.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 222201, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on August 31, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,049,138 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,645,395 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $403,743 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $156,606 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $560,349 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,702 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 818 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 211.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 49.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 35040, read from the public cost report file SNFFY1999.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on August 31, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,450,424 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,484,034 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,966,390 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $106,056 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,072,446 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,400 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 713 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 487.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 56.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 8124, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on August 5, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,908,662 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,563,289 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,345,373 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $169,407 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$92,285 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,607,065 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,119 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 837 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 304.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 47.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 8122, 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 |
|---|---|---|---|---|
| CT-2 OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 09/01/2022 |
| JMH FAMILY LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 09/01/2022 |
| JMH FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 09/01/2022 |
| MLS FAMILY LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 09/01/2022 |
| MLS FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 09/01/2022 |
| SGS FAMILY LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 09/01/2022 |
| SGS FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 09/01/2022 |
| 44 MARITIME DRIVE REALTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/03/2025 |
| BAK, PINCHOS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| CT-2 OPCO MANAGER LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/04/2025 |
| GOLDBERGER, SHLOMO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| GOTTLIEB, MOSHE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| HENNESSEY, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| JMH FAMILY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2022 |
| JMH FAMILY TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2022 |
| MLS FAMILY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2022 |
| MLS FAMILY TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2022 |
| PEGLOW, SUSAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| PENDLETON REALTY HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2022 |
| SGS FAMILY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2022 |
| SGS FAMILY TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2022 |
| SHAW, LINDSAY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| SONNENSCHEIN, MOSHE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| BAK, PINCHOS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/01/2022 |
| GOTTLIEB, MOSHE | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/01/2022 |
| GOTTLIEB, MOSHE | LIMITED PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/01/2022 |
| JMH FAMILY LLC | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2022 |
| JMH FAMILY TRUST | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2022 |
| MALT FAMILY TRUST | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2022 |
| MLS FAMILY TRUST | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2022 |
| SGS 2010 FAMILY TRUST | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2022 |
| SGS FAMILY LLC | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2022 |
| SGS FAMILY TRUST | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2022 |
| TYH 2017 TRUST | LIMITED PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2022 |
| BAK, PINCHOS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| CT-2 OPCO MANAGER LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2022 |
| GOLDBERGER, SHLOMO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| GOTTLIEB, MOSHE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| HENNESSEY, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| PEGLOW, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| SHAW, LINDSAY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| SONNENSCHEIN, MOSHE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| ISAAC, CHAIM | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| SONNENSCHEIN, MOSHE | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PENDLETON SNF OPERATIONS LLC (enrollment ID O20221026001983).
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 |
|---|---|---|---|---|---|
| CT-2 OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JMH FAMILY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 26.6 | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| JMH FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25.32 | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| MLS FAMILY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 26.66 | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| MLS FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25.32 | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| MOSHE GOTTLIEB | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20 | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SGS FAMILY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 26.66 | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| SGS FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25.32 | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| 44 MARITIME DRIVE REALTY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/3/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CT-2 OPCO MANAGER LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/4/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JMH FAMILY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| JMH FAMILY TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN J HENNESSEY | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDSAY NICOLE SHAW | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MLS FAMILY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| MLS FAMILY TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| MOSHE GOTTLIEB | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MOSHE SONNENSCHEIN | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PENDLETON REALTY HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PINCHOS Z BAK | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SGS FAMILY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| SGS FAMILY TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHLOMO GOLDBERGER | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN PEGLOW | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PINCHOS Z BAK | Individual | CORPORATE OFFICER | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MOSHE GOTTLIEB | Individual | INDIRECT OWNERSHIP INTEREST | 20 | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JMH FAMILY LLC | Organization | LIMITED PARTNERSHIP INTEREST | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| JMH FAMILY TRUST | Organization | LIMITED PARTNERSHIP INTEREST | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| MALT FAMILY TRUST | Organization | LIMITED PARTNERSHIP INTEREST | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| MLS FAMILY TRUST | Organization | LIMITED PARTNERSHIP INTEREST | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| MOSHE GOTTLIEB | Individual | LIMITED PARTNERSHIP INTEREST | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SGS 2010 FAMILY TRUST | Organization | LIMITED PARTNERSHIP INTEREST | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| SGS FAMILY LLC | Organization | LIMITED PARTNERSHIP INTEREST | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| SGS FAMILY TRUST | Organization | LIMITED PARTNERSHIP INTEREST | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| TYH 2017 TRUST | Organization | LIMITED PARTNERSHIP INTEREST | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| CT-2 OPCO MANAGER LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN J HENNESSEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDSAY NICOLE SHAW | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MOSHE GOTTLIEB | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MOSHE SONNENSCHEIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PINCHOS Z BAK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHLOMO GOLDBERGER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN PEGLOW | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHAIM ISAAC | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MOSHE SONNENSCHEIN | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2025: MALT FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SGS 2010 FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TYH 2017 TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MALT FAMILY TRUST (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SGS 2010 FAMILY TRUST (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CT-2 OPERATIONS HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE SONNENSCHEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE SONNENSCHEIN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE SONNENSCHEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CT-2 OPCO MANAGER LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CT-2 OPCO MANAGER LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SGS FAMILY TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SGS FAMILY TRUST (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PENDLETON REALTY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JMH FAMILY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JMH FAMILY LLC (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under TRUSTEE OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUSAN PEGLOW (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUSAN PEGLOW (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MLS FAMILY TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MLS FAMILY TRUST (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SGS FAMILY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SGS FAMILY LLC (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: 44 MARITIME DRIVE REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MLS FAMILY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LINDSAY NICOLE SHAW (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LINDSAY NICOLE SHAW (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE GOTTLIEB (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE GOTTLIEB (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE GOTTLIEB (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE GOTTLIEB (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PINCHOS BAK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PINCHOS BAK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JMH FAMILY TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JMH FAMILY TRUST (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHAIM ISAAC (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHLOMO GOLDBERGER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TYH 2017 TRUST (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN J HENNESSEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN J HENNESSEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- April 1, 2025: SHLOMO GOLDBERGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: SHLOMO GOLDBERGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- March 15, 2023: TERPAX, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: AMY MAXWELL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: AMY MAXWELL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: CONNECTICUT HOLDCO, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: CHRISTOPHER RAWLINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: CHRISTOPHER RAWLINS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: WYNN G SIMS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: CHRISTOPHER S STENGER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: CHRISTOPHER S STENGER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SSC EQUITY HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SUSAN PEGLOW no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SUSAN PEGLOW no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JERRALD S ROLES no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SAVASENIORCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: TANYA LUTYEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: PROTO EQUITY HOLDINGS, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MASTER TENANT PARENT HOLDCO, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MALT FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SGS 2010 TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SGS FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JMH FAMILY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MLS FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SGS FAMILY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MLS FAMILY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MOSHE GOTTLIEB (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: PINCHOS BAK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JMH FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SHLOMO GOLDBERGER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: TYH 2017 TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- September 1, 2025: MALT FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SGS 2010 FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TYH 2017 TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MALT FAMILY TRUST (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SGS 2010 FAMILY TRUST (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CT-2 OPERATIONS HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE SONNENSCHEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE SONNENSCHEIN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE SONNENSCHEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CT-2 OPCO MANAGER LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CT-2 OPCO MANAGER LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SGS FAMILY TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SGS FAMILY TRUST (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PENDLETON REALTY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JMH FAMILY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JMH FAMILY LLC (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under TRUSTEE OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUSAN PEGLOW (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUSAN PEGLOW (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MLS FAMILY TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MLS FAMILY TRUST (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SGS FAMILY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SGS FAMILY LLC (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: 44 MARITIME DRIVE REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MLS FAMILY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LINDSAY NICOLE SHAW (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LINDSAY NICOLE SHAW (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE GOTTLIEB (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE GOTTLIEB (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE GOTTLIEB (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOSHE GOTTLIEB (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PINCHOS BAK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PINCHOS BAK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JMH FAMILY TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JMH FAMILY TRUST (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHAIM ISAAC (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHLOMO GOLDBERGER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TYH 2017 TRUST (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN J HENNESSEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN J HENNESSEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 23, 2025 | January 23, 2025 | 9 | 4 |
| 2 | December 1, 2022 | December 1, 2022 | 17 | 4 |
| 3 | December 12, 2019 | December 12, 2019 | 6 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
32 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| November 18, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | December 23, 2025 |
| August 6, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | September 8, 2025 |
| January 23, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | February 24, 2025 |
| January 23, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | B | No | Deficient, Provider has date of correction | February 24, 2025 |
| January 23, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | B | No | Deficient, Provider has date of correction | February 24, 2025 |
| January 23, 2025 | 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 | February 24, 2025 |
| January 23, 2025 | 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 | February 24, 2025 |
| January 23, 2025 | 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 | Yes | Deficient, Provider has date of correction | February 24, 2025 |
| January 23, 2025 | 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 | February 24, 2025 |
| January 23, 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | February 24, 2025 |
| September 18, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | October 30, 2024 |
| May 14, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | June 17, 2024 |
| November 29, 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | January 8, 2024 |
| November 29, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | January 8, 2024 |
| December 1, 2022 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | January 12, 2023 |
| December 1, 2022 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | January 12, 2023 |
| December 1, 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | January 12, 2023 |
| December 1, 2022 | 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 | January 12, 2023 |
| December 1, 2022 | 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 | January 12, 2023 |
| December 1, 2022 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | January 12, 2023 |
| December 1, 2022 | 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 | January 12, 2023 |
| December 1, 2022 | 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 | January 12, 2023 |
| December 1, 2022 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | January 12, 2023 |
| December 1, 2022 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | January 12, 2023 |
| December 1, 2022 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | January 12, 2023 |
| December 1, 2022 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | January 12, 2023 |
| December 1, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | January 12, 2023 |
| December 1, 2022 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | January 12, 2023 |
| December 1, 2022 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | No | Deficient, Provider has date of correction | January 12, 2023 |
| December 12, 2019 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | January 23, 2020 |
| December 12, 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 | January 23, 2020 |
| December 12, 2019 | 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. | G | No | Deficient, Provider has date of correction | January 23, 2020 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | PENDLETON SNF OPERATIONS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-02-20 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Southeastern Ct |
| Telephone Number | 8605721700 |
| Chain Name | ATLAS HEALTHCARE |
| Chain ID | 598 |
| 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 | 120 |
| Average Number of Residents per Day | 115.7 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 5 |
| 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 PENDLETON REHABILITATION AND NURSING CENTER: 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 September 1, 2025: MALT FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for PENDLETON REHABILITATION AND NURSING CENTER
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
- BEDOUKIAN RESEARCH, INC., DANBURY Water discharge permit
- GOODRICH CORP, DANBURY Water discharge permit
- CONNECTICUT ANODIZING * FINISH, BRIDGEPORT Water discharge permit
- PHILSON INC, WATERTOWN Water discharge permit
- BST SYSTEMS INC, PLAINFIELD Water discharge permit
- BOEHRINGER INGELHEIM PHARMACEU, RIDGEFIELD Water discharge permit
- ASHCROFT INCORPORATED, STRATFORD Water discharge permit
- COLONIAL BRONZE COMPANY, TORRINGTON 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 075341.