Skilled nursing facility · CMS certification number 075374
MONSIGNOR BOJNOWSKI MANOR, INC
NEW BRITAIN, Connecticut · Medicare and Medicaid
Certified beds, as filed in Care Compare: 60
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: 5 · Fines: 5 · Fines, total amount: $21,991.00 · Payment denials: 0. The most recent penalty on file: January 16, 2025, Fine, $8,278. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 15, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,823,435 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,069,303 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,754,132 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,283,448 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $470,684 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $648,649 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,119,333 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,119,333 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,960 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,825 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 11,645 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,345 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,815 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 3 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 5 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 9 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 608.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 11,645 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 2,201.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1419893, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 26, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,880,414 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,915,411 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,965,003 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,582,740 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$617,737 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,433,361 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $815,624 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $815,624 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,479 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,533.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375553, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,112,952 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,913,876 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,199,076 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,419,560 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$220,484 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $139,833 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$80,651 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$80,651 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,544 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 360.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345380, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 11, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,448,457 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,711,071 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,737,386 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,949,644 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$212,258 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $202,928 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$9,330 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$9,330 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,172 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,948.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315777, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 15, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,878,046 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,883,327 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,994,719 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,006,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,248 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $585,845 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $573,597 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $573,597 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,768 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,406 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 164.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1286102, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 15, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,334,295 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,021,479 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,312,816 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,544,761 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$231,945 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,299 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$193,646 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$193,646 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,803 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 685.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253851, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 27, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,516,937 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,044,555 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,472,382 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,512,817 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$40,435 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $122,697 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $82,262 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $82,262 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,526 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 704.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221931, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,245,855 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,856,841 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,389,014 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,568,641 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$179,627 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $784,823 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $605,196 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $605,196 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,190 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,557.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 154.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189126, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 9, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,693,340 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,987,940 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,705,400 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,636,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $69,125 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $121,522 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $190,647 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $190,647 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,637 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 454.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156878, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 13, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,758,533 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,758,533 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,810,851 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$52,318 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,331 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$31,987 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$31,987 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,163 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 129 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,554.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1123838, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,451,742 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,451,742 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,707,452 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$255,710 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,154 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$217,556 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$217,556 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,114 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 388.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088354, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 10, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,014,766 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,014,766 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,363,436 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$348,670 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,322 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$329,348 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$329,348 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,993 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 570.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1079976, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,173,049 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,173,049 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,310,783 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$137,734 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,466 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$113,268 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$113,268 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,975 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 278.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026921, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 30, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,552,875 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,259,097 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $293,778 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,172 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $320,950 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,180 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 237.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 109.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 427037, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,006,132 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,996,415 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $9,717 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,976 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $21,693 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,138 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 537.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 188.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 399647, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,928,379 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,909,514 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $18,865 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,116 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $38,981 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,207 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 85 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,126.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 249.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367460, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 20, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,722,038 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,416,287 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $305,751 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,875 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $325,626 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,560 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 47 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 94.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,286 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 458.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 339675, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 25, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,339,671 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,144,445 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $195,226 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $45,609 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,152 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $237,683 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,581 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 86.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,274.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 513.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 328912, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 23, 2007.
None of these figures is carried on this report.
CMS report record 279389, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 16, 2006.
None of these figures is carried on this report.
CMS report record 261345, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 1, 2005.
None of these figures is carried on this report.
CMS report record 218597, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 27, 2004.
Net income: −$363,666 (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.
CMS report record 178382, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 1, 2004.
Net income: −$210,443 (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.
CMS report record 172746, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 28, 2003.
Net income: −$39,566 (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.
CMS report record 164307, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 13, 2001.
Net income: $118,972 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 35137, read from the public cost report file SNFFY2000.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 1, 1998.
Net income: −$20,608 (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.
CMS report record 75930, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on May 8, 1997.
Net income: −$63,501 (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.
CMS report record 75929, 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 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BLADOS, MARY DEBORAH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/16/2021 |
| JANKOWSKI, STANISLAW | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2010 |
| JULMISSE, MARTIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/06/2017 |
| MARTYNSKI, MARTHA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/11/2021 |
| PANUS, JADWIGA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2014 |
| RUDNICKI, DORIS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2010 |
| SIROTNAK, MARY CATHERINE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/1974 |
| ZEBROWSKI, STEPHEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/11/2021 |
| JULMISSE, MARTIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/06/2017 |
| INNES, INNA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/21/2021 |
| JULMISSE, MARTIN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 10/06/2017 |
| PATEL, VARSHA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/01/2022 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of MONSIGNOR BOJNOWSKI MANOR INC (enrollment ID O20110720000019).
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 |
|---|---|---|---|---|---|
| DORIS RUDNICKI | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/1/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JADWIGA PANUS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARTHA MARTYNSKI | Individual | CORPORATE DIRECTOR | Not stated in the filing | 6/11/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARTIN JULMISSE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/6/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY CATHERINE SIROTNAK | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/1974 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY DEBORAH BLADOS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 6/16/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STANISLAW JANKOWSKI | Individual | CORPORATE DIRECTOR | Not stated in the filing | 6/1/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN ZEBROWSKI | Individual | CORPORATE DIRECTOR | Not stated in the filing | 6/11/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARTIN JULMISSE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/6/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| INNA INNES | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 6/21/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARTIN JULMISSE | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 10/6/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VARSHA PATEL | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 6/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 1, 2024: DANIEL PLOCHARCZYK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SUSAN J BIRT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
Recent changes on this record
- July 30, 2026: A deficiency was cited under tag F 0689, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- April 15, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- November 1, 2024: DANIEL PLOCHARCZYK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SUSAN J BIRT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- March 26, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- April 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 11, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- June 15, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 15, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- March 27, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 2, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- May 9, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- May 13, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- April 16, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- November 10, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- April 19, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- March 30, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- May 17, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- April 14, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- May 20, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- November 25, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- May 23, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- August 16, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- June 1, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- May 27, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- April 1, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- November 28, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- September 13, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- April 1, 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- May 8, 1997: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 4, 2025 | February 4, 2025 | 12 | 5 |
| 2 | January 24, 2023 | January 24, 2023 | 19 | 8 |
| 3 | March 5, 2020 | March 5, 2020 | 7 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
38 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 30, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has plan of correction | September 10, 2026 |
| March 2, 2026 | 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 | April 13, 2026 |
| March 2, 2026 | Health | F 0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Yes | Deficient, Provider has date of correction | April 13, 2026 |
| March 2, 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | April 13, 2026 |
| February 4, 2025 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | No | Deficient, Provider has date of correction | April 2, 2025 |
| February 4, 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 | April 2, 2025 |
| February 4, 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 | April 2, 2025 |
| February 4, 2025 | 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 | April 2, 2025 |
| February 4, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | April 2, 2025 |
| February 4, 2025 | 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 | April 2, 2025 |
| February 4, 2025 | 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. | C | No | Deficient, Provider has date of correction | April 2, 2025 |
| February 4, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 2, 2025 |
| February 4, 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | April 2, 2025 |
| January 16, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | February 27, 2025 |
| January 16, 2025 | Health | F 0940 | Administration Deficiencies | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Yes | Deficient, Provider has date of correction | February 27, 2025 |
| September 18, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | October 30, 2024 |
| March 7, 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 | May 31, 2024 |
| March 7, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | May 31, 2024 |
| January 24, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | February 17, 2023 |
| January 24, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | February 17, 2023 |
| January 24, 2023 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | February 17, 2023 |
| January 24, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | February 17, 2023 |
| January 24, 2023 | 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 | February 17, 2023 |
| January 24, 2023 | 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 17, 2023 |
| January 24, 2023 | 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 17, 2023 |
| January 24, 2023 | 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 17, 2023 |
| January 24, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | February 17, 2023 |
| January 24, 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | No | Deficient, Provider has date of correction | February 17, 2023 |
| January 24, 2023 | 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. | E | No | Deficient, Provider has date of correction | February 17, 2023 |
| January 24, 2023 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | No | Deficient, Provider has date of correction | February 17, 2023 |
| January 24, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | February 17, 2023 |
| January 24, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | February 17, 2023 |
| January 24, 2023 | 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 17, 2023 |
| March 5, 2020 | Health | F 0574 | Resident Rights Deficiencies | The resident has the right to receive notices in a format and a language he or she understands. | C | No | Deficient, Provider has date of correction | May 20, 2020 |
| March 5, 2020 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | C | No | Deficient, Provider has date of correction | May 20, 2020 |
| March 5, 2020 | 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 | May 20, 2020 |
| March 5, 2020 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | May 20, 2020 |
| March 5, 2020 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 20, 2020 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 16, 2025 | Fine | $8,278 | 5577 | ||
| November 20, 2023 | Fine | $3,176 | 5416 | ||
| November 13, 2023 | Fine | $2,823 | 5413 | ||
| November 6, 2023 | Fine | $2,470 | 5410 | ||
| October 17, 2023 | Fine | $5,244 | 5391 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | MONSIGNOR BOJNOWSKI MANOR INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-03-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Capitol |
| Telephone Number | 8602290336 |
| 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 | 60 |
| Average Number of Residents per Day | 54.1 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| 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 MONSIGNOR BOJNOWSKI MANOR, INC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 30, 2026: A deficiency was cited under tag F 0689, scope and severity D. That is one line of the alert.
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The citable document for MONSIGNOR BOJNOWSKI MANOR, INC
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.
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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 075374.