Skilled nursing facility · CMS certification number 105597
SURREY PLACE NURSING CENTER
LIVE OAK, Florida · 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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,265,488 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,265,488 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,790,750 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,525,262 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,087 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,522,175 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,522,175 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 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 | 2,313 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,703 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,808 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 18,824 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 77 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 104 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 216 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 277.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436456, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,314,197 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,314,197 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,007,398 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,693,201 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,693,201 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,693,201 (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 | 13,763 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 144.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433278, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for October 8, 2022 to December 31, 2022 — a reporting period of 84 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 12, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,205,147 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $1,205,147 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,741,399 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$536,252 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$536,252 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$536,252 (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 | 4,234 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,531 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366524, read from the public cost report file SNF10FY2023.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 September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,226,890 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,433,762 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,793,128 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,935,087 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,141,959 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $406,991 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$734,968 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$734,968 (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 | 19,303 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 294 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 130.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331625, 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 September 23, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,453,976 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,497,821 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,956,155 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,798,541 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,842,386 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,903,767 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $61,381 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $61,381 (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 | 17,695 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 157.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300847, 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 June 2, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,703,728 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,857,647 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,846,081 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,671,167 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$825,086 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,586 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$820,500 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$820,500 (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 | 20,283 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 273 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1285085, 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 July 30, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,859,509 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,995,560 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,863,949 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,346,614 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$482,665 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $559,119 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $76,454 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $76,454 (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 | 19,652 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 287 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 277.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238744, 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 July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,526,911 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,099,130 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,427,781 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,269,183 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $158,598 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,489 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $161,087 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $161,087 (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 | 19,866 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 291 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 287.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200655, 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 June 13, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,721,541 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,574,337 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,147,204 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,902,366 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $244,838 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,060 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $247,898 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $247,898 (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 | 20,150 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 240 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 585.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1161367, 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 July 27, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,631,193 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,549,268 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,081,925 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,047,985 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $33,940 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $625 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $34,565 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $34,565 (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 | 20,212 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 302.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138303, 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 June 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,536,984 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,699,557 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,837,427 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,817,627 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $19,800 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $460 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $20,260 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $20,260 (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 | 20,167 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 203 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 349.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1100046, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,879,294 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,907,787 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,971,507 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,833,853 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $137,654 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $645 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $138,299 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $138,299 (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 | 20,515 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 214 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 358.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1072648, 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 31, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,324,234 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $543,800 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,780,434 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,748,129 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $32,305 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $293 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $32,598 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $32,600 (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 | 20,478 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 195 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 671.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044411, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,453,743 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$194,754 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,648,497 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,613,959 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $34,538 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $387 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $34,925 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $34,925 (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 | 20,199 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 853.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1030288, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 12, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,632,365 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,404,387 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $227,978 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $716 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $228,694 (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 | 20,468 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 500.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 108.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 421480, 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 with audit, processed by CMS on January 26, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,310,320 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,148,465 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $161,855 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,508 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $167,363 (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 | 20,128 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 165 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 440.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 393177, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for June 1, 2008 to December 31, 2008 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,860,620 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,704,232 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $156,388 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $605 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $156,993 (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 | 12,128 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 53 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,389.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 228.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368214, 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 December 22, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,634,552 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,542,380 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $92,172 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,517 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $93,689 (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 | 20,611 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 600.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 167.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 330755, 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 2, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,323,979 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,131,467 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $192,512 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,622 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $194,134 (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 | 20,907 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 91 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 755.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 229.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 277802, 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 April 27, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,587,686 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,121,255 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $466,431 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,175 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $467,606 (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 | 20,842 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 137 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 455.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 152.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 248066, 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 March 3, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,137,301 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,998,732 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $138,569 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,375 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $147,944 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,363 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 830.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 209596, 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 5, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,816,862 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,857,469 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$40,607 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,285 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$22,322 (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 | 21,215 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 942.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 214.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175330, 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, as submitted, processed by CMS on April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,365,670 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,473,624 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$107,954 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,528 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$95,426 (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 | 19,925 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 882.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 201.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 174434, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,231,287 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,260,629 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$29,342 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,819 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$19,523 (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 | 19,684 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 525.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 202.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 129279, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for November 1, 1999 to September 30, 2000 — a reporting period of 334 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,014,831 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,911,388 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $103,443 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,204 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $109,647 (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 | 19,106 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 722.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 230.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 124551, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended October 31, 1999
Cost report for October 1, 1998 to October 31, 1999 — a reporting period of 395 days, on form CMS-2540-96, settled, processed by CMS on June 18, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,355,720 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,264,993 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $90,727 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,053 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $112,780 (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 | 22,979 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 122.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 52673, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 18, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,594,263 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,150,758 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$556,495 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,575 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $382,653 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$914,573 (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 | 21,285 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 82 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 259.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 304932, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for January 1, 1997 to September 30, 1997 — a reporting period of 272 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on February 22, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,430,993 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,079,637 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $351,356 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $580,105 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $785,480 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $145,981 (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 | 15,916 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 105 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 151.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302780, 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 October 27, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,226,856 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,961,332 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $265,524 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$194,254 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $71,270 (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 | 21,053 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 179.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 52667, 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 |
|---|---|---|---|---|
| SURREY PLACE NURSING CENTER LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 10/07/2022 |
| FISCHEL, MAYER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 10/08/2022 |
| FLNHO CAPITAL GROUP LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 10/08/2022 |
| PREMIER 4 OPCO PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 10/08/2022 |
| VARGHESE, MATHEW | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 10/08/2022 |
| ZBL-18 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 10/08/2022 |
| LANDA, BENJAMIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/08/2022 |
| STONE, DEBORAH | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 10/08/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SURREY PLACE NURSING CENTER LLC (enrollment ID O20221116002606).
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 |
|---|---|---|---|---|---|
| SURREY PLACE NURSING CENTER LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/7/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BENJAMIN LANDA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70 | 10/8/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FLNHO CAPITAL GROUP LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70 | 10/8/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| MATHEW K VARGHESE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10 | 10/8/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MAYER FISCHEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10 | 10/8/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PREMIER 4 OPCO PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 10/8/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| ZBL-18 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10 | 10/8/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENJAMIN LANDA | Individual | CORPORATE OFFICER | 100 | 10/8/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBORAH A STONE | Individual | W-2 MANAGING EMPLOYEE | 100 | 10/8/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 15, 2023: JJLA LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: ELMER JOSEPH STEIER III no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: WHEATEN LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: JOHN H HARRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: DEBORAH A STONE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: DEBORAH A STONE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: SIGNATURE HEALTHCARE LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: LPSNF II, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: LP CS HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: AGEMO HOLDINGS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: IRA SMEDRA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: FLNHO CAPITAL GROUP LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: BENJAMIN LANDA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: BENJAMIN LANDA (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: DEBORAH A STONE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: PREMIER 4 OPCO PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: MATHEW K VARGHESE (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: SURREY PLACE NURSING CENTER LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: ZBL-18 LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: MAYER FISCHL (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
Recent changes on this record
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 28, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 12, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2023.zip
- August 16, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- June 15, 2023: JJLA LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: ELMER JOSEPH STEIER III no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: WHEATEN LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: JOHN H HARRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: DEBORAH A STONE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: DEBORAH A STONE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: SIGNATURE HEALTHCARE LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: LPSNF II, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: LP CS HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: AGEMO HOLDINGS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: IRA SMEDRA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: FLNHO CAPITAL GROUP LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: BENJAMIN LANDA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: BENJAMIN LANDA (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: DEBORAH A STONE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: PREMIER 4 OPCO PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: MATHEW K VARGHESE (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: SURREY PLACE NURSING CENTER LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: ZBL-18 LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: MAYER FISCHL (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since October 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- September 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 23, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- June 2, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 30, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 19, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- June 13, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 27, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- June 25, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- July 23, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 31, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- May 24, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- December 12, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- January 26, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- April 27, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- October 19, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- December 22, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | October 2, 2025 | October 2, 2025 | 6 | 0 |
| 2 | July 3, 2024 | July 3, 2024 | 2 | 0 |
| 3 | March 3, 2023 | March 3, 2023 | 11 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
19 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| October 2, 2025 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | December 19, 2025 |
| October 2, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | December 19, 2025 |
| October 2, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | December 19, 2025 |
| October 2, 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 | January 9, 2026 |
| October 2, 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. | D | No | Deficient, Provider has date of correction | December 19, 2025 |
| October 2, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | December 19, 2025 |
| July 3, 2024 | 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 | July 26, 2024 |
| July 3, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 26, 2024 |
| February 21, 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Yes | Deficient, Provider has date of correction | March 25, 2024 |
| March 3, 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 | April 6, 2023 |
| March 3, 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. | J | No | Deficient, Provider has date of correction | April 6, 2023 |
| March 3, 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 | April 6, 2023 |
| March 3, 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 | April 6, 2023 |
| March 3, 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. | J | No | Deficient, Provider has date of correction | April 6, 2023 |
| March 3, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | April 6, 2023 |
| March 3, 2023 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | No | Deficient, Provider has date of correction | April 6, 2023 |
| March 3, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | April 6, 2023 |
| March 3, 2023 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | No | Deficient, Provider has date of correction | April 6, 2023 |
| March 3, 2023 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | F | No | Deficient, Provider has date of correction | April 6, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | SURREY PLACE NURSING CENTER LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1988-01-21 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Suwannee |
| Telephone Number | 3863645961 |
| Chain Name | BENJAMIN LANDA |
| Chain ID | 646 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 60 |
| Average Number of Residents per Day | 54.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on SURREY PLACE 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 August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. 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 SURREY PLACE 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 Florida 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 Florida
- MAREX ENTERPRISES INC, PORT CHARLOTTE Motor carrier
- J T HILL'S TRUCKING INC, RIVERVIEW Motor carrier
- WADSWORTH TRUCKING INC, WIMAUMA Motor carrier
- R K R OF CAPE CORAL INC, CAPE CORAL Motor carrier
- PERRY DOWLING, JACKSONVILLE Motor carrier
- ROBERTO ESTOPINALES, MIAMI Motor carrier
- WETAPPO FARMS, WEWAHITCHKA Water discharge permit
- LIFE SOILS FLORIDA LLC - ESSENTIAL EARTH COMPOST, PUNTA GORDA Water discharge permit
- US NAVAL STATION MAYPORT, JACKSONVILLE Water discharge permit
- NAS JACKSONVILLE, JACKSONVILLE Water discharge permit
- WHITES RMF, BROOKSVILLE Water discharge permit
- CWR CONTRACTING, INC., SUMTERVILLE Air emission source
- HUBBARD CONT. CO. DBA ORLANDO PAVING CO., ORLANDO Air emission source
- DUVAL ASPHALT PRODUCTS, INC, GREEN COVE SPRINGS Air emission source
- MULO INC, SOUTH BAY Air emission source
- ROADS INC, CANTONMENT 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 105597.