Skilled nursing facility · CMS certification number 105700
NORTHDALE REHABILITATION CENTER
TAMPA, Florida · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 2, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,241,380 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,718,477 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,522,903 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,203,527 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $319,376 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,859 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $330,235 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $330,235 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 7,772 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 23,840 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,780 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 40,392 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 192 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 82 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 253 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 527 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 290.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450118, 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 June 24, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,336,988 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,064,632 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,272,356 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,566,933 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$294,577 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,035 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$281,542 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$281,542 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,504 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 699 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 279.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1429690, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 29, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,093,022 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,547,587 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,545,435 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,309,103 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$763,668 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,804 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$741,864 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$741,864 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,035 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 731 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 250.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 50.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398240, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 8, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,200,212 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,783,059 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,417,153 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,430,249 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,013,096 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $702,928 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$310,168 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$310,168 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,735 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 548 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 301.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367725, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,211,826 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,156,008 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,055,818 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,254,187 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$198,369 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $514,327 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $315,958 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $315,958 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,613 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 471 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 625.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338700, 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 April 14, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,882,179 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,133,367 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,748,812 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,094,367 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$345,555 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,817 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$325,738 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$325,738 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,585 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 713 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 246.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282071, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for September 19, 2018 to December 31, 2018 — a reporting period of 103 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 14, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,391,438 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,103,691 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,287,747 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,532,584 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$244,837 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,509 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$240,328 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$240,328 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,480 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 194 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 366.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1271110, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended May 31, 2017
Cost report for June 1, 2016 to May 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 25, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,642,505 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,668,804 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,973,701 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,858,474 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$884,773 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,073 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$860,700 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$860,700 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,689 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,376 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 139.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 28.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223278, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended May 31, 2016
Cost report for June 1, 2015 to May 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 24, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,892,214 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,502,782 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,389,432 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,193,080 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,803,648 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,551 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,779,097 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,779,097 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,613 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,217 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 217.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 31.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174857, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended May 31, 2015
Cost report for June 1, 2014 to May 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 19, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,122,130 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,067,569 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,054,561 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,767,526 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,712,965 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,752 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,689,213 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,689,213 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,903 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,214 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 199.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 32.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144999, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended May 31, 2014
Cost report for June 1, 2013 to May 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 17, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,346,309 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,971,436 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,374,873 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,164,206 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,789,333 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,684 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,763,649 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,763,649 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,922 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,245 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 158.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 32.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109853, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended May 31, 2013
Cost report for June 1, 2012 to May 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,599,154 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,730,372 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,868,782 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,618,485 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,749,703 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,504 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,727,199 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,727,199 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,297 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,087 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 182.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 36.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058005, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended May 31, 2012
Cost report for June 1, 2011 to May 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,695,391 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,937,245 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,758,146 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,812,939 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,054,793 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,822 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$7,034,971 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$7,034,971 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,276 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,153 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 150.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 34.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047134, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended May 31, 2011
Cost report for June 1, 2010 to May 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,164,655 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,452,584 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,712,071 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,689 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,728,760 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,310 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,226 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 335.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 32.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432969, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended May 31, 2010
Cost report for June 1, 2009 to May 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 30, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,490,409 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,682,703 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,807,706 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,440 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,825,146 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,201 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,116 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 242.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 36.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 416545, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended May 31, 2009
Cost report for June 1, 2008 to May 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on January 12, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,269,833 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,425,479 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,844,354 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,076 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,859,430 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,245 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 234.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 35.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392502, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended May 31, 2008
Cost report for December 20, 2007 to May 31, 2008 — a reporting period of 163 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 2, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,729,410 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,066,797 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $662,613 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,088 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $669,701 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,454 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 458 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 537.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 40.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364756, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 19, 2007
Cost report for June 1, 2007 to December 19, 2007 — a reporting period of 201 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 29, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,759,990 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,019,834 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$259,844 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,614 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$249,230 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,922 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 668 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 327.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 34.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 340928, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended May 31, 2006
Cost report for June 1, 2005 to May 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 16, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,362,732 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,049,485 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $313,247 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,028 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$285 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $330,560 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,394 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,115 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 693.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 37.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 272664, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended May 31, 2005
Cost report for June 1, 2004 to May 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 24, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,090,128 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,987,310 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $102,818 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,275 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $120,093 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,569 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,083 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 349.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 37.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243627, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended May 31, 2004
Cost report for June 1, 2003 to May 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,745,178 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,630,773 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $114,405 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,741 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $446 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $133,700 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,166 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 783 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 339.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 50.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 198022, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended May 31, 2003
Cost report for June 1, 2002 to May 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 11, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,880,010 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,228,514 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$348,504 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,622 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$106 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$318,776 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,929 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 435 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,926.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 91.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 210719, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended May 31, 2002
Cost report for June 1, 2001 to May 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 15, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,575,489 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,332,196 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$756,707 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,123 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$140 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$718,444 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,672 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 263 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 909.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 147.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 170991, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended May 31, 2001
Cost report for June 1, 2000 to May 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,632,489 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,763,897 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$131,408 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,162 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $156,551 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$233,797 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,682 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 300 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 783.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 140339, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended May 31, 2000
Cost report for June 1, 1999 to May 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,924,081 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,767,176 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $156,905 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,029 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $380,477 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$173,543 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,096 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 381 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 485.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 99.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 24690, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended May 31, 1999
Cost report for June 1, 1998 to May 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on July 26, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,691,021 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,203,536 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $487,485 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,213 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $129,662 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $382,036 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,651 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 247 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 152.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 413051, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended May 31, 1998
Cost report for June 1, 1997 to May 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on April 26, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,651,884 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,888,332 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $763,552 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $321,503 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,085,055 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,675 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 373 | 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, all patients, in days | 109.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368074, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended May 31, 1997
Cost report for June 1, 1996 to May 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on February 2, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,760,572 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,624,649 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,864,077 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $157,486 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,706,591 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,480 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 354 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 111.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363447, 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 |
|---|---|---|---|---|
| 3030 CARROLLWOOD, LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 09/18/2018 |
| HEALTH SERVICES PROPERTIES LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 09/18/2018 |
| ORIX REAL ESTATE CAPITAL LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 09/18/2018 |
| 3030 CARROLLWOOD, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/18/2018 |
| CHERY, DAWN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/08/2017 |
| CRONQUIST, ROYCE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2018 |
| FORVIS MAZARS LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/18/2018 |
| HEALTH SERVICES PROPERTIES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/14/2026 |
| KAAR, SUSAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2003 |
| KELLY, MICHELLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2018 |
| LANDY, FREDERICK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/13/2022 |
| MANGINE, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/25/2012 |
| MCCOY, BRIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/16/2024 |
| MELTON, DONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/18/2018 |
| NOTERMANN, WILLIAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| RIBIC, KLEMEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/15/2010 |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/14/2026 |
| SOVEREIGN HEALTHCARE DISBURSEMENTS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/18/2018 |
| SOVEREIGN HEALTHCARE HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/18/2018 |
| CRONQUIST 2015 FAMILY TR | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/18/2018 |
| JOHN J NOTERMANN BUSINESS TR | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/12/2017 |
| MANGINE, JOHN | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 12/31/2015 |
| NOTERMANN, BRENDA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/14/2026 |
| CHERY, DAWN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/08/2017 |
| KAAR, SUSAN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2003 |
| LANDY, FREDERICK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/13/2022 |
| CRONQUIST, ROYCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2018 |
| MANGINE, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/25/2012 |
| MCCOY, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/16/2024 |
| MELTON, DONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/18/2018 |
| NOTERMANN, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| RIBIC, KLEMEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/15/2010 |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/18/2018 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CARROLLWOOD REHABILITATION CENTER LLC (enrollment ID O20180829002549).
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 |
|---|---|---|---|---|---|
| 3030 CARROLLWOOD, LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 9/18/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEALTH SERVICES PROPERTIES LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 9/18/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| ORIX REAL ESTATE CAPITAL LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 9/18/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| 3030 CARROLLWOOD, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/18/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRIAN T MCCOY | Individual | ADP OF THE SNF | Not stated in the filing | 5/16/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAWN CHERY | Individual | ADP OF THE SNF | Not stated in the filing | 6/8/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONALD K MELTON | Individual | ADP OF THE SNF | Not stated in the filing | 9/18/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FORVIS MAZARS LLP | Organization | ADP OF THE SNF | Not stated in the filing | 9/18/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| FREDERICK LANDY | Individual | ADP OF THE SNF | Not stated in the filing | 12/13/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEALTH SERVICES PROPERTIES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/14/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN MANGINE | Individual | ADP OF THE SNF | Not stated in the filing | 6/25/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KLEMEN M RIBIC | Individual | ADP OF THE SNF | Not stated in the filing | 7/15/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELLE KELLY | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROYCE M CRONQUIST | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/14/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| SOVEREIGN HEALTHCARE DISBURSEMENTS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/18/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| SUSAN KAAR | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM NOTERMANN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOVEREIGN HEALTHCARE HOLDINGS LLC | Organization | DIRECT OWNERSHIP INTEREST | 100 | 9/18/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| CRONQUIST 2015 FAMILY TR | Organization | INDIRECT OWNERSHIP INTEREST | 14.5 | 9/18/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN J NOTERMANN BUSINESS TR | Organization | INDIRECT OWNERSHIP INTEREST | 82.5 | 11/12/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN MANGINE | Individual | INDIRECT OWNERSHIP INTEREST | 3 | 12/31/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAWN CHERY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/8/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FREDERICK LANDY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 12/13/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN KAAR | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIAN T MCCOY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/16/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONALD K MELTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/18/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN MANGINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/25/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KLEMEN M RIBIC | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/15/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROYCE M CRONQUIST | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 9/18/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILLIAM NOTERMANN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- February 1, 2026: CRONQUIST 2015 FAMILY TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOHN J NOTERMANN BUSINESS TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ROYCE M CRONQUIST no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SOVEREIGN HEALTHCARE HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BRENDA NOTERMANN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DONALD K MELTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MICHELLE KELLY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: HEALTHCARE FINANCIAL SOLUTIONS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BRIAN T MCCOY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KLEMEN M RIBIC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 15, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KLEMEN M RIBIC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 15, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CRONQUIST 2015 FAMILY TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: HEALTH SERVICES PROPERTIES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: HEALTH SERVICES PROPERTIES LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DAWN CHERY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 8, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DAWN CHERY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 8, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: FORVIS MAZARS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOHN J NOTERMANN BUSINESS TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ROYCE M CRONQUIST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since February 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ROYCE M CRONQUIST (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since February 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SOVEREIGN HEALTHCARE HOLDINGS LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: WILLIAM NOTERMANN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: WILLIAM NOTERMANN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DONALD K MELTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DONALD K MELTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MICHELLE KELLY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since February 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SOUTHERN HEALTHCARE MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BRIAN T MCCOY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since May 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BRIAN T MCCOY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since May 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOHN MANGINE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 31, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOHN MANGINE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 25, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOHN MANGINE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 25, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: FREDERICK LANDY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: FREDERICK LANDY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: 3030 CARROLLWOOD, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: 3030 CARROLLWOOD, LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ORIX REAL ESTATE CAPITAL LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SOVEREIGN HEALTHCARE DISBURSEMENTS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUSAN KAAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since October 1, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUSAN KAAR (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since October 1, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- July 1, 2024: LAWRENCE COLE NOTERMANN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: BRIAN T MCCOY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since May 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- June 3, 2024: NICOLE FRANCIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: LAWRENCE COLE NOTERMANN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- February 15, 2023: ANNA MARIE OWENS-WICKER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: NICOLE FRANCIS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- October 31, 2022: MICHAEL P MCCLATCHY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ANNA MARIE OWENS-WICKER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since August 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- June 2, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- February 1, 2026: CRONQUIST 2015 FAMILY TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOHN J NOTERMANN BUSINESS TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ROYCE M CRONQUIST no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SOVEREIGN HEALTHCARE HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BRENDA NOTERMANN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DONALD K MELTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MICHELLE KELLY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: HEALTHCARE FINANCIAL SOLUTIONS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BRIAN T MCCOY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KLEMEN M RIBIC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 15, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KLEMEN M RIBIC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 15, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CRONQUIST 2015 FAMILY TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: HEALTH SERVICES PROPERTIES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: HEALTH SERVICES PROPERTIES LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DAWN CHERY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 8, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DAWN CHERY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 8, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: FORVIS MAZARS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOHN J NOTERMANN BUSINESS TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ROYCE M CRONQUIST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since February 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ROYCE M CRONQUIST (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since February 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SOVEREIGN HEALTHCARE HOLDINGS LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: WILLIAM NOTERMANN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: WILLIAM NOTERMANN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DONALD K MELTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DONALD K MELTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MICHELLE KELLY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since February 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SOUTHERN HEALTHCARE MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BRIAN T MCCOY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since May 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BRIAN T MCCOY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since May 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOHN MANGINE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 31, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOHN MANGINE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 25, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOHN MANGINE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 25, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: FREDERICK LANDY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: FREDERICK LANDY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: 3030 CARROLLWOOD, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: 3030 CARROLLWOOD, LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ORIX REAL ESTATE CAPITAL LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SOVEREIGN HEALTHCARE DISBURSEMENTS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUSAN KAAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since October 1, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 22, 2024 | May 22, 2024 | 6 | 0 |
| 2 | March 10, 2022 | March 10, 2022 | 8 | 2 |
| 3 | December 30, 2020 | December 30, 2020 | 1 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
15 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 22, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | June 22, 2024 |
| May 22, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | June 22, 2024 |
| May 22, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | E | No | Deficient, Provider has date of correction | June 22, 2024 |
| May 22, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | June 22, 2024 |
| May 22, 2024 | 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 | June 22, 2024 |
| May 22, 2024 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | No | Deficient, Provider has date of correction | June 22, 2024 |
| March 10, 2022 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | April 10, 2022 |
| March 10, 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | April 10, 2022 |
| March 10, 2022 | 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 | April 10, 2022 |
| March 10, 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | April 10, 2022 |
| March 10, 2022 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | April 10, 2022 |
| March 10, 2022 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | April 10, 2022 |
| March 10, 2022 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | April 10, 2022 |
| March 10, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | April 10, 2022 |
| December 30, 2020 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | January 22, 2021 |
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 - Corporation |
| Legal Business Name | CARROLLWOOD REHABILITATION CENTER LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1990-07-20 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Hillsborough |
| Telephone Number | 8139688777 |
| Chain Name | SOVEREIGN HEALTHCARE HOLDINGS |
| Chain ID | 482 |
| 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 | 120 |
| Average Number of Residents per Day | 115.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| 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 NORTHDALE REHABILITATION 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 June 2, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for NORTHDALE REHABILITATION 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.
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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 105700.