Skilled nursing facility · CMS certification number 105808
THE PAVILION AT CRESCENT LAKE
CRESCENT CITY, Florida · Medicare and Medicaid
Certified beds, as filed in Care Compare: 92
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,685,956 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$53,971 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,739,927 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,324,142 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $415,785 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $68 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $415,853 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $415,853 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 33,672 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,729 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 21,536 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,964 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 27,229 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 71 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 123 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 219 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 303.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433290, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 12, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,777,064 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,758 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,767,306 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,707,866 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $59,440 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $270,889 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $330,329 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $330,329 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,294 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 233.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391824, 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 September 9, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,358,440 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$418,028 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,776,468 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,101,147 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $675,321 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,267 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $678,588 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $678,588 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,248 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 105.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 249.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363992, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for May 1, 2021 to December 31, 2021 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 28, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,911,727 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$121,930 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,033,657 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,938,816 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $94,841 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $383,357 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $478,198 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $478,198 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,313 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 272.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334312, 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 April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,710,340 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $742,500 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,967,840 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,463,719 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$495,879 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$36,018 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$531,897 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$531,897 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,283 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 153 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 323.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314397, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 12, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,871,606 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $695,245 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,176,361 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,495,735 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $680,626 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,510 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $688,136 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $688,136 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,554 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 188 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 348.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283690, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 15, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,901,974 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $767,605 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,134,369 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,773,894 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $360,475 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,974 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $363,449 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $363,449 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,920 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 417.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 186.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240904, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,879,397 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,680,066 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,199,331 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,019,609 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $179,722 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$122,775 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $56,947 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $56,947 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,207 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 421.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 194.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207229, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 15, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,719,740 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,356,624 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,363,116 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,997,829 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $365,287 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $467 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $365,754 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $365,754 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,098 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 155 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 16.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 187.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173310, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 18, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,957,887 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $546,500 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,411,387 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,768,663 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $642,724 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$6,603 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $636,121 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $636,121 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,251 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 165 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 574.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 183.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141783, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,032,380 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $523,893 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,508,487 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,863,517 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $644,970 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $125,048 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $770,018 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $770,018 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,908 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 278.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1101997, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 12, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,401,983 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $42,439 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,359,544 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,696,521 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $663,023 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$199,349 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $463,674 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $463,674 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,677 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 234 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1075727, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 8, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,581,206 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $651,835 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,929,371 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,313,263 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $616,108 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,848 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $617,956 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $617,956 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,865 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 191 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 290.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1045904, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 17, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,864,201 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $799,042 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,065,159 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,439,356 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $625,803 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,926 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $631,729 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $631,729 (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 | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,834 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 217 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 574.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 142.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029604, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 7, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,197,865 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,326,599 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $871,266 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $154,913 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,026,179 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,758 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 223 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 321.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 133.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 421142, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 24, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,066,614 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,898,645 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,167,969 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $108,987 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,276,956 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,785 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 173 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 393.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 183.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 390017, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 22, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,496,961 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,076,832 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$579,871 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $34,368 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$545,503 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,099 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 170 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 378.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 165.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361504, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 31, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,057,186 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,347,747 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$290,561 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,608 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$288,953 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,079 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 154 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 281.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 331254, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,790,469 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,653,312 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$862,843 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $519 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$862,324 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,362 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 237 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 280.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 290796, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 15, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,892,831 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,489,380 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $403,451 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,175 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $415,626 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,377 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 221 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 269.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 137.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 262744, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 28, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,429,053 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,428,069 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $984 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,814 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $4,798 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,600 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 217 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 280.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 117.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 229160, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 28, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,435,216 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,063,918 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$628,702 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,836 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$622,866 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,291 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 223 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 275.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 212463, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,861,645 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,379,035 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $482,610 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,923 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $490,533 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,849 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 363.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 149.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 193757, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for November 15, 2001 to December 31, 2001 — a reporting period of 46 days, not a full year, on form CMS-2540-96, as submitted, processed by CMS on April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $637,419 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $476,110 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $161,309 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $675 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $161,984 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 4,163 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 21 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,154.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 198.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173639, read from the public cost report file SNFFY2002.zip.
Fiscal year 2000, ended October 31, 2000
Cost report for November 1, 1999 to October 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on April 11, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,779,691 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,218,396 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$438,705 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,805 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$399,900 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,451 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 515.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 348.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 83438, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended October 31, 1999
Cost report for November 1, 1998 to October 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 24, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,037,343 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,912,558 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $124,785 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,159 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $134,944 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,720 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 22 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 1,396.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 83436, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended October 31, 1998
Cost report for November 1, 1997 to October 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 21, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,918,978 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,761,204 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $157,774 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,427 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $183,201 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,045 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 94.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 569.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 423.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 83434, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended October 31, 1997
Cost report for November 1, 1996 to October 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 13, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,618,826 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,697,682 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$78,856 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,122 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$49,734 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,522 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 91 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 449.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 324.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 83432, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended October 31, 1996
Cost report for November 1, 1995 to October 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 24, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,668,203 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,721,753 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$53,550 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,447 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$38,103 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,912 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 896.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 531.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 83430, 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 |
|---|---|---|---|---|
| ANDERSON, RAYMOND | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/09/2023 |
| ELDICK, MOUSTAFA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2021 |
| FASTEN HALBERSTAM LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2018 |
| PAVILION MANAGEMENT GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2018 |
| POWERBACK REHABILITATION LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2018 |
| RICHARDS MITCHELL & CROSS PA | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2018 |
| CRESCENT CITY HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 03/03/2021 |
| BIRNBAUM, EZRA | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2021 |
| FTK CAPITAL LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 05/01/2018 |
| HIRSCH, SHAYE | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2021 |
| INZELBUCH, AZRIEL | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2021 |
| MOERMAN, RAFAEL | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2021 |
| NPNH1 LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 05/01/2018 |
| SHS KEREN LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 05/01/2018 |
| SINGER, SIMON | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2021 |
| ANDERSON, RAYMOND | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/09/2023 |
| KRIESER, AKIVA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2018 |
| MOERMAN, RAFAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2021 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of THE PAVILION AT CRESCENT LAKE FOR NURSING AND REHABILITATION LLC (enrollment ID O20210513003005).
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 |
|---|---|---|---|---|---|
| RAFAEL MOERMAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 55 | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FASTEN HALBERSTAM LLP | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| MOUSTAFA M ELDICK | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAVILION MANAGEMENT GROUP LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| POWERBACK REHABILITATION LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| RAYMOND ANDERSON | Individual | ADP OF THE SNF | Not stated in the filing | 10/9/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARDS MITCHELL & CROSS PA | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| CRESCENT CITY HOLDINGS LLC | Organization | DIRECT OWNERSHIP INTEREST | 100 | 3/3/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| AZRIEL INZELBUCH | Individual | INDIRECT OWNERSHIP INTEREST | 30 | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EZRA BIRNBAUM | Individual | INDIRECT OWNERSHIP INTEREST | 6.75 | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FTK CAPITAL LLC | Organization | INDIRECT OWNERSHIP INTEREST | 6.75 | 5/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| NPNH1 LLC | Organization | INDIRECT OWNERSHIP INTEREST | 6.75 | 5/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| RAFAEL MOERMAN | Individual | INDIRECT OWNERSHIP INTEREST | 55 | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHAYE HIRSCH | Individual | INDIRECT OWNERSHIP INTEREST | 1.5 | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHS KEREN LLC | Organization | INDIRECT OWNERSHIP INTEREST | 1.5 | 5/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| SIMON SINGER | Individual | INDIRECT OWNERSHIP INTEREST | 6.75 | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AKIVA KRIESER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAFAEL MOERMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAYMOND ANDERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/9/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2025: BRENDA SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAFAEL MOERMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AZRIEL INZELBUCH no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRESCENT CITY HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PAVILION MANAGEMENT GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHS KEREN LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FTK CAPITAL LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FASTEN HALBERSTAM LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOUSTAFA M ELDICK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAFAEL MOERMAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAFAEL MOERMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHAYE HIRSCH (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICHARDS, MITCHELL & CROSS, P.A. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AKIVA KRIESER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SIMON SINGER (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAYMOND ANDERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAYMOND ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AZRIEL INZELBUCH (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: POWERBACK REHABILITATION LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRESCENT CITY HOLDINGS LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 3, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: EZRA BIRNBAUM (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NPNH1 LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Recent changes on this record
- September 1, 2025: BRENDA SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAFAEL MOERMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AZRIEL INZELBUCH no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRESCENT CITY HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PAVILION MANAGEMENT GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHS KEREN LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FTK CAPITAL LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FASTEN HALBERSTAM LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MOUSTAFA M ELDICK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAFAEL MOERMAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAFAEL MOERMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHAYE HIRSCH (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICHARDS, MITCHELL & CROSS, P.A. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AKIVA KRIESER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SIMON SINGER (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAYMOND ANDERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAYMOND ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AZRIEL INZELBUCH (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: POWERBACK REHABILITATION LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRESCENT CITY HOLDINGS LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 3, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: EZRA BIRNBAUM (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NPNH1 LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 12, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 9, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 28, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- August 4, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- April 21, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- May 12, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 15, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 15, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 18, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 24, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 12, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 8, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- May 17, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- December 7, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- November 24, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- December 22, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 8, 2026 | January 8, 2026 | 9 | 4 |
| 2 | August 1, 2024 | August 1, 2024 | 3 | 0 |
| 3 | March 23, 2023 | March 23, 2023 | 4 | 19 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
16 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 8, 2026 | 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 | February 17, 2026 |
| January 8, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | February 17, 2026 |
| January 8, 2026 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | February 17, 2026 |
| January 8, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | February 17, 2026 |
| January 8, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | February 17, 2026 |
| January 8, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | February 17, 2026 |
| January 8, 2026 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | February 17, 2026 |
| January 8, 2026 | 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 | February 17, 2026 |
| January 8, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | February 17, 2026 |
| August 1, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | August 30, 2024 |
| August 1, 2024 | 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 | August 30, 2024 |
| August 1, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | August 30, 2024 |
| March 23, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | May 3, 2023 |
| March 23, 2023 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | May 3, 2023 |
| March 23, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | May 3, 2023 |
| March 23, 2023 | 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 | May 3, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | THE PAVILION AT CRESCENT LAKE FOR NURSING AND REHABILITATION LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1993-07-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Putnam |
| Telephone Number | 3866982222 |
| Chain Name | THE PAVILION GROUP |
| Chain ID | 514 |
| 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 | 92 |
| Average Number of Residents per Day | 72.2 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on THE PAVILION AT CRESCENT LAKE: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for THE PAVILION AT CRESCENT LAKE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Florida at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in Florida
- MAREX ENTERPRISES INC, PORT CHARLOTTE Motor carrier
- J T HILL'S TRUCKING INC, RIVERVIEW Motor carrier
- WADSWORTH TRUCKING INC, WIMAUMA Motor carrier
- R K R OF CAPE CORAL INC, CAPE CORAL Motor carrier
- PERRY DOWLING, JACKSONVILLE Motor carrier
- ROBERTO ESTOPINALES, MIAMI Motor carrier
- US ARMY CORPS OF ENGINEERS (LAKE SEMINOLE), CHATTAHOOCHEE Water discharge permit
- EAGLE POINT LANDFILL - CONSTRUCTION OF CELL NO. 13, PONTE VERDA Water discharge permit
- ACWORTH STORALL COVERED PARKING, DEERFIELD Water discharge permit
- JOHN RUSSELL GRIFFIN, DOVER Water discharge permit
- SCENIC VALLEY ESTATES, WESTON Water discharge permit
- CWR CONTRACTING, INC., SUMTERVILLE Air emission source
- HUBBARD CONT. CO. DBA ORLANDO PAVING CO., ORLANDO Air emission source
- DUVAL ASPHALT PRODUCTS, INC, GREEN COVE SPRINGS Air emission source
- MULO INC, SOUTH BAY Air emission source
- ROADS INC, CANTONMENT Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 105808.