Skilled nursing facility · CMS certification number 105809
GOOD SAMARITAN CENTER
LIVE OAK, Florida · Medicare and Medicaid
Certified beds, as filed in Care Compare: 161
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 July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 19, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,593,455 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,095,835 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,497,620 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,315,542 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,817,922 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $301,091 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,516,831 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,516,831 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 58,765 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,696 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 32,014 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,730 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 44,440 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 48 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 40 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 81 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 169 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 800.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 262.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1444927, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,557,041 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,177,579 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,379,462 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,048,733 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,669,271 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $295,928 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,373,343 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,373,343 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,212 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 157 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,424.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 307.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401330, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 20, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,048,702 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,946,617 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,102,085 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,750,228 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,648,143 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $274,090 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,374,053 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,374,053 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,162 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,652.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 294.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1370929, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,755,464 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,801,565 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,953,899 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,662,698 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,708,799 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $746,754 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,962,045 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,962,045 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,202 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,426.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 375.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340395, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 13, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,360,269 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,979,914 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,380,355 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,245,720 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,865,365 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $808,369 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,056,996 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,056,996 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,621 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 89 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,603.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 456.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308442, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 20, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,014,447 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,947,549 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,066,898 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,675,016 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$608,118 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $699,758 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $91,640 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $91,640 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,789 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 113 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,941.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 484.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302622, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 26, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,772,136 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,120,875 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,651,261 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,811,092 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$159,831 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $275,438 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $115,607 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $115,607 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,267 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,423.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 511.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251492, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 13, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,078,886 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,051,655 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,027,231 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,244,230 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$216,999 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $288,871 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $71,872 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $71,872 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,231 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,794.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 347.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250887, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 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 | $15,414,992 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,972,943 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,442,049 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,640,484 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$198,435 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $314,252 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $115,817 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $115,817 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,232 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,445.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 384.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208475, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 31, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,775,360 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,108,351 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,667,009 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,147,568 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$480,559 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $294,878 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$185,681 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$185,681 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,770 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,706.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 331.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1177692, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,523,534 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,378,248 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,145,286 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,331,133 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$185,847 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $391,352 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $205,505 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $205,505 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,794 | 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 | 29.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,587.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 351.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1122510, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 15, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,507,292 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,910,555 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,596,737 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,936,419 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$339,682 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $300,977 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$38,705 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$38,705 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,725 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,094.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 388.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111575, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 29, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,260,722 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,479,342 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,781,380 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,876,493 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$95,113 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $228,704 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $133,591 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $133,591 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,889 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 174 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,169.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 321.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078536, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,878,161 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,374,707 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,503,454 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,632,634 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$129,180 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $253,157 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $123,977 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $123,977 (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 | 161 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,654 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 222 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,412.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 255.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047491, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,628,387 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,430,091 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $198,296 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $238,962 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $437,258 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,425 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,509.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 308.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431780, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on October 31, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,384,868 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,000,263 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $384,605 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $211,668 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $596,273 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,702 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 222 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,433.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 255.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 419602, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 16, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,569,993 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,415,164 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $154,829 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $259,741 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $414,570 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,910 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 109 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,360.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 522.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387841, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on October 16, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,066,484 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,914,496 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $151,988 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $261,560 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $413,548 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,360 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,047.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 356.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 357886, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 21, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,548,167 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,035,670 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$487,503 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $280,985 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$206,518 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 55,687 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 169 | 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 | 824.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 329.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 299367, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 2, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,236,752 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,838,594 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$601,842 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $263,870 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$337,972 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,072 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 165 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 922.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 327.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295774, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,176,269 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,828,583 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$652,314 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $279,194 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$373,120 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 55,787 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 92.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 867.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 398.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266536, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for November 1, 2003 to June 30, 2004 — a reporting period of 242 days, not a full year, on form CMS-2540-96, settled, processed by CMS on December 6, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,887,842 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,084,155 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$196,313 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,272,520 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,797,682 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $10,278,525 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,774 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 913.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 417.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 238180, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended October 31, 2003
Cost report for July 1, 2003 to October 31, 2003 — a reporting period of 122 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 15, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,982,848 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,866,443 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $116,405 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,608,191 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,007,679 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$283,083 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,932 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 871.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 350.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 207602, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 22, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,732,069 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,869,189 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,137,120 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,192,323 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,602,955 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$547,752 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,182 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 294.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,056.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,518.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 160180, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,352,612 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,229,394 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $123,218 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,185,263 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,595,478 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $713,003 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 55,445 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 243 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 950.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 228.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 144933, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,583,587 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,698,463 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$114,876 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,232,400 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,295,139 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $822,385 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,896 | 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 | 24.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 753.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 248.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 124450, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 9, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,230,128 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,456,275 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$226,147 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,883,321 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $636,932 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $2,020,242 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 55,908 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 235 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 655.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 237.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10622, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,594,219 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,123,005 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$528,786 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,627,171 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,098,385 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,161 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 232 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 642.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 242.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10620, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for July 1, 1996 to June 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 24, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,537,280 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,233,578 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $303,702 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $75,558 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $379,260 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,200 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 213 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 268.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10619, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended June 30, 1996
Cost report for July 1, 1995 to June 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 18, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,306,570 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,646,247 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$339,677 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $109,362 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$230,315 (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 | 161 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,292 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 318 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 180.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10618, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| ADVENT CHRISTIAN VILLAGE INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 03/01/2004 |
| HILLIARD, KERRI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/16/2025 |
| INNOCENT SIMON, JOELLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/22/2025 |
| INNOCENT SIMON, JOELLE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2025 |
| CARTER, CRAIG | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/01/2008 |
| HETT, STEVE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/01/2008 |
| WILLIS, MICHAEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/13/2024 |
| HILLIARD, KERRI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2008 |
| INNOCENT SIMON, JOELLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ACV HEALTH SERVICES L L C (enrollment ID O20080821000134).
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 |
|---|---|---|---|---|---|
| ADVENT CHRISTIAN VILLAGE INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 3/1/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOELLE MARIE INNOCENT SIMON | Individual | ADP OF THE SNF | Not stated in the filing | 4/22/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KERRI HILLIARD | Individual | ADP OF THE SNF | Not stated in the filing | 4/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOELLE MARIE INNOCENT SIMON | Individual | CORPORATE DIRECTOR | 0 | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CRAIG CARTER | Individual | CORPORATE OFFICER | 12 | 9/1/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL WILLIS | Individual | CORPORATE OFFICER | 0 | 5/13/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVE HETT | Individual | CORPORATE OFFICER | 12 | 9/1/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOELLE MARIE INNOCENT SIMON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KERRI HILLIARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | 12 | 9/1/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- August 1, 2025: TAE IN YU no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MICHAEL WILLIS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOELLE MARIE INNOCENT SIMON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOELLE MARIE INNOCENT SIMON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOELLE MARIE INNOCENT SIMON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KERRI HILLIARD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- December 19, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2025: TAE IN YU no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MICHAEL WILLIS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOELLE MARIE INNOCENT SIMON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOELLE MARIE INNOCENT SIMON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOELLE MARIE INNOCENT SIMON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KERRI HILLIARD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- December 20, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- December 20, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- January 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- January 13, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- October 20, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- February 26, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- February 13, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- October 31, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- April 21, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- October 15, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- September 29, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- August 28, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- August 17, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- October 31, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- September 16, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- October 16, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- December 21, 2007: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- November 2, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- November 16, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- December 6, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- February 15, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- September 1, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- September 22, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- May 12, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- February 12, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- October 9, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- October 3, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- June 24, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
- June 18, 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1995.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 16, 2026 | April 16, 2026 | 7 | 2 |
| 2 | October 31, 2024 | October 31, 2024 | 3 | 2 |
| 3 | July 27, 2023 | July 27, 2023 | 3 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
13 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 16, 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 | May 27, 2026 |
| April 16, 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 | May 27, 2026 |
| April 16, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | May 25, 2026 |
| April 16, 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 | May 27, 2026 |
| April 16, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | May 25, 2026 |
| April 16, 2026 | 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 | May 25, 2026 |
| April 16, 2026 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | No | Deficient, Provider has date of correction | May 27, 2026 |
| October 31, 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | December 2, 2024 |
| October 31, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | December 2, 2024 |
| October 31, 2024 | 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 | December 2, 2024 |
| July 27, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | September 1, 2023 |
| July 27, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | September 1, 2023 |
| July 27, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | September 1, 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 | Non profit - Corporation |
| Legal Business Name | ACV HEALTH SERVICES L L C |
| 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 | Suwannee |
| Telephone Number | 3866585550 |
| 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 | 161 |
| Average Number of Residents per Day | 112.3 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 1 |
| 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 GOOD SAMARITAN 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 December 19, 2025: A cost report was filed for fiscal year 2025, 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 GOOD SAMARITAN 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 105809.