Skilled nursing facility · CMS certification number 105856
PREMIER PLACE AT THE GLENVIEW
NAPLES, Florida · Medicare
Certified beds, as filed in Care Compare: 42
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 | $12,323,352 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,121,550 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,201,802 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,198,271 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,996,469 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,773,006 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,776,537 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,776,537 (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 | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 15,372 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 8,841 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 4,799 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 13,640 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 299 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 122 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 421 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 32.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433298, 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 July 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,398,353 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,031,537 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,366,816 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,424,740 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,057,924 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,385,703 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$672,221 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$672,221 (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 | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,462 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 416 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 32.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389476, 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 August 30, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,362,367 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,827,387 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,534,980 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,700,009 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,165,029 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,157,660 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,007,369 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,007,369 (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 | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,418 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 370 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 33.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363581, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,284,261 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,384,728 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,899,533 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,851,989 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,952,456 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,213,918 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,261,462 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,261,462 (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 | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,541 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 438 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 28.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327797, 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 November 18, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,790,580 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,184,683 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,605,897 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,915,414 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,309,517 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,636,631 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $327,114 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $327,114 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 67,407 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 387 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 174.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304851, 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 August 12, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,135,937 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,858,725 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,277,212 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,435,594 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,158,382 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,483,273 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $324,891 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $324,891 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 69,025 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 261 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 264.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1263272, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,255,842 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,145,604 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,110,238 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,437,919 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,327,681 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,676,402 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $348,721 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $400,613 (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 | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,569 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 562 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 22.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237157, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,429,038 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,649,260 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,779,778 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,534,137 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,754,359 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,666,856 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,087,503 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,007,380 (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 | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,238 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 415 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 24.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200659, 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 July 20, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,241,204 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,034,757 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,206,447 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,551,273 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,344,826 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,777,073 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$567,753 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$680,500 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,495 | 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 | 23.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 32.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170165, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 29, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,354,297 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,424,041 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,930,256 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,442,673 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$512,417 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $104,491 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$407,926 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$407,926 (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 | 113 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,081 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 326 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 116.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138790, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 29, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,597,477 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,095,839 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,501,638 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,816,198 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$314,560 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $241,662 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$72,898 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$72,898 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,712 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 447 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 19.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1100575, 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 | $4,738,754 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $875,056 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,863,698 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,766,184 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$902,486 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $324,738 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$577,748 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$577,748 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,873 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 339 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 32.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1075728, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,120,120 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $706,863 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,413,257 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,741,331 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$328,074 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$358,267 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$686,341 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$686,341 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,495 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 37.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1041958, 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 September 25, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,833,293 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $423,601 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,409,692 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,480,122 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$70,430 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$354,482 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$424,912 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$424,912 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,326 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 264 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 39.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1011748, 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 July 27, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,156,691 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,262,954 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$106,263 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$508,198 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$614,461 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,160 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 261 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 38.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 413213, 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 August 10, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,281,937 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,921,734 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $360,203 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $92,777 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $452,980 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,493 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 214 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 49.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384970, 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 July 31, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,260,580 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,857,102 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $403,478 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $94,761 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $498,239 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,687 | 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 | 26.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 64.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353420, 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 August 15, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,297,057 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,661,086 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $635,971 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $66,790 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $702,761 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,099 | 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 | 33.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 79.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324036, 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 October 26, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,502,025 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,296,451 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $205,574 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,435 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $253,009 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,822 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 52.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295228, 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 October 18, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,285,520 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,676,975 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$391,455 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $55,521 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$335,934 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,575 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 64.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264773, 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 August 15, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,171,355 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,774,740 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $396,615 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,663 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $448,278 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,738 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 202 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 48.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230705, 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 June 1, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,978,575 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,847,661 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $130,914 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,649 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $181,563 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,575 | 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 | 27.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 43.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 218642, 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 | $2,947,477 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,655,977 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $291,500 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $48,169 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $339,669 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,855 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 215 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 45.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191494, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 28, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,694,561 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,760,935 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$66,374 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,801 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$12,573 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,365 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 89.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 154943, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 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 | $2,454,587 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,381,945 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $72,642 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $59,277 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $131,919 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,111 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 119.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 123403, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 26, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,862,546 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,959,816 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$97,270 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,259 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$33,011 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,524 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 144.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10778, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 29, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,287,229 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,383,025 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$95,796 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $90,226 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$5,570 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,118 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 84.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10776, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 1, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,084,080 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,461,756 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $622,324 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $102,909 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $725,233 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,983 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 103.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10774, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 15, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,022,483 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,519,153 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $503,330 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,017 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $517,347 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,320 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 116.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 10773, 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 |
|---|---|---|---|---|
| PELICAN BAY COOPERATIVE HOUSING CORP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 10/27/1988 |
| BJORKLUND, LUKE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/19/2025 |
| LIFE CARE SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/19/2025 |
| PENNISI, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/19/2025 |
| BENSEN, EDNA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/09/2021 |
| FEY, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| LEVY, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/27/2025 |
| MORRIS, CHUCK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| SMITH, ELIZABETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/11/2025 |
| BENSEN, EDNA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/09/2021 |
| FEY, DAVID | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| LEVY, MICHAEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/27/2025 |
| LIPNICK, JUDITH | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| MORRIS, CHUCK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| SMITH, ELIZABETH | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/11/2025 |
| SMITH, FOREST | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/04/2022 |
| BJORKLUND, LUKE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/03/2025 |
| GOMEZ, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/16/2023 |
| LIFE CARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2016 |
| PENNISI, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PELICAN BAY RETIREMENT SERVICES INC (enrollment ID O20040318000253).
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 |
|---|---|---|---|---|---|
| PELICAN BAY COOPERATIVE HOUSING CORP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/27/1988 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN PENNISI | Individual | ADP OF THE SNF | Not stated in the filing | 5/19/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LIFE CARE SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/19/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUKE BJORKLUND | Individual | ADP OF THE SNF | Not stated in the filing | 5/19/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHUCK MORRIS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID FEY | Individual | CORPORATE DIRECTOR | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EDNA BENSEN | Individual | CORPORATE DIRECTOR | 0 | 2/9/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELIZABETH SMITH | Individual | CORPORATE DIRECTOR | 0 | 2/11/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL H LEVY | Individual | CORPORATE DIRECTOR | 0 | 1/27/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHUCK MORRIS | Individual | CORPORATE OFFICER | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID FEY | Individual | CORPORATE OFFICER | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EDNA BENSEN | Individual | CORPORATE OFFICER | 0 | 2/9/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELIZABETH SMITH | Individual | CORPORATE OFFICER | 0 | 2/11/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FOREST SAMUEL SMITH | Individual | CORPORATE OFFICER | 0 | 9/4/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUDITH LIPNICK | Individual | CORPORATE OFFICER | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL H LEVY | Individual | CORPORATE OFFICER | 0 | 1/27/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL GOMEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 10/16/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN PENNISI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LIFE CARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 9/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUKE BJORKLUND | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 1, 2025: ELIZABETH SMITH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ELIZABETH SMITH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOHN PENNISI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 19, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOHN PENNISI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHUCK MORRIS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL H LEVY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL H LEVY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LIFE CARE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 19, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID FEY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LUKE BJORKLUND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 19, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LUKE BJORKLUND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- April 1, 2025: HARRY COBURN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- May 1, 2024: PATRICK NOONAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JAMIE G DANCE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JAMIE G DANCE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: CHUCK MORRIS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: HARRY COBURN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JUDITH LIPNICK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: DANIEL GOMEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since October 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: DAVID FEY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- June 15, 2023: JAMES P. TRUNCK no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: FOREST SAMUEL SMITH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since September 4, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
Recent changes on this record
- November 1, 2025: ELIZABETH SMITH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ELIZABETH SMITH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOHN PENNISI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 19, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOHN PENNISI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHUCK MORRIS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL H LEVY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL H LEVY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LIFE CARE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 19, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID FEY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LUKE BJORKLUND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 19, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LUKE BJORKLUND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- April 1, 2025: HARRY COBURN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- July 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 1, 2024: PATRICK NOONAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JAMIE G DANCE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JAMIE G DANCE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: CHUCK MORRIS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: HARRY COBURN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JUDITH LIPNICK (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: DANIEL GOMEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since October 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: DAVID FEY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- August 30, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- June 15, 2023: JAMES P. TRUNCK no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: FOREST SAMUEL SMITH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since September 4, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- July 25, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 18, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- August 12, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 17, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 19, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 20, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 29, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- June 29, 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
- July 23, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- September 25, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- July 27, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- August 10, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- July 31, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 15, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 23, 2026 | January 23, 2026 | 0 | 3 |
| 2 | February 29, 2024 | February 29, 2024 | 3 | 1 |
| 3 | June 23, 2022 | June 23, 2022 | 1 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
4 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 29, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | March 29, 2024 |
| February 29, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | March 29, 2024 |
| February 29, 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 | March 29, 2024 |
| June 23, 2022 | 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 | July 18, 2022 |
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 |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | PELICAN BAY RETIREMENT SERVICES INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1994-04-05 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Collier |
| Telephone Number | 2395910011 |
| Chain Name | LIFE CARE SERVICES |
| Chain ID | 312 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 42 |
| Average Number of Residents per Day | 40.1 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| 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.
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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.
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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 105856.