Velarion Records

Skilled nursing facility · CMS certification number 106055

NORTHWEST FLORIDA COMMUNITY HOSPITAL (SNU)

CHIPLEY, Florida · Medicare

Certified beds, as filed in Care Compare: 34

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, 2004 to February 29, 2004 — a reporting period of 59 days, not a full year, on form CMS-2540-96, settled, processed by CMS on September 29, 2004.

None of these figures is carried on this report.

CMS report record 196268, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for March 6, 2003 to December 31, 2003 — a reporting period of 300 days, on form CMS-2540-96, settled, processed by CMS on May 3, 2004.

None of these figures is carried on this report.

CMS report record 174913, read from the public cost report file SNFFY2003.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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
NFCH, INC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 12/21/2012
CLEMMONS, JAMESADP OF THE SNFIndividualNOT APPLICABLEsince 08/10/2023
KOZAR, MICHAELADP OF THE SNFIndividualNOT APPLICABLEsince 06/16/2025
KOZAR, MICHAELCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/04/2016
LISENBY, STEVENCORPORATE OFFICERIndividualNOT APPLICABLEsince 09/21/2020
SMEDRA, IRACORPORATE OFFICERIndividualNOT APPLICABLEsince 12/21/2012
KOZAR, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/04/2016

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of NORTHWEST FLORIDA HEALTHCARE, INC. (enrollment ID O20040320000004).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
NFCH, INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10012/21/2012
Private equity company: No
Real estate investment trust: No
Holding company: No
JAMES ALLEN CLEMMONSIndividualADP OF THE SNFNot stated in the filing8/10/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHAEL ANDREW KOZARIndividualADP OF THE SNFNot stated in the filing6/16/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
IRA SMEDRAIndividualCORPORATE OFFICER012/21/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHAEL ANDREW KOZARIndividualCORPORATE OFFICER01/4/2016
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEVEN LISENBYIndividualCORPORATE OFFICERNot stated in the filing9/21/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHAEL ANDREW KOZARIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/4/2016
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1July 2, 2025July 2, 202510
2September 24, 2024September 24, 202420
3October 5, 2023October 5, 202338

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

6 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
July 2, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correctionMarch 25, 2026
September 24, 2024HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DNoDeficient, Provider has date of correctionOctober 17, 2024
September 24, 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionOctober 17, 2024
October 5, 2023HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correctionOctober 26, 2023
October 5, 2023HealthF 0740Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.DNoDeficient, Provider has date of correctionOctober 26, 2023
October 5, 2023HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correctionOctober 27, 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

FieldAs filed
Provider TypeMedicare
Ownership TypeFor profit - Corporation
Legal Business NameNORTHWEST FLORIDA HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid Services2003-03-06
Provider Resides in HospitalY
Continuing Care Retirement CommunityN
UrbanY
County/ParishWashington
Telephone Number8504157400
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds34
Average Number of Residents per Day32.0
Overall Rating4
Health Inspection Rating5
QM Rating3
Long-Stay QM Rating3
Processing Date2026-08-01

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 NORTHWEST FLORIDA COMMUNITY HOSPITAL (SNU): 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 September 29, 2004: A cost report was filed for fiscal year 2004, on form CMS-2540-96. That is one line of the alert.

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The citable document for NORTHWEST FLORIDA COMMUNITY HOSPITAL (SNU)

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.

The citable document with full history — $295

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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 106055.

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