Skilled nursing facility · CMS certification number 106059
DOUGLAS JACOBSON STATE VETERANS NURSING HOME
PORT CHARLOTTE, Florida · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 8 · Fines: 7 · Fines, total amount: $114,162.00 · Payment denials: 1. The most recent penalty on file: June 25, 2025, Fine, $8,490. 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 | $19,103,642 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $503,301 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,600,341 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,300,416 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$700,075 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$669,410 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,369,485 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,369,485 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,800 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 394 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,815 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 33,888 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 41,097 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 9 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 30 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 214 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 253 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 227.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445064, 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 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,768,745 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,533,273 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,235,472 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,233,560 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,998,088 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,796,126 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,201,962 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,201,962 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,963 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 136 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,055 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 293.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1400940, 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 January 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,039,351 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,569,538 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,469,813 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,529,065 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,059,252 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $706,413 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$352,839 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$352,839 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,182 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 123 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,507.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 269.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371433, 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 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,713,347 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,928,085 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,785,262 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,350,663 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $434,599 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,402 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $487,001 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $487,001 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,766 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 10,219 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 647.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371432, 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 March 2, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,419,235 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $125,431 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,293,804 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,061,817 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,231,987 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,802,226 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,034,213 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,034,213 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,683 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 286.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 246.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343581, 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 29, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,193,721 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$58,121 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,251,842 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,665,690 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,413,848 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $893,332 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$8,520,516 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$8,520,516 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,758 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 54 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,540.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 754.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303419, 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 June 4, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,320,338 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$71,360 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,391,698 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,337,678 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,945,980 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $292,235 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,653,745 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,653,745 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,533 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,690.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 850.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1256819, 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 May 27, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,785,304 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,375,514 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,160,818 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,295,511 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $865,307 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $139,025 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,004,332 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,004,332 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,683 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,673.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 548.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1225565, 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 | $12,193,644 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,740,823 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,934,467 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,102,860 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$168,393 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $100,456 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$67,937 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$67,937 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,080 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,984.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 555.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207876, 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 December 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,134,996 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,327,196 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,462,192 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,345,624 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $116,568 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $91,756 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $208,324 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $208,324 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,573 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,512 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 629.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150577, 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 March 31, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,483,897 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$652,543 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,136,440 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,401,744 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$265,304 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $96,937 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$168,367 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$168,367 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,879 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,005.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 857.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121577, 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 June 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,349,528 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,773,370 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,576,158 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,739,484 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$163,326 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $63,462 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$99,864 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$99,864 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,009 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,470.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 518.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1097268, 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 October 29, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,603,838 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,462,339 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,141,499 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,038,785 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$897,286 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $98,798 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$798,488 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$798,488 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,177 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,403.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 599.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1079558, 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 16, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,588,330 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,898,894 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,689,436 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,833,554 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$144,118 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $255,332 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $111,214 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $111,214 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,960 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 183 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 390.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 234.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046848, 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 31, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,791,137 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,859,158 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$68,021 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $316,631 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $248,610 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,490 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 118.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,639.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 429.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431989, 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, settled, processed by CMS on December 29, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,644,426 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,983,496 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $660,930 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,716 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $715,646 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,966 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 88.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,510.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 699.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 391905, 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 January 13, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,614,228 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,761,208 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,146,980 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $153,578 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$993,402 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,595 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 87.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 905.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 539.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362008, 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, settled, processed by CMS on January 20, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,435,303 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,514,063 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,921,240 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $90,140 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,011,380 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,670 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 79.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 711.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 463.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 332189, 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 | $17,877,770 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,792,157 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $9,085,613 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $242,438 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $9,328,051 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,838 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 322 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 282.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 299388, 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 21, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,389,414 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,601,420 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,787,994 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $152,481 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,940,475 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,221 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 78.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 271.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 240.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 296790, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for June 7, 2004 to June 30, 2005 — a reporting period of 388 days, on form CMS-2540-96, settled, processed by CMS on November 10, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,626,622 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,054,789 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,428,167 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,120 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$2,387,047 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,845 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 185 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 314.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 134.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266013, read from the public cost report file SNFFY2004.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 |
|---|---|---|---|---|
| WILLIAMS, KEITH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/08/2025 |
| WURSTER, JOCEYLYN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/08/2025 |
| CARTER, ALFRED | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/28/2011 |
| GAYLORD, BRANDY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2023 |
| MALLARD, LINDSAY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/18/2016 |
| WURSTER, JOCEYLYN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/18/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FLORIDA DEPARTMENT OF VETERANS AFFAIRS (enrollment ID O20120320000504).
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 |
|---|---|---|---|---|---|
| FLORIDA DEPARTMENT OF VETERANS AFFAIRS | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOCEYLYN WURSTER | Individual | ADP OF THE SNF | Not stated in the filing | 4/8/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEITH ANTHONY WILLIAMS | Individual | ADP OF THE SNF | Not stated in the filing | 4/8/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALFRED CARTER | Individual | CORPORATE DIRECTOR | 100 | 11/28/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRANDY GAYLORD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOCEYLYN WURSTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/18/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDSAY MALLARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0.1 | 10/18/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 1, 2025: LINDSAY MALLARD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KATHERINE SHERRILL-HAGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: FLORIDA DEPARTMENT OF VETERANS AFFAIRS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RENEE WRIGHT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: FLORIDA DEPARTMENT OF VETERANS AFFAIRS (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BRANDY GAYLORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KEITH ANTHONY WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JOCEYLYN WURSTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JOCEYLYN WURSTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 18, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.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
- June 1, 2025: LINDSAY MALLARD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KATHERINE SHERRILL-HAGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: FLORIDA DEPARTMENT OF VETERANS AFFAIRS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RENEE WRIGHT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: FLORIDA DEPARTMENT OF VETERANS AFFAIRS (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BRANDY GAYLORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KEITH ANTHONY WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JOCEYLYN WURSTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JOCEYLYN WURSTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 18, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- December 16, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- January 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- January 16, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- March 2, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- October 29, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- June 4, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- May 27, 2019: 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
- December 30, 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- March 31, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- June 16, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- October 29, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- August 16, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- August 31, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- December 29, 2010: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- January 13, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- January 20, 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 21, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- November 10, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 6, 2024 | September 6, 2024 | 5 | 3 |
| 2 | June 2, 2023 | June 2, 2023 | 13 | 7 |
| 3 | October 7, 2021 | October 7, 2021 | 2 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
20 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| August 21, 2025 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Yes | Deficient, Provider has date of correction | September 21, 2025 |
| July 16, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | August 16, 2025 |
| June 25, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | August 16, 2025 |
| June 25, 2025 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | E | Yes | Deficient, Provider has date of correction | August 16, 2025 |
| February 11, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | March 11, 2025 |
| October 29, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | November 25, 2024 |
| October 29, 2024 | 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. | G | Yes | Deficient, Provider has date of correction | November 25, 2024 |
| September 6, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Yes | Deficient, Provider has date of correction | November 6, 2024 |
| September 6, 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | November 6, 2024 |
| September 6, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | November 6, 2024 |
| September 6, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | November 6, 2024 |
| September 6, 2024 | Health | F 0680 | Quality of Life and Care Deficiencies | Ensure the activities program is directed by a qualified professional. | E | No | Deficient, Provider has date of correction | November 6, 2024 |
| September 6, 2024 | 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. | E | Yes | Deficient, Provider has date of correction | November 6, 2024 |
| September 6, 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Yes | Deficient, Provider has date of correction | November 6, 2024 |
| June 2, 2023 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | No | Deficient, Provider has date of correction | July 2, 2023 |
| June 2, 2023 | 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. | G | No | Deficient, Provider has date of correction | July 2, 2023 |
| June 2, 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | No | Deficient, Provider has date of correction | July 2, 2023 |
| June 2, 2023 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | July 2, 2023 |
| October 7, 2021 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | November 7, 2021 |
| October 7, 2021 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | No | Deficient, Provider has date of correction | November 7, 2021 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| June 25, 2025 | Fine | $8,490 | 133822 | ||
| June 25, 2025 | Fine | $7,660 | 133824 | ||
| June 25, 2025 | Fine | $18,425 | 134839 | ||
| February 11, 2025 | Fine | $46,937 | 31419 | ||
| September 6, 2024 | Fine | $11,333 | 31302 | ||
| September 6, 2024 | Fine | $5,346 | 31303 | ||
| September 6, 2024 | Fine | $15,971 | 31347 | ||
| September 6, 2024 | Payment Denial | October 22, 2024 | 34 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - State |
| Legal Business Name | FLORIDA DEPARTMENT OF VETERANS AFFAIRS |
| Date First Approved to Provide Medicare and Medicaid Services | 2004-06-07 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Charlotte |
| Telephone Number | 9416130919 |
| Chain Name | FLORIDA DEPARTMENT OF VETERANS' AFFAIRS |
| Chain ID | 739 |
| 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 | 120 |
| Average Number of Residents per Day | 112.3 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| 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 DOUGLAS JACOBSON STATE VETERANS NURSING HOME: 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 DOUGLAS JACOBSON STATE VETERANS NURSING HOME
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Florida at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in Florida
- MAREX ENTERPRISES INC, PORT CHARLOTTE Motor carrier
- J T HILL'S TRUCKING INC, RIVERVIEW Motor carrier
- WADSWORTH TRUCKING INC, WIMAUMA Motor carrier
- R K R OF CAPE CORAL INC, CAPE CORAL Motor carrier
- PERRY DOWLING, JACKSONVILLE Motor carrier
- ROBERTO ESTOPINALES, MIAMI Motor carrier
- T P SMITH WATER RECLAMATION FACILITY, TALLAHASSEE Water discharge permit
- OCUD/NORTHWEST WATER RECLAMATION FACILITY, APOPKA Water discharge permit
- ORLANDO - CONSERV II WRF, ORLANDO Water discharge permit
- ORLANDO/CONSERV I WWTF, ORLANDO Water discharge permit
- APOPKA WRF - PROJECT ARROW, APOPKA Water discharge permit
- CWR CONTRACTING, INC., SUMTERVILLE Air emission source
- HUBBARD CONT. CO. DBA ORLANDO PAVING CO., ORLANDO Air emission source
- DUVAL ASPHALT PRODUCTS, INC, GREEN COVE SPRINGS Air emission source
- MULO INC, SOUTH BAY Air emission source
- ROADS INC, CANTONMENT Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 106059.