Skilled nursing facility · CMS certification number 115484
PROVIDENCE HEALTHCARE
THOMASTON, Georgia · Medicare and Medicaid
Certified beds, as filed in Care Compare: 110
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: 1 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 1. The most recent penalty on file: March 25, 2026, Payment Denial. 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, as submitted, processed by CMS on June 23, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,665,818 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,137,818 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,528,000 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,610,481 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$82,481 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $93,723 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $11,242 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $11,242 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 40,260 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,519 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 22,979 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,153 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 25,651 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 24 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 18 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 24 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,276.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 388.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1429779, 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 October 24, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,929,498 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,686,631 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,242,867 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,904,611 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$661,744 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $143,160 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$518,584 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$518,584 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,888 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 550.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 355.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441386, 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 May 29, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,090,641 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $750,266 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,340,375 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,939,936 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,599,561 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,207,028 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$392,533 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$392,533 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,613 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 536.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 317.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1379604, 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 November 8, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,109,996 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $444,746 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,665,250 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,915,825 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,250,575 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $554,701 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$695,874 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$695,874 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,192 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 478.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 272.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1336153, 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 July 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,652,823 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$75,680 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,728,503 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,322,880 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$594,377 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $442,530 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$151,847 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$151,847 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,038 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 428.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 181.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327898, 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 December 9, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,838,543 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,808,321 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,030,222 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,263,133 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$232,911 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,307 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$221,604 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$221,604 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,305 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 224 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 263.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1306648, 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 November 11, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,939,769 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,618,742 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,321,027 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,042,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $278,155 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,851 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $290,006 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $290,006 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,152 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 162 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 470.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 198.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1273549, read from the public cost report file SNF10FY2018.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 April 25, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,736,479 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,685,008 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,051,471 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,047,065 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,406 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,637 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $9,043 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$87,114 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,552 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 226 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 135.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223279, 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 7, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,264,198 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,607,915 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,656,283 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,006,648 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$350,365 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,405 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$347,960 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$347,960 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,166 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 185 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 510.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179452, 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 December 8, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,784,148 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,221,075 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,563,073 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,900,644 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$337,571 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,482 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$336,089 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$336,089 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,777 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 572.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 197.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1147858, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for December 12, 2013 to June 30, 2014 — a reporting period of 200 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 23, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,597,311 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $501,758 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,095,553 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,231,997 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$136,444 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,436 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$135,008 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$135,008 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,620 | 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 | 47.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,235.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 258.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084912, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 11, 2013
Cost report for July 1, 2013 to December 11, 2013 — a reporting period of 163 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 14, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,973,357 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $366,421 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,606,936 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,155,634 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $451,302 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,812 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $453,114 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $179,936 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,568 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 305.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1114924, read from the public cost report file SNF10FY2013.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 January 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,529,272 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $880,018 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,649,254 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,827,722 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $821,532 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$7,169 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $814,363 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
| Total other expenses | $608,289 | CMS-2540-10 worksheet G300000 line 3000 column 100 |
Net income: $206,074 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,622 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 292.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1054164, 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 28, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,391,400 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,741,870 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $649,530 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,635 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $524,826 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $128,339 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,857 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 105 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 989.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 341.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431909, 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 September 30, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,527,333 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,747,366 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $779,967 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,210 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $476,538 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $306,639 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,900 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 301.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418705, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 9, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,639,607 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,921,622 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $717,985 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,194 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $534,904 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $188,275 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,671 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 353.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417513, 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 February 22, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,461,677 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,736,131 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $725,546 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,499 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $479,598 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $256,447 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,588 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 373.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364257, 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 August 25, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,387,920 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,469,995 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $917,925 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,459 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $443,547 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $485,837 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,556 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 285.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324914, 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 February 15, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,787,948 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,754,172 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,033,776 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,524 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,039,300 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,140 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 353.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 272513, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 26, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,115,407 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,595,683 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $519,724 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,075 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,818 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $565,981 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,148 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 464.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241444, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 21, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,163,562 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,719,880 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $443,682 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,728 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $453,410 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,405 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 322.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205007, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 26, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,687,559 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,313,768 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $373,791 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,921 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $139,922 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $281,790 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,808 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 273.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 172060, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 29, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,567,486 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,103,685 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $463,801 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,741 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $185,542 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $289,000 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,845 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 115 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 81.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 329.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 185636, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,184,583 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,852,729 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $331,854 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $72,581 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $103,491 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $300,944 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,969 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 176 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 215.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141675, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,718,106 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,450,913 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $267,193 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,328 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $97,052 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $224,469 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,417 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 262.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141770, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on April 21, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,763,854 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,487,208 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $276,646 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $31,724 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $79,796 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $228,574 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,666 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 408.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 84270, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 31, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,774,761 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,477,690 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $297,071 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,746 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $81,917 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $224,900 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,350 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 136 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 289.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 84268, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for July 1, 1996 to June 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 24, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,675,207 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,615,836 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $59,371 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,005 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $73,376 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,125 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 109.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 291.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 84267, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended June 30, 1996
Cost report for April 1, 1996 to June 30, 1996 — a reporting period of 90 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 24, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $897,225 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,043,743 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$146,518 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,164 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,193 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$151,547 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,752 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 34 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 80.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 286.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 84265, 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 |
|---|---|---|---|---|
| PWW HEALTHCARE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 09/01/2017 |
| BEACON HEALTH MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2017 |
| WERTHEIM, BRUCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2017 |
| HOLIDAY, ELISA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 03/14/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PROVIDENCE SNF OPERATOR LLC (enrollment ID O20171213002392).
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 |
|---|---|---|---|---|---|
| PWW HEALTHCARE, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRUCE E WERTHEIM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 9/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BEACON HEALTH MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRUCE E WERTHEIM | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 9/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELISA HOLIDAY | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 3/14/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 30, 2022: DONNA RAMEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: ELISA HOLIDAY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since March 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Recent changes on this record
- October 24, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 23, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- May 29, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- November 30, 2022: DONNA RAMEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: ELISA HOLIDAY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since March 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 8, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 26, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 9, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- November 11, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- April 25, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- July 20, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- May 2, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- December 7, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- December 8, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- December 14, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- January 23, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- July 23, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- January 27, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- August 28, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- September 30, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- September 9, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- February 22, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- August 25, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- February 15, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- January 26, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- January 21, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- June 29, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- March 26, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- April 7, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- April 7, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- October 31, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- April 21, 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- June 24, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
- March 24, 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 24, 2025 | July 24, 2025 | 9 | 0 |
| 2 | February 25, 2024 | February 25, 2024 | 2 | 1 |
| 3 | September 1, 2022 | September 1, 2022 | 9 | 0 |
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 |
|---|---|---|---|---|---|---|---|---|
| March 25, 2026 | 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 | May 21, 2026 |
| March 25, 2026 | Health | F 0606 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Yes | Deficient, Provider has date of correction | May 21, 2026 |
| March 25, 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | Yes | Deficient, Provider has date of correction | May 21, 2026 |
| March 25, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Yes | Deficient, Provider has date of correction | May 21, 2026 |
| July 24, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | August 30, 2025 |
| July 24, 2025 | 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 | August 30, 2025 |
| July 24, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | August 30, 2025 |
| July 24, 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | August 30, 2025 |
| July 24, 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Yes | Deficient, Provider has date of correction | August 30, 2025 |
| February 25, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | March 29, 2024 |
| February 25, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | March 29, 2024 |
| September 1, 2022 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 1, 2022 | 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. | D | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 1, 2022 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 1, 2022 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 1, 2022 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 1, 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 1, 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 1, 2022 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 1, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | November 4, 2022 |
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 |
|---|---|---|---|---|---|
| March 25, 2026 | Payment Denial | April 24, 2026 | 1 |
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 | For profit - Individual |
| Legal Business Name | PROVIDENCE SNF OPERATOR LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1989-10-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Upson |
| Telephone Number | 7066476693 |
| Chain Name | BEACON HEALTH MANAGEMENT |
| Chain ID | 69 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 110 |
| Average Number of Residents per Day | 74.6 |
| Overall Rating | 2 |
| Health Inspection Rating | 1 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on PROVIDENCE HEALTHCARE: 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 October 24, 2025: A cost report was filed for fiscal year 2023, 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 PROVIDENCE HEALTHCARE
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 Georgia 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 115484.