Skilled nursing facility · CMS certification number 145266
Fondulac Rehabilitation and Health Care Center
EAST PEORIA, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 98
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.
CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)
In Care Compare’s provider information: Penalties: 3 · Fines: 2 · Fines, total amount: $146,601.00 · Payment denials: 1. The most recent penalty on file: May 20, 2026, Fine, $78,834. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 30, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,258,056 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $149,179 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,108,877 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,625,189 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$516,312 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $250,601 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$265,711 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$265,711 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 35,868 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 911 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 20,166 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,683 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 23,760 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 139 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 51 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 203 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 145.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448842, 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 August 7, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,343,169 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $21,795 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,321,374 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,733,135 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$411,761 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $366,452 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$45,309 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$45,309 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,275 | 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 | 30.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 435.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 222.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391312, 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 October 31, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,244,044 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $399,784 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,844,260 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,712,289 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$868,029 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $257,736 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$610,293 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$610,293 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,648 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 500.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 202.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367355, 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 January 17, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,794,104 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $529,737 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,264,367 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,084,499 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$820,132 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $629,203 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$190,929 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$190,929 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,385 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 482.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 267.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1339635, 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 February 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,342,192 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $620,337 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,721,855 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,561,281 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $160,574 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $857,902 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,018,476 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,018,476 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,147 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 447.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 283.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310430, 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 April 14, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,942,322 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $499,024 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,443,298 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,293,502 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $149,796 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,546 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $154,342 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $154,342 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,359 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 79.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 422.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 312.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281913, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,394,622 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $151,339 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,243,283 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,219,652 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $23,631 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,277 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $30,908 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $30,908 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,402 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 455.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 346.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238031, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 7, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,064,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $207,135 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,857,017 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,617,753 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $239,264 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,436 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $254,700 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $254,700 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,474 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 532.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 291.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220694, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 28, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,324,554 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $209,960 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,114,594 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,721,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $392,627 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,406 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $402,033 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $402,033 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,312 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 374.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 222.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1196624, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 13, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,948,005 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $189,501 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,758,504 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,552,268 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $206,236 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,437 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $211,673 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $211,673 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,281 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 270.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 228.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1154291, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 9, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,323,697 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $368,177 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,955,520 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,833,627 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $121,893 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,387 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $126,280 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $126,280 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,165 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 326.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 211.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1126969, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,067,063 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $370,324 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,696,739 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,815,925 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$119,186 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,480 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$93,706 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$93,706 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,461 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 164.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109470, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 10, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,585,163 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $388,010 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,197,153 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,108,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $88,186 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,895 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $105,081 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $105,081 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,973 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 132 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 283.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 189.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080026, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 17, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,210,518 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $187,515 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,023,003 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,079,033 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$56,030 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,992 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$32,038 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$32,038 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,295 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 356.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 252.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1052592, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 14, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,843,096 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,954,130 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$111,034 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,102 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$102,932 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,684 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 426.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 249.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430406, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 3, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,138,287 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,961,350 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $176,937 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,567 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $181,504 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,619 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 163 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 222.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 401923, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 28, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,979,741 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,765,512 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $214,229 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,118 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $216,347 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,774 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 183 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 187.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 151.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 371123, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 30, 2009.
None of these figures is carried on this report.
CMS report record 338094, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 18, 2008.
None of these figures is carried on this report.
CMS report record 315206, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for September 30, 2005 to December 31, 2005 — a reporting period of 92 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 15, 2007.
None of these figures is carried on this report.
CMS report record 274935, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 19, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,049,608 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,976,556 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $73,052 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,150 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $88,202 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,157 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,770 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 364.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 231190, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on June 29, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,109,593 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,678,574 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$568,981 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,965 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$562,016 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,332 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 369 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 111.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 71.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 185172, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 29, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,408,244 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,162,907 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$754,663 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,039 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$751,624 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,231 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 137 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 349.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 220.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 196354, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,296,267 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,765,056 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,468,789 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,890 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,465,903 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,682 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 323.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 199043, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 9, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,966,386 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,042,636 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,076,250 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,602 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,065,648 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,709 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 182 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 250.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 130.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 153349, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,627,983 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,968,997 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$341,014 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$7,185 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$348,199 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,195 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 196 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 185.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 138.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 127595, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended February 6, 1998
Cost report for January 1, 1997 to February 6, 1998 — a reporting period of 401 days, on form CMS-2540-96, reopened, processed by CMS on May 7, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,077,877 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,387,370 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,690,507 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $1,690,507 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,473 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 179 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 192.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 278082, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on November 14, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,339,245 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,042,909 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $296,336 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,779 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $317,115 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,230 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 197.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266276, 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 |
|---|---|---|---|---|
| No owner named in the filing | Ownership Data Not Available | Not stated in the filing | Not stated in the filing | Not stated in the filing |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PETERSEN HEALTH OPERATIONS LLC (enrollment ID O20051227000342).
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 |
|---|---|---|---|---|---|
| MARK B PETERSEN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Not stated in the filing | 9/30/2005 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RYAN MEHAFFY | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 1/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- July 16, 2026: A deficiency was cited under tag F 0684, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 16, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- May 20, 2026: A penalty was recorded: Payment Denial. NH_Penalties_Sep2026_2.csv
- May 20, 2026: A penalty was recorded: Fine. NH_Penalties_Sep2026_2.csv
- March 30, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 7, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 31, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- January 17, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- February 16, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 14, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- March 7, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- June 28, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- March 13, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- June 9, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- September 11, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- November 10, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- December 17, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- June 14, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- June 3, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- May 28, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- April 30, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- June 18, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- May 7, 2007: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- March 15, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- November 14, 2006: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
- September 15, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- August 19, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- November 8, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- September 29, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- June 29, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- July 9, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- February 13, 2003: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- November 1, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 21, 2024 | August 21, 2024 | 32 | 7 |
| 2 | August 4, 2023 | August 4, 2023 | 29 | 2 |
| 3 | June 15, 2022 | June 15, 2022 | 11 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
75 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 16, 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. | D | Yes | Deficient, Provider has date of correction | July 17, 2026 |
| July 16, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | July 17, 2026 |
| June 24, 2026 | 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 | Yes | Deficient, Provider has date of correction | June 25, 2026 |
| June 24, 2026 | 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 | June 25, 2026 |
| June 24, 2026 | Health | F 0576 | Resident Rights Deficiencies | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Yes | Deficient, Provider has date of correction | June 25, 2026 |
| June 24, 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 | June 25, 2026 |
| June 24, 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. | D | Yes | Deficient, Provider has date of correction | July 17, 2026 |
| June 24, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Yes | Deficient, Provider has date of correction | June 25, 2026 |
| June 24, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | June 25, 2026 |
| June 24, 2026 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | Yes | Deficient, Provider has date of correction | June 25, 2026 |
| June 24, 2026 | Health | F 0909 | Environmental Deficiencies | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Yes | Deficient, Provider has date of correction | June 25, 2026 |
| May 30, 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | F | Yes | Deficient, Provider has date of correction | June 13, 2026 |
| May 20, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | J | Yes | Deficient, Provider has date of correction | June 5, 2026 |
| May 20, 2026 | 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. | D | Yes | Deficient, Provider has date of correction | May 21, 2026 |
| May 20, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | June 25, 2026 |
| May 28, 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. | J | Yes | Deficient, Provider has date of correction | June 11, 2025 |
| May 28, 2025 | 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. | F | Yes | Deficient, Provider has date of correction | June 11, 2025 |
| May 28, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | F | Yes | Deficient, Provider has date of correction | June 11, 2025 |
| May 28, 2025 | 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. | J | Yes | Deficient, Provider has date of correction | June 11, 2025 |
| May 28, 2025 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Yes | Deficient, Provider has date of correction | June 11, 2025 |
| May 28, 2025 | Health | F 0944 | Administration Deficiencies | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Yes | Deficient, Provider has date of correction | June 11, 2025 |
| May 28, 2025 | Health | F 0945 | Infection Control Deficiencies | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | F | Yes | Deficient, Provider has date of correction | June 11, 2025 |
| May 28, 2025 | Health | F 0946 | Administration Deficiencies | Provide training in compliance and ethics. | F | Yes | Deficient, Provider has date of correction | June 11, 2025 |
| May 28, 2025 | Health | F 0949 | Administration Deficiencies | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Yes | Deficient, Provider has date of correction | June 11, 2025 |
| March 21, 2025 | 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 | April 14, 2025 |
| August 21, 2024 | 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 | Yes | Deficient, Provider has date of correction | October 1, 2024 |
| August 21, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | October 1, 2024 |
| August 21, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | October 1, 2024 |
| August 21, 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | No | Deficient, Provider has date of correction | October 27, 2024 |
| August 21, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | October 1, 2024 |
| August 21, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | October 27, 2024 |
| August 21, 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 | October 27, 2024 |
| August 21, 2024 | 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 | October 1, 2024 |
| August 21, 2024 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Deficient, Provider has date of correction | October 1, 2024 |
| August 21, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | October 27, 2024 |
| August 21, 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | October 1, 2024 |
| August 21, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | October 1, 2024 |
| August 21, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | No | Deficient, Provider has date of correction | October 27, 2024 |
| August 21, 2024 | Health | F 0770 | Administration Deficiencies | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | No | Deficient, Provider has date of correction | October 27, 2024 |
| August 21, 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Yes | Deficient, Provider has date of correction | October 1, 2024 |
| August 21, 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 | Yes | Deficient, Provider has date of correction | October 1, 2024 |
| August 21, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | October 1, 2024 |
| August 15, 2023 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | August 25, 2023 |
| August 15, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | August 25, 2023 |
| August 15, 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0572 | Resident Rights Deficiencies | Give residents a notice of rights, rules, services and charges. | F | No | Deficient, Provider has date of correction | August 30, 2023 |
| August 4, 2023 | Health | F 0576 | Resident Rights Deficiencies | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | 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. | F | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | 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 | August 25, 2023 |
| August 4, 2023 | 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 | August 25, 2023 |
| August 4, 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. | D | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0809 | Nutrition and Dietary Deficiencies | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | August 25, 2023 |
| August 4, 2023 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | No | Deficient, Provider has date of correction | August 25, 2023 |
| June 15, 2022 | 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 | November 1, 2022 |
| June 15, 2022 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | No | Deficient, Provider has date of correction | October 13, 2022 |
| June 15, 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | October 13, 2022 |
| June 15, 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 | October 13, 2022 |
| June 15, 2022 | 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 | October 13, 2022 |
| June 15, 2022 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | October 13, 2022 |
| June 15, 2022 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | October 13, 2022 |
| June 15, 2022 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | October 13, 2022 |
| June 15, 2022 | 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 | November 1, 2022 |
| June 15, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | October 13, 2022 |
| June 15, 2022 | Health | F 0886 | Infection Control Deficiencies | Perform COVID19 testing on residents and staff. | F | No | Deficient, Provider has date of correction | October 13, 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 |
|---|---|---|---|---|---|
| May 20, 2026 | Fine | $78,834 | 144420 | ||
| May 20, 2026 | Payment Denial | June 20, 2026 | 27 | ||
| May 28, 2025 | Fine | $136,243 | 70619 | ||
| May 28, 2025 | Payment Denial | June 26, 2025 | 4 | ||
| March 21, 2025 | Fine | $10,358 | 134780 |
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 - Corporation |
| Legal Business Name | Legal Business Name Not Available |
| Date First Approved to Provide Medicare and Medicaid Services | 1973-12-26 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Tazewell |
| Telephone Number | 3096946446 |
| Special Focus Status | SFF Candidate |
| 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 | 98 |
| Average Number of Residents per Day | 72.0 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-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.
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