Skilled nursing facility · CMS certification number 145290
Nexus Pavilion at Belleville
BELLEVILLE, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 180
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: 9 · Fines: 7 · Fines, total amount: $821,641.00 · Payment denials: 2. The most recent penalty on file: October 16, 2025, Fine, $57,460. 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 November 14, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,320,154 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,264,663 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,055,491 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,174,192 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$118,701 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $435,692 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $316,991 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $316,991 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 65,880 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 913 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 39,853 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,967 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 42,733 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 8 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 72 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 18 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 114.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 436.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442398, 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 September 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,345,794 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,965,465 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,380,329 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,792,901 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,412,572 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $647,470 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,765,102 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,765,102 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,083 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 104.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 1,346.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395348, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for September 1, 2022 to December 31, 2022 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 29, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,273,495 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $118,402 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,155,093 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,232,534 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$77,441 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$178,024 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$255,465 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$255,465 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,622 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 30 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 97.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 520.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1379617, 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 September 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,246,172 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $267,196 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,978,976 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,417,478 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,438,502 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,024,316 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$414,186 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$414,186 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,944 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 708.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333542, 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 June 10, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,766,529 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $564,909 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,201,620 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,144,173 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $57,447 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,196,580 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,254,027 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,254,027 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,610 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 176 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 137 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 259.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1319112, 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 September 17, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,814,085 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $266,640 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,547,445 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,598,137 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$50,692 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $933 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$49,759 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$49,759 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,866 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 216 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 207.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300440, 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 August 16, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,753,142 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $559,197 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,193,945 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,311,517 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$117,572 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $214 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$117,358 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$117,358 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,279 | 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 | 50.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 182.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241087, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,853,533 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $484,687 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,368,846 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,374,412 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,005,566 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,824 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,001,742 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,001,742 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,384 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 167 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 89.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 205.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1199645, 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, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,840,280 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $384,111 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,456,169 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,576,554 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,120,385 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,383 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,119,002 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,119,002 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,161 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 464.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1166815, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,266,523 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $105,681 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,160,842 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,443,683 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,282,841 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,729 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,281,112 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,281,112 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,141 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | 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 | 314.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138574, 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 July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,942,843 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $230,974 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,711,869 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,138,827 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$426,958 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,034 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$425,924 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$425,924 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,137 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 338.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1102618, 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 June 30, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,274,744 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $36,732 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,238,012 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,475,467 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,237,455 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,803 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,235,652 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,235,652 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,179 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 39 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 748.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1069795, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 30, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,957,635 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,866 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,945,769 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,508,559 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,562,790 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,198 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,561,592 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,561,592 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,879 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 337.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044288, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for March 1, 2011 to December 31, 2011 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on May 21, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,203,435 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $251,290 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,952,145 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,914,819 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,037,326 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $768 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,038,094 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,038,094 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,519 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 301.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029774, 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 May 7, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,145,555 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,267,455 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$121,900 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $93,124 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$28,776 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,610 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 411 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 144.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 113.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428685, 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 May 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,829,934 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,610,555 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $219,379 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,494 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $269,873 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,204 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 362 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 146.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 399992, 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 November 6, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,900,263 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,597,612 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $302,651 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,077 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $104,647 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $241,081 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,170 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 384 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 153.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358873, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 1, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,103,410 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,855,452 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $247,958 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,560 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $274,518 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,238 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 360 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 166.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322552, 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, reopened, processed by CMS on March 17, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,008,705 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,985,732 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $22,973 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $62,261 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $85,234 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,312 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 390 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 158.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 131.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 304646, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 15, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,293,659 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,157,059 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $136,600 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,277 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $171,877 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 55,307 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 447 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 151.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261234, 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, reopened, processed by CMS on January 26, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,924,637 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,813,155 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $111,482 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,682 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $150,164 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,431 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 425 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 154.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241454, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,067,127 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,874,036 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $193,091 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,574 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $244,665 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,556 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 376 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 240.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 192337, 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 May 4, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,605,128 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,684,774 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$79,646 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,398 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$36,248 (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 | 237 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,842 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 233 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 328.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 231.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175103, 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 September 24, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,918,234 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,167,109 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$248,875 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,336 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$221,539 (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 | 237 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,346 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 195 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 541.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 288.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195734, 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 May 20, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,700,439 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,661,053 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $39,386 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $31,342 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $70,728 (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 | 237 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,239 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 305 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 204.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 145635, 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 October 22, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,369,675 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,382,359 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$12,684 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $33,445 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $20,761 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 237 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,308 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 254 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 253.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85282, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 12, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,438,401 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,296,726 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $141,675 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,766 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $177,441 (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 | 237 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,851 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 255 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 238.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85280, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 3, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,600,805 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,481,585 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $119,220 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $31,205 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $150,425 (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 | 238 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,146 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 272 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 235.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85279, 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, as submitted, processed by CMS on April 21, 1997.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,967,812 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,283,751 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$315,939 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,775 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$272,164 (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 | 237 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 65,812 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 344 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 191.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85278, 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 BELLEVILLE HEALTHCARE CENTER LP (enrollment ID O20220926000908).
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 |
|---|---|---|---|---|---|
| AVRUM WEINFELD | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 28.33 | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL T WEISS | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 28.34 | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATAN WEISS | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 28.33 | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DVORAH S WEINFELD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15 | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AVRUM WEINFELD | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTINE DAVIS | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIM M BOULTON | Individual | ADP OF THE SNF | Not stated in the filing | 6/28/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NAVDEEP DHALIWAL | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTINE DAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NAVDEEP DHALIWAL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2025: KIM M BOULTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NAVDEEP DHALIWAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NAVDEEP DHALIWAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINE DAVIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINE DAVIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AVRUM WEINFELD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KIM M BOULTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 28, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- February 15, 2023: ANETTA KOZLOWSKA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: STEVEN BLISKO no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: TED LERMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: A&F REALTY LLC no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: DVORAH S WEINFELD (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: DANIEL T WEISS (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: AVRUM WEINFELD (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: KIM M BOULTON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: NATAN WEISS (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- November 14, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 1, 2025: KIM M BOULTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NAVDEEP DHALIWAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NAVDEEP DHALIWAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINE DAVIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINE DAVIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AVRUM WEINFELD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KIM M BOULTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 28, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 20, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 29, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 8, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- February 15, 2023: ANETTA KOZLOWSKA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: STEVEN BLISKO no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: TED LERMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: A&F REALTY LLC no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: DVORAH S WEINFELD (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: DANIEL T WEISS (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: AVRUM WEINFELD (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: KIM M BOULTON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: NATAN WEISS (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- September 22, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- June 10, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 17, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 16, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 19, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- June 28, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 28, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 24, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- June 30, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 30, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- May 21, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- May 7, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- January 18, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- May 20, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- November 6, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 1, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- March 17, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- August 15, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- January 26, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- September 24, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 14, 2025 | March 14, 2025 | 18 | 4 |
| 2 | April 18, 2024 | April 18, 2024 | 39 | 7 |
| 3 | March 15, 2023 | March 15, 2023 | 22 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
79 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 11, 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 12, 2026 |
| June 11, 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 12, 2026 |
| June 11, 2026 | 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. | H | Yes | Deficient, Provider has date of correction | July 28, 2026 |
| June 4, 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 6, 2026 |
| May 14, 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 | May 20, 2026 |
| May 14, 2026 | 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. | E | Yes | Deficient, Provider has date of correction | May 20, 2026 |
| April 13, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | April 15, 2026 |
| April 13, 2026 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Yes | Deficient, Provider has date of correction | April 15, 2026 |
| April 3, 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. | D | Yes | Deficient, Provider has date of correction | April 6, 2026 |
| April 3, 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | April 6, 2026 |
| January 9, 2026 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Yes | Deficient, Provider has date of correction | January 10, 2026 |
| October 16, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | October 31, 2025 |
| August 4, 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 | August 5, 2025 |
| July 23, 2025 | 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 | July 26, 2025 |
| July 23, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | Yes | Deficient, Provider has date of correction | July 26, 2025 |
| June 25, 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 | August 5, 2025 |
| June 11, 2025 | 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 | Yes | Deficient, Provider has date of correction | June 12, 2025 |
| June 11, 2025 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Yes | Deficient, Provider has date of correction | June 12, 2025 |
| June 4, 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | June 5, 2025 |
| June 4, 2025 | 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 | Yes | Deficient, Provider has date of correction | June 5, 2025 |
| May 21, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | E | Yes | Deficient, Provider has date of correction | May 22, 2025 |
| April 29, 2025 | 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 | April 30, 2025 |
| April 29, 2025 | Health | F 0691 | Quality of Life and Care Deficiencies | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | G | Yes | Deficient, Provider has date of correction | April 30, 2025 |
| April 29, 2025 | 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 | April 30, 2025 |
| April 7, 2025 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Yes | Deficient, Provider has date of correction | April 16, 2025 |
| March 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. | G | Yes | Deficient, Provider has date of correction | May 21, 2025 |
| March 28, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | May 21, 2025 |
| March 28, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | April 8, 2025 |
| March 14, 2025 | Health | F 0573 | Resident Rights Deficiencies | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Yes | Deficient, Provider has date of correction | April 2, 2025 |
| March 14, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | No | Deficient, Provider has date of correction | May 21, 2025 |
| March 14, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | May 21, 2025 |
| March 14, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | April 8, 2025 |
| March 14, 2025 | 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 | April 2, 2025 |
| March 14, 2025 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | April 2, 2025 |
| January 22, 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. | L | Yes | Deficient, Provider has date of correction | February 3, 2025 |
| January 22, 2025 | Health | F 0712 | Nursing and Physician Services Deficiencies | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Yes | Deficient, Provider has date of correction | February 3, 2025 |
| January 9, 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 | January 29, 2025 |
| January 9, 2025 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Yes | Deficient, Provider has date of correction | January 29, 2025 |
| November 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. | G | Yes | Deficient, Provider has date of correction | December 10, 2024 |
| November 21, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | G | Yes | Deficient, Provider has date of correction | December 10, 2024 |
| October 24, 2024 | 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 | November 15, 2024 |
| October 24, 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| October 22, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | November 8, 2024 |
| August 29, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | September 16, 2024 |
| August 16, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Yes | Deficient, Provider has date of correction | August 21, 2024 |
| June 27, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | July 11, 2024 |
| April 24, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | May 13, 2024 |
| April 18, 2024 | 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. | E | Yes | Deficient, Provider has date of correction | May 13, 2024 |
| April 18, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | No | Deficient, Provider has date of correction | May 13, 2024 |
| April 18, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | F | Yes | Deficient, Provider has date of correction | May 13, 2024 |
| April 18, 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 | May 13, 2024 |
| April 18, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | May 13, 2024 |
| April 18, 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | G | No | Deficient, Provider has date of correction | May 13, 2024 |
| April 18, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | May 13, 2024 |
| April 18, 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 | Yes | Deficient, Provider has date of correction | May 13, 2024 |
| April 18, 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 | Yes | Deficient, Provider has date of correction | May 13, 2024 |
| April 18, 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 | May 13, 2024 |
| April 18, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | May 13, 2024 |
| April 18, 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | May 13, 2024 |
| April 18, 2024 | 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 | May 13, 2024 |
| April 18, 2024 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | No | Deficient, Provider has date of correction | May 13, 2024 |
| April 18, 2024 | Health | F 0949 | Administration Deficiencies | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | No | Deficient, Provider has date of correction | May 13, 2024 |
| March 1, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | March 25, 2024 |
| March 1, 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 | Yes | Deficient, Provider has date of correction | March 25, 2024 |
| March 1, 2024 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Yes | Deficient, Provider has date of correction | March 25, 2024 |
| November 9, 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Yes | Deficient, Provider has date of correction | November 30, 2023 |
| November 9, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | November 30, 2023 |
| November 9, 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. | D | Yes | Deficient, Provider has date of correction | November 30, 2023 |
| November 9, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | November 30, 2023 |
| October 18, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | November 3, 2023 |
| March 15, 2023 | 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. | E | No | Deficient, Provider has date of correction | April 7, 2023 |
| March 15, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | No | Deficient, Provider has date of correction | April 7, 2023 |
| March 15, 2023 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | April 7, 2023 |
| March 15, 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. | D | No | Deficient, Provider has date of correction | April 7, 2023 |
| March 15, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 15, 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. | K | No | Deficient, Provider has date of correction | April 7, 2023 |
| March 15, 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 | April 7, 2023 |
| March 15, 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | No | Deficient, Provider has date of correction | April 7, 2023 |
| March 15, 2023 | 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 | April 7, 2023 |
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 |
|---|---|---|---|---|---|
| October 16, 2025 | Fine | $57,460 | 135210 | ||
| March 14, 2025 | Fine | $159,478 | 70433 | ||
| March 14, 2025 | Payment Denial | April 8, 2025 | 128 | ||
| January 9, 2025 | Fine | $152,095 | 70452 | ||
| November 21, 2024 | Fine | $29,510 | 70195 | ||
| August 16, 2024 | Fine | $37,700 | 70006 | ||
| April 18, 2024 | Fine | $192,836 | 69715 | ||
| April 18, 2024 | Payment Denial | May 16, 2024 | 56 | ||
| October 18, 2023 | Fine | $192,562 | 69030 |
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 - Limited Liability company |
| Legal Business Name | Legal Business Name Not Available |
| Date First Approved to Provide Medicare and Medicaid Services | 1977-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | St. Clair |
| Telephone Number | 6182343323 |
| 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 | 180 |
| Average Number of Residents per Day | 113.9 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| 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 Nexus Pavilion at Belleville: 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 November 14, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Nexus Pavilion at Belleville
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 Illinois 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 145290.