Skilled nursing facility · CMS certification number 145441
SHELBYVILLE MANOR
SHELBYVILLE, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 109
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 3 · Fines: 2 · Fines, total amount: $77,985.00 · Payment denials: 1. The most recent penalty on file: May 7, 2026, Fine, $28,985. 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 October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 22, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,887,119 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $95,245 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,791,874 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,560,721 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$768,847 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,127 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$744,720 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$744,720 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 39,894 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,832 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,842 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,800 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 27,474 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 91 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 80 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 66 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 237 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 210.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441199, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,965,333 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $184,329 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,781,004 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,016,291 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,235,287 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $257,319 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$977,968 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$977,968 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,077 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 215 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 238.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397324, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,754,153 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $246,760 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,507,393 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,237,385 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$729,992 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $254,940 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$475,052 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$475,052 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,755 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 185 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 310.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366793, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 2, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,250,221 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $184,704 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,065,517 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,302,127 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$236,610 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,570 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$206,040 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$206,040 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,275 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 359.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335939, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 25, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,624,606 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $198,316 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,426,290 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,621,318 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$195,028 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $756,039 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $561,011 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $561,011 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,945 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 165 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 289.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 181.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1287597, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,252,264 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $894,865 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,357,399 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,138,006 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $219,393 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $39,288 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $258,681 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $258,681 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,483 | 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 | 40.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 316.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281276, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 21, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,110,371 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,371,547 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,738,824 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,130,348 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$391,524 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $47,282 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$344,242 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$344,242 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,139 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 203 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 412.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1224833, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 28, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,607,176 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,636,036 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,971,140 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,717,491 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $253,649 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,159 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $280,808 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $280,808 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,989 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 271.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217146, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 24, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,205,183 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,504,882 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,700,301 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,858,196 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$157,895 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,606 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$132,289 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$132,289 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,993 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 798.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1177482, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 16, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,265,179 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $55,831 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,209,348 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,820,745 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $388,603 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,021 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $397,624 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $397,623 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,984 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 252 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 378.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1154664, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,433,031 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $23,415 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,409,616 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,868,268 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $541,348 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,590 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $564,938 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $564,935 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,426 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 294 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 248.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109252, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,716,961 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,716,961 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,392,877 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $324,084 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,154 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $356,238 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $356,238 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,955 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 327 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 110.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 82.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088577, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,388,496 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,388,496 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,864,364 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $524,132 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,867 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $542,999 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $542,999 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,950 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 378 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 101.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077582, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,706,984 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,034,526 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $672,458 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,594 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $678,052 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,916 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 285 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 120.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 87.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435086, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 22, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,696,891 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,471,448 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $225,443 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,944 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $253,387 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,458 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 288 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 119.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 95.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422454, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 10, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,776,648 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,080,447 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $696,201 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,033 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $718,234 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,929 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 278 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 141.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 111.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 395305, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 3, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,040,985 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,771,406 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $269,579 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,170 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $283,749 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,942 | 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 | 47.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 128.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 114.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364888, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 16, 2009.
None of these figures is carried on this report.
CMS report record 337359, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for February 2, 2006 to December 31, 2006 — a reporting period of 332 days, on form CMS-2540-96, settled, processed by CMS on November 27, 2007.
None of these figures is carried on this report.
CMS report record 296921, 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 May 1, 2007.
None of these figures is carried on this report.
CMS report record 277358, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 10, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,361,527 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,968,489 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $393,038 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,405 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $397,441 (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 | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,677 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 135 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 293.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 236515, 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 January 26, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,815,662 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,764,105 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $51,557 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,953 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $57,507 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,756 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 115 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 302.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205326, 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 December 10, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,925,550 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,555,977 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $369,573 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,345 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $375,917 (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 | 155 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,638 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 899.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 195.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 164935, 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 October 28, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,844,848 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,671,450 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $173,398 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,171 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $180,569 (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 | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,358 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 215 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 672.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 161761, 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 November 8, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,853,803 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,516,935 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $336,868 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,055 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $358,923 (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 | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,855 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,231.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 202.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16231, 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, reopened, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,525,073 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,471,193 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $53,880 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,085 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $59,965 (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 | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,432 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,300.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 232.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 126524, 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 July 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,699,602 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,522,256 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $177,346 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,297 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $181,643 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,969 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 209 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 978.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16228, 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 22, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,141,267 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,728,310 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $412,957 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,447 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $433,404 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,162 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 228 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,383.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16227, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on March 11, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,767,249 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,424,476 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $342,773 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,068 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $358,841 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,829 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 171 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 999.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 232.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16226, 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 |
|---|---|---|---|---|
| FINKE, AUDREY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/30/2018 |
| GILMORE, JERRY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/02/2006 |
| HANEY, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/02/2006 |
| WAGNER, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/02/2006 |
| WAGNER, ROBERT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/30/2018 |
| WILSON, RONALD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/30/2018 |
| UDI #3, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/02/2006 |
| DAILEY, KAREN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/02/2006 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of UNLIMITED DEVELOPMENT, INC (enrollment ID O20090720000426).
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 |
|---|---|---|---|---|---|
| AUDREY J FINKE | Individual | CORPORATE DIRECTOR | 0 | 8/30/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID S HANEY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 2/2/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JERRY D GILMORE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 2/2/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT H WAGNER | Individual | CORPORATE DIRECTOR | 0 | 2/2/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT H WAGNER | Individual | CORPORATE OFFICER | 0 | 8/30/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RONALD J WILSON | Individual | CORPORATE OFFICER | 0 | 8/30/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| UDI #3, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/2/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| KAREN DAILEY | Individual | W-2 MANAGING EMPLOYEE | 0 | 2/2/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2024: GLENNA SUE TAYLOR no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- October 22, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 1, 2024: GLENNA SUE TAYLOR no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- October 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- November 2, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- June 25, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- March 16, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- May 21, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- December 28, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- October 24, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- March 16, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- September 9, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- April 16, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- September 9, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- July 23, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- December 22, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- March 10, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- March 3, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- April 16, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- November 27, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- September 13, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- May 1, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- November 10, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- January 26, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- December 10, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- October 28, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 13, 2003: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- November 8, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- July 3, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- November 22, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- March 11, 1999: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 2, 2025 | May 2, 2025 | 19 | 9 |
| 2 | June 7, 2024 | June 7, 2024 | 15 | 5 |
| 3 | June 28, 2023 | June 28, 2023 | 9 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
43 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 7, 2026 | 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 | May 22, 2026 |
| May 7, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | May 22, 2026 |
| March 5, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | March 27, 2026 |
| March 5, 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 | March 27, 2026 |
| March 5, 2026 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Yes | Deficient, Provider has date of correction | March 27, 2026 |
| March 5, 2026 | 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 27, 2026 |
| November 16, 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. | E | Yes | Deficient, Provider has date of correction | November 18, 2025 |
| November 16, 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Yes | Deficient, Provider has date of correction | November 18, 2025 |
| October 23, 2025 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | G | Yes | Deficient, Provider has date of correction | October 27, 2025 |
| July 22, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | August 11, 2025 |
| July 22, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | Yes | Deficient, Provider has date of correction | August 11, 2025 |
| May 2, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | May 12, 2025 |
| May 2, 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 20, 2025 |
| May 2, 2025 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | No | Deficient, Provider has date of correction | May 13, 2025 |
| May 2, 2025 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | No | Deficient, Provider has date of correction | May 22, 2025 |
| May 2, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | May 22, 2025 |
| May 2, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | May 12, 2025 |
| May 2, 2025 | 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. | E | No | Deficient, Provider has date of correction | May 12, 2025 |
| May 2, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | May 16, 2025 |
| May 2, 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | May 16, 2025 |
| May 2, 2025 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | May 16, 2025 |
| November 8, 2024 | 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 | November 15, 2024 |
| September 27, 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 | October 4, 2024 |
| June 7, 2024 | 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. | E | No | Deficient, Provider has date of correction | June 26, 2024 |
| June 7, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | June 27, 2024 |
| June 7, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | June 27, 2024 |
| June 7, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | June 27, 2024 |
| June 7, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | June 27, 2024 |
| June 7, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | June 27, 2024 |
| June 7, 2024 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | July 2, 2024 |
| June 7, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | June 27, 2024 |
| June 7, 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | June 27, 2024 |
| June 7, 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 | July 2, 2024 |
| June 7, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | June 27, 2024 |
| March 13, 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 | March 20, 2024 |
| June 28, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | July 15, 2023 |
| June 28, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | July 15, 2023 |
| June 28, 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Deficient, Provider has date of correction | July 15, 2023 |
| June 28, 2023 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | July 15, 2023 |
| June 28, 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | C | No | Deficient, Provider has date of correction | July 15, 2023 |
| June 28, 2023 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | No | Deficient, Provider has date of correction | July 15, 2023 |
| June 28, 2023 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | July 15, 2023 |
| June 28, 2023 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | July 15, 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 |
|---|---|---|---|---|---|
| May 7, 2026 | Fine | $28,985 | 139489 | ||
| October 23, 2025 | Fine | $49,000 | 135354 | ||
| May 2, 2025 | Payment Denial | May 31, 2025 | 13 |
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 | Non profit - Corporation |
| Legal Business Name | UNLIMITED DEVELOPMENT, INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1982-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Shelby |
| Telephone Number | 2177742111 |
| Chain Name | UNLIMITED DEVELOPMENT, INC. |
| Chain ID | 536 |
| 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 | 109 |
| Average Number of Residents per Day | 85.1 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on SHELBYVILLE MANOR: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On October 22, 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 SHELBYVILLE MANOR
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 145441.