Skilled nursing facility · CMS certification number 145593
AVANTARA LIBERTYVILLE
LIBERTYVILLE, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 150
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $26,130.00 · Payment denials: 0. The most recent penalty on file: May 22, 2026, Fine, $26,130. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 20, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,928,818 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,311,908 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,616,910 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,859,579 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,757,331 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $84,283 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,841,614 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,841,614 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 54,900 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 8,717 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 23,619 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,294 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 40,630 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 255 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 63 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 402 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 720 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 374.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448665, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for February 1, 2023 to December 31, 2023 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on November 18, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,479,228 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,161,544 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,317,684 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,844,997 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,527,313 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $145,036 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,382,277 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,382,277 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,909 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 617 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 50.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442571, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended May 31, 2022
Cost report for June 1, 2021 to May 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 13, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,811,432 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,529,893 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,281,539 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,446,367 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,164,828 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $267,281 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,897,547 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,900,989 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,315 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 878 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 124.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 40.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373297, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended May 31, 2021
Cost report for June 1, 2020 to May 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 17, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,059,636 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,321,927 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,737,709 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,959,127 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,221,418 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $461,519 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,759,899 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,781,263 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,104 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 787 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 96.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334793, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended May 31, 2020
Cost report for June 1, 2019 to May 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 25, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,672,171 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,388,078 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,284,093 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,913,105 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$629,012 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $902,708 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $273,696 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $246,424 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,897 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,018 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 109.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314680, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended May 31, 2019
Cost report for June 1, 2018 to May 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 29, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,061,367 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,209,637 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,851,730 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,914,707 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$62,977 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,450 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$53,527 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$63,372 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,205 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,173 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 135.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 35.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1270005, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended May 31, 2018
Cost report for June 1, 2017 to May 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,018,880 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,037,722 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,981,158 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,761,633 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,780,475 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,916 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,769,559 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,778,043 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,762 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,242 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 124.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 31.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254104, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended May 31, 2017
Cost report for June 1, 2016 to May 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,390,042 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,041,357 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,348,685 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,466,787 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,118,102 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,044 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,107,058 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,118,584 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,533 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,208 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 124.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 33.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218345, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended May 31, 2016
Cost report for June 1, 2015 to May 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 8, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,160,899 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,551,373 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,609,526 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,548,697 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$939,171 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,284 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$922,887 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$933,188 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,943 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,037 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 36.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175661, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended May 31, 2015
Cost report for June 1, 2014 to May 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,194,476 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,382,429 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,812,047 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,976,156 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $835,891 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,439 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $857,330 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $844,085 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,754 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,176 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 179.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 34.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143678, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended May 31, 2014
Cost report for June 1, 2013 to May 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,860,967 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,236,321 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,624,646 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,634,737 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $989,909 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,677 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,016,586 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,005,285 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,496 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,030 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 186.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 40.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1110843, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended May 31, 2013
Cost report for June 1, 2012 to May 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 8, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,761,521 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,395,032 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,366,489 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,575,415 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$208,926 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,551 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$167,375 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$180,569 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,768 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 847 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 250.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 49.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1059507, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended May 31, 2012
Cost report for June 1, 2011 to May 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,120,925 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,957,993 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,162,932 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,499,902 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $663,030 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,414 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $686,444 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $666,635 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,271 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 790 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 169.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047159, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended May 31, 2011
Cost report for June 1, 2010 to May 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,119,748 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,097,992 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,021,756 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,285 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $16,589 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,029,452 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,062 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 878 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 163.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 46.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433360, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended May 31, 2010
Cost report for June 1, 2009 to May 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on December 30, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,033,385 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,036,084 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $997,301 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,598 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $12,435 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,009,464 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,880 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 856 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 213.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 50.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422741, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended May 31, 2009
Cost report for June 1, 2008 to May 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 28, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,396,607 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,381,494 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,015,113 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,263 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,367 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,030,009 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,461 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 780 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 309.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 55.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 388156, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended May 31, 2008
Cost report for December 20, 2007 to May 31, 2008 — a reporting period of 163 days, not a full year, on form CMS-2540-96, settled, processed by CMS on September 29, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,760,082 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,399,812 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $360,270 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,922 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,420 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $364,772 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,526 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 340 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 219.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 57.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 357239, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 19, 2007
Cost report for June 1, 2007 to December 19, 2007 — a reporting period of 201 days, not a full year, on form CMS-2540-96, settled, processed by CMS on September 28, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,989,583 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,083,969 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$94,386 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,678 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $16,503 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$96,211 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,116 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 409 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 209.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 58.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 357208, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended May 31, 2006
Cost report for June 1, 2005 to May 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 2, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,658,639 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,541,796 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $116,843 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,868 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,728 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $131,983 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,930 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 586 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 243.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 66.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 290928, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended May 31, 2005
Cost report for June 1, 2004 to May 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 10, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,552,625 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,446,079 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $106,546 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,599 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,162 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $120,983 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,244 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 551 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 219.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 74.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 244830, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended May 31, 2004
Cost report for June 1, 2003 to May 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 31, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,855,545 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,971,365 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$115,820 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $34,373 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $12,002 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$93,449 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,305 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 579 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 313.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 79.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205733, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended May 31, 2003
Cost report for June 1, 2002 to May 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,350,454 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,274,390 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $76,064 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $71,318 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,743 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $137,639 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,747 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 731 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 168.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 65.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 178844, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended May 31, 2002
Cost report for June 1, 2001 to May 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 31, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,713,838 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,825,738 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $888,100 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $72,283 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,601 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $951,782 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,655 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 700 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 170.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 69.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 166234, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended May 31, 2001
Cost report for June 1, 2000 to May 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,306,283 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,473,836 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$167,553 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $73,801 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $84,024 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$177,776 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,828 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 545 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 165.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 85.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 139810, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended May 31, 2000
Cost report for June 1, 1999 to May 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 13, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,746,708 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,671,172 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $75,536 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,808 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$35,602 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $178,946 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,944 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 446 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 288 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 25135, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended May 31, 1999
Cost report for June 1, 1998 to May 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on July 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,927,937 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,939,989 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $987,948 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $84,016 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $186,210 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $885,754 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,635 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 289 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 168.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 410785, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended May 31, 1998
Cost report for November 1, 1997 to May 31, 1998 — a reporting period of 211 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on October 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,996,113 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,557,221 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $438,892 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,773 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $468,665 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,171 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 195.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 388457, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended October 31, 1997
Cost report for November 1, 1996 to October 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on October 29, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,406,210 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,132,473 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $273,737 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,365 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $323,102 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,887 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 234 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 204.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358379, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended October 31, 1996
Cost report for November 1, 1995 to October 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on September 15, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,496,858 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,096,421 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $400,437 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $90,389 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $490,826 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,195 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 242 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 203.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159517, 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 |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 26% | since 02/01/2023 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 60% | since 02/01/2023 |
| OAKWAY OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | since 02/01/2023 |
| SHABAT, MENACHEM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2023 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2023 |
| SKINNER, KARIL | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LIBERTYVILLE SKILLED NURSING FACILITY, LLC (enrollment ID O20230322002072).
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 |
|---|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25.5 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 59.5 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| OAKWAY OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM SHABAT | Individual | CORPORATE OFFICER | Not stated in the filing | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| KARIL SKINNER | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 1, 2023: ROBERT SHARON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: PROMEDICA HEALTH SYSTEM, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DAMIAN RODGERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HCR III HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HCR MANORCARE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: ANDREA SYPE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HCR II HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: RAMI UBAYDI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HCR IV HEALTHCARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: KATHRYN H HOOPS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DEAN SHIPMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: EDGAR MARTHIENS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HCR HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HCR MANOR CARE SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: THOMAS R KILE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MARTIN D ALLEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MARTIN D ALLEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DOROS GENERATION TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: OAKWAY OPERATIONS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: LEGACY HEALTHCARE FINANCIAL SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: GPN FAMILY TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: KARIL SKINNER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MENACHEM SHABAT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
Recent changes on this record
- March 20, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- November 18, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- February 13, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- December 1, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- November 1, 2023: ROBERT SHARON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: PROMEDICA HEALTH SYSTEM, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DAMIAN RODGERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HCR III HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HCR MANORCARE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: ANDREA SYPE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HCR II HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: RAMI UBAYDI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HCR IV HEALTHCARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: KATHRYN H HOOPS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DEAN SHIPMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: EDGAR MARTHIENS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HCR HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HCR MANOR CARE SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: THOMAS R KILE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MARTIN D ALLEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MARTIN D ALLEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DOROS GENERATION TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: OAKWAY OPERATIONS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: LEGACY HEALTHCARE FINANCIAL SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: GPN FAMILY TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: KARIL SKINNER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MENACHEM SHABAT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- October 17, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- April 25, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- September 29, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- April 16, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- January 24, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- September 8, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- September 30, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- September 28, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- May 8, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- August 21, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- December 30, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- July 19, 2011: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 25, 2024 | September 25, 2024 | 7 | 4 |
| 2 | November 8, 2023 | November 8, 2023 | 8 | 9 |
| 3 | October 26, 2022 | October 26, 2022 | 8 | 13 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
23 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 22, 2026 | 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. | J | Yes | Past Non-Compliance | |
| August 25, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | August 26, 2025 |
| August 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. | G | Yes | Deficient, Provider has date of correction | August 26, 2025 |
| January 14, 2025 | Health | F 0729 | Nursing and Physician Services Deficiencies | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | F | Yes | Deficient, Provider has date of correction | January 21, 2025 |
| September 25, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | October 4, 2024 |
| September 25, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | October 4, 2024 |
| September 25, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | October 4, 2024 |
| September 25, 2024 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | No | Deficient, Provider has date of correction | October 4, 2024 |
| September 25, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | October 4, 2024 |
| September 25, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | October 4, 2024 |
| December 14, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | December 18, 2023 |
| November 8, 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 | November 10, 2023 |
| November 8, 2023 | 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 | November 10, 2023 |
| November 8, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | November 10, 2023 |
| November 8, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | November 10, 2023 |
| November 8, 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 | November 10, 2023 |
| October 26, 2022 | 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 | November 29, 2022 |
| October 26, 2022 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | November 29, 2022 |
| October 26, 2022 | 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 | November 29, 2022 |
| October 26, 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | November 29, 2022 |
| October 26, 2022 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | November 29, 2022 |
| October 26, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | November 29, 2022 |
| October 26, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | November 29, 2022 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| May 22, 2026 | Fine | $26,130 | 139499 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | LIBERTYVILLE SKILLED NURSING FACILITY, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1988-06-07 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Lake |
| Telephone Number | 8478163200 |
| Chain Name | LEGACY HEALTHCARE |
| Chain ID | 306 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 150 |
| Average Number of Residents per Day | 108.5 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| 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 AVANTARA LIBERTYVILLE: 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 March 20, 2026: 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 AVANTARA LIBERTYVILLE
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 145593.