Skilled nursing facility · CMS certification number 145612
PEARL OF CRYSTAL LAKE, THE
CRYSTAL LAKE, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 97
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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. 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 October 22, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,359,743 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,359,743 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,258,303 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $101,440 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,012 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $120,452 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $120,452 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 35,502 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,252 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,284 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,405 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 25,941 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 155 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 50 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 220 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 265.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441202, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 27, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,797,962 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $9,797,962 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,378,235 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $419,727 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $122,114 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $541,841 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $541,841 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,109 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 416 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 100.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396079, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for December 31, 2021 to December 31, 2022 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 11, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,751,176 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,751,176 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,356,637 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $394,539 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $107,872 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $502,411 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $502,411 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,276 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 453 | 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 | 155.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 42.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365963, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 30, 2021
Cost report for January 1, 2021 to December 30, 2021 — a reporting period of 363 days, on form CMS-2540-10, settled, processed by CMS on October 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,987,598 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $806,706 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,180,892 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,373,946 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,193,054 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $631,871 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,561,183 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,561,183 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,695 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 400 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 81.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 29.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335567, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 25, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,529,271 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,306,959 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,222,312 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,469,318 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,247,006 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $738,842 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$508,164 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$508,164 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,415 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 387 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 59.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 37.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1287598, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 3, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,813,442 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,272,042 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,541,400 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,846,274 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,304,874 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $114,901 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,189,973 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,189,973 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,431 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 613 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 25.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 30.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1256697, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 12, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,853,476 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,047,401 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,806,075 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,652,870 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $153,205 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,270 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $180,475 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $180,475 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,846 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 725 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 20.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 27.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236646, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,946,107 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,671,860 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,274,247 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,956,177 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $318,070 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,471 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $336,541 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $336,541 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,283 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 768 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 28.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 23.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200680, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,217,461 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,216,616 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,000,845 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,357,709 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $643,136 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,060 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $659,196 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $659,196 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,628 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 834 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 33.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 23.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169110, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,371,771 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,426,056 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,945,715 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,777,403 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,168,312 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,930 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,194,242 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,194,242 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,518 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 811 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 34.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 26.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139104, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,771,503 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,713,999 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,057,504 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,622,577 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $434,927 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,899 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $461,826 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $461,826 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,569 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 727 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 31.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103882, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,647,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,902,241 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,745,633 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,147,814 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $597,819 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $44,912 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $642,731 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $642,731 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,725 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 633 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 32.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1071857, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,671,916 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,707,202 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,964,714 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,898,412 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,066,302 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $33,061 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,099,363 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,099,363 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,875 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 615 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 37.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1041970, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for February 1, 2011 to December 31, 2011 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,297,175 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,389,664 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,907,511 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,720,380 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,187,131 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,021 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,213,152 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,213,152 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,642 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 467 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 44.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1016854, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 20, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,370,932 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,264,944 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $105,988 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $163,143 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $269,131 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,704 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 804 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 74.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 426445, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 3, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,730,866 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,249,289 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$518,423 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,122,852 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,604,429 (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 | 315 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 93,205 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 875 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 106.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384638, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 22, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,551,514 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,763,539 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,212,025 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $527,244 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,684,781 (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 | 315 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 98,401 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 892 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 110.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 351837, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 30, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,766,225 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,340,821 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$574,596 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $477,683 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$96,913 (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 | 315 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 103,048 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 826 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 10.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 124.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322055, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 27, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,346,833 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,740,522 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$393,689 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $242,272 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$151,417 (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 | 315 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 107,785 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 769 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 140.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 296927, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for July 1, 2005 to December 31, 2005 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 28, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,216,368 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,082,498 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $133,870 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $90,660 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $224,530 (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 | 315 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 55,156 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 329 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 167.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 275983, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 10, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,311,943 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,008,039 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$696,096 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $366,845 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$329,251 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,749 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 592 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 53.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 236521, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,673,963 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,539,101 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,865,138 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $413,786 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,451,352 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,634 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 525 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 60.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 192275, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,189,728 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,674,418 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,484,690 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $257,501 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,227,189 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,818 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 496 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 64.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 140515, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,181,059 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,943,146 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,762,087 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $328,499 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,433,588 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,299 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 489 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 66.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 126679, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 8, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,413,259 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,924,886 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $488,373 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,604 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $539,977 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,455 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 391 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 85.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16387, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 10, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,370,497 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,811,996 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $558,501 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $62,427 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $620,928 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,400 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 475 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 68.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16385, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,091,059 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,427,449 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$336,390 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $152,603 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$183,787 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,599 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 374 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 73.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16383, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for July 1, 1996 to June 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on August 8, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,068,718 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,162,892 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$94,174 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $229,634 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $135,460 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,415 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 317 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 92.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 260756, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended June 30, 1996
Cost report for December 5, 1995 to June 30, 1996 — a reporting period of 208 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on November 12, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,177,290 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,557,696 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,380,406 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $427,590 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$952,816 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,639 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 188 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.01 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 83.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16381, 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 |
|---|---|---|---|---|
| KUSHNER FAMILY IDF LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 20% | since 01/01/2022 |
| REG 2018 IRREVOCABLE TRUST U/A/D 1/1/18 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 20% | since 01/01/2022 |
| ZEFFREN, EITAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 60% | since 01/01/2022 |
| ZEFFREN, EITAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2022 |
| DIMITRENKO, STEPHANIE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PEARL OF CRYSTAL LAKE, LLC (enrollment ID O20220201000179).
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 |
|---|---|---|---|---|---|
| EITAN ZEFFREN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 60 | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KUSHNER FAMILY IDF LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20 | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| REG 2018 IRREVOCABLE TRUST U/A/D 1/1/18 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20 | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| EITAN ZEFFREN | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHANIE DIMITRENKO | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- October 22, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 27, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 11, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- October 21, 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
- June 3, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 12, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 19, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 1, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 25, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- July 23, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 23, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- March 20, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- October 26, 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- August 3, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- July 22, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- July 30, 2008: 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
- March 28, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- August 24, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- August 8, 2006: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
- November 10, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- September 1, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- April 7, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- February 13, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- January 8, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- October 10, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- October 26, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- November 12, 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 | June 4, 2026 | June 4, 2026 | 12 | 8 |
| 2 | March 12, 2025 | March 12, 2025 | 9 | 10 |
| 3 | February 22, 2024 | February 22, 2024 | 10 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
32 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 4, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | June 19, 2026 |
| June 4, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | June 19, 2026 |
| June 4, 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 | No | Deficient, Provider has date of correction | June 19, 2026 |
| June 4, 2026 | 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 | June 19, 2026 |
| June 4, 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 | No | Deficient, Provider has date of correction | June 19, 2026 |
| June 4, 2026 | 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 | June 19, 2026 |
| June 4, 2026 | 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 | June 19, 2026 |
| June 4, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | June 19, 2026 |
| June 4, 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | June 19, 2026 |
| June 4, 2026 | 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 19, 2026 |
| June 4, 2026 | 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 | June 19, 2026 |
| June 4, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 19, 2026 |
| March 12, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | March 27, 2025 |
| March 12, 2025 | 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 | March 27, 2025 |
| March 12, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | March 27, 2025 |
| March 12, 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | March 27, 2025 |
| March 12, 2025 | 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. | E | No | Deficient, Provider has date of correction | March 27, 2025 |
| March 12, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 27, 2025 |
| March 12, 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | March 27, 2025 |
| October 10, 2024 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | October 31, 2024 |
| September 18, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | October 1, 2024 |
| August 1, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | August 9, 2024 |
| May 28, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | June 14, 2024 |
| February 22, 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 | March 8, 2024 |
| February 22, 2024 | 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 | March 8, 2024 |
| February 22, 2024 | 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 | March 8, 2024 |
| February 22, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | March 8, 2024 |
| February 22, 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 | March 8, 2024 |
| February 22, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 8, 2024 |
| December 21, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | January 6, 2024 |
| October 5, 2023 | 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 | October 17, 2023 |
| August 31, 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 | Yes | Deficient, Provider has date of correction | September 18, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | PEARL OF CRYSTAL LAKE, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1989-04-19 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Mc Henry |
| Telephone Number | 8154776569 |
| Chain Name | PEARL HEALTHCARE |
| Chain ID | 595 |
| 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 | 97 |
| Average Number of Residents per Day | 72.2 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| 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 PEARL OF CRYSTAL LAKE, THE: 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 PEARL OF CRYSTAL LAKE, THE
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 145612.