Skilled nursing facility · CMS certification number 145652
VALLEY HI NURSING HOME
WOODSTOCK, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 128
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: 5 · Fines: 3 · Fines, total amount: $129,764.00 · Payment denials: 2. The most recent penalty on file: January 6, 2026, Fine, $16,660. 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 December 1, 2023 to November 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 31, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,106,221 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,420,826 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,685,395 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,739,139 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,053,744 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,704,510 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$349,234 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$349,234 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 46,848 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,904 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,835 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,362 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 27,101 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 119 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 95 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 242 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 494.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441775, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended November 30, 2023
Cost report for December 1, 2022 to November 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,597,817 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $955,955 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,641,862 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,686,843 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,044,981 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $475,710 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,569,271 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,569,271 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,803 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 246 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 783.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396696, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended November 30, 2022
Cost report for December 1, 2021 to November 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,326,787 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $9,326,787 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,003,004 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,676,217 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $754,166 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,922,051 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,322,119 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,026 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 159 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 777.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365711, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended November 30, 2021
Cost report for December 1, 2020 to November 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 15, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,660,423 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $347,158 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,313,265 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,127,904 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,814,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $532,193 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,282,446 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,282,446 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,695 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,298.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 242.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1336382, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended November 30, 2020
Cost report for December 1, 2019 to November 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 27, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,935,982 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,591,149 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,344,833 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,992,663 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,647,830 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,535,801 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,112,029 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,112,029 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,161 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 9,774 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 516.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309506, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended November 30, 2019
Cost report for December 1, 2018 to November 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,155,024 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,831,999 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,323,025 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,631,954 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,308,929 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $989,293 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$319,636 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$319,636 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,761 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 113 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,027.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 378.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282981, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended November 30, 2018
Cost report for December 1, 2017 to November 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 19, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,745,016 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,152,938 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,592,078 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,815,018 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,222,940 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $915,983 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,306,957 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,306,957 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,424 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,524.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 316.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243182, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended November 30, 2017
Cost report for December 1, 2016 to November 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 20, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,133,345 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,818,573 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,314,772 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,299,578 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,984,806 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $778,609 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,206,197 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,206,197 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,708 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,948.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 253.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220002, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended November 30, 2016
Cost report for December 1, 2015 to November 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 7, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,580,287 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,214,514 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,365,773 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,879,398 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,513,625 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $360,727 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,152,898 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,152,898 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,105 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,388.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 412.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183451, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended November 30, 2015
Cost report for December 1, 2014 to November 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,412,546 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,019,376 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,393,170 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,244,137 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$850,967 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,174,306 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,323,339 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,323,339 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,253 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 81.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 4,550.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 371.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1177065, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended November 30, 2014
Cost report for December 1, 2013 to November 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,356,966 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,533,642 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,823,324 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,902,726 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$79,402 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,575,217 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,495,815 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,495,815 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,769 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,493 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 379.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119576, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended November 30, 2013
Cost report for December 1, 2012 to November 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,061,328 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,837,269 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,224,059 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,528,562 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$304,503 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,313,198 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $5,008,695 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,008,695 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,461 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 176 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 20,303 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 252.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109073, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended November 30, 2012
Cost report for December 1, 2011 to November 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 14, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,242,896 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,242,896 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,225,343 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $17,553 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,026,447 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,044,000 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,872,894 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,341 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 217 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,154.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 204.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078777, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended November 30, 2011
Cost report for December 1, 2010 to November 30, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 26, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,065,226 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,065,226 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,357,770 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $707,456 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,019,573 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,727,029 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $6,344,371 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,727 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,135.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 290.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026458, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended November 30, 2010
Cost report for December 1, 2009 to November 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,488,837 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,557,845 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,069,008 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,999,905 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $404,589 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $4,526,308 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,946 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 137 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,049.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 328.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428249, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended November 30, 2009
Cost report for December 1, 2008 to November 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 3, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,245,337 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,431,120 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,185,783 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,164,206 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $438,520 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $4,539,903 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,213 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 118 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,875.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 383.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398468, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended November 30, 2008
Cost report for December 1, 2007 to November 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 13, 2010.
None of these figures is carried on this report.
CMS report record 362211, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended November 30, 2007
Cost report for December 1, 2006 to November 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 14, 2009.
None of these figures is carried on this report.
CMS report record 336563, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended November 30, 2006
Cost report for December 1, 2005 to November 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 7, 2008.
None of these figures is carried on this report.
CMS report record 301915, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended November 30, 2005
Cost report for December 1, 2004 to November 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 27, 2006.
None of these figures is carried on this report.
CMS report record 267123, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended November 30, 2004
Cost report for December 1, 2003 to November 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 29, 2005.
None of these figures is carried on this report.
CMS report record 237587, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended November 30, 2003
Cost report for December 1, 2002 to November 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 18, 2004.
Net income: $1,839,637 (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.
CMS report record 199943, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended November 30, 2002
Cost report for December 1, 2001 to November 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 11, 2003.
Net income: −$788,676 (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.
CMS report record 148005, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended November 30, 2001
Cost report for December 1, 2000 to November 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 | $5,074,621 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,132,881 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,058,260 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $761,778 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,761 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$310,243 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,401 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 348.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 234.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 126682, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended November 30, 2000
Cost report for December 1, 1999 to November 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,795,945 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,592,045 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$796,100 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $641,117 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$154,983 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,520 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 281 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 179.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16528, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended November 30, 1999
Cost report for December 1, 1998 to November 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 25, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,460,688 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,746,716 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,286,028 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $840,005 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$446,023 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,634 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 297 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 167.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 133.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16526, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended November 30, 1998
Cost report for December 1, 1997 to November 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,310,466 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,549,089 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,238,623 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $958,147 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$280,476 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,282 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,762.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 509.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16524, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended November 30, 1997
Cost report for December 1, 1996 to November 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 30, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,345,545 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,649,624 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,304,079 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,107,067 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$197,012 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,142 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 831.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 301.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16523, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended November 30, 1996
Cost report for December 1, 1995 to November 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 30, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,913,629 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,185,884 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$272,255 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,091 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$265,164 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,804 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 114.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 628.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 364.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16522, 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 |
|---|---|---|---|---|
| ANNARELLA, THOMAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2014 |
| EGEKEZE, GILBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/05/2024 |
| PARTRIDGE, NICK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/24/2025 |
| POLTE, TARA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/17/2015 |
| TOLLBERG, BRITTANY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/17/2023 |
| ANNARELLA, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2014 |
| EGEKEZE, GILBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/05/2024 |
| PARTRIDGE, NICK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/24/2025 |
| POLTE, TARA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/17/2015 |
| TOLLBERG, BRITTANY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/30/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of COUNTY OF MCHENRY ILLINOIS (enrollment ID O20090909000546).
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 |
|---|---|---|---|---|---|
| BRITTANY TOLLBERG | Individual | ADP OF THE SNF | Not stated in the filing | 8/17/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GILBERT N EGEKEZE | Individual | ADP OF THE SNF | Not stated in the filing | 12/5/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICK PARTRIDGE | Individual | ADP OF THE SNF | Not stated in the filing | 3/24/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TARA POLTE | Individual | ADP OF THE SNF | Not stated in the filing | 8/17/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS J ANNARELLA | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 9/7/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | 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 |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/11/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/28/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRITTANY TOLLBERG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/30/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GILBERT N EGEKEZE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/5/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICK PARTRIDGE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/24/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TARA POLTE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/17/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS J ANNARELLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- January 1, 2026: COUNTY OF MCHENRY ILLINOIS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: THOMAS J ANNARELLA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRITTANY TOLLBERG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 17, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRITTANY TOLLBERG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TARA POLTE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 17, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TARA POLTE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 17, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: THOMAS J ANNARELLA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: THOMAS J ANNARELLA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NICK PARTRIDGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NICK PARTRIDGE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: GILBERT N EGEKEZE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 5, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: GILBERT N EGEKEZE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 5, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
Recent changes on this record
- January 1, 2026: COUNTY OF MCHENRY ILLINOIS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: THOMAS J ANNARELLA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRITTANY TOLLBERG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 17, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRITTANY TOLLBERG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TARA POLTE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 17, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TARA POLTE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 17, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: THOMAS J ANNARELLA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: THOMAS J ANNARELLA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NICK PARTRIDGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NICK PARTRIDGE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: GILBERT N EGEKEZE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 5, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: GILBERT N EGEKEZE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 5, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- October 31, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 28, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- November 15, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- January 27, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 28, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- September 19, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- February 20, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- February 7, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- October 17, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- February 25, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- September 9, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- October 14, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- March 26, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- April 26, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- May 3, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- January 13, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- April 14, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- February 7, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- November 27, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- November 29, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- November 18, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- June 11, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- February 13, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- November 8, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- September 25, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- November 8, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 4, 2026 | March 4, 2026 | 9 | 5 |
| 2 | March 20, 2024 | March 20, 2024 | 15 | 5 |
| 3 | February 9, 2023 | February 9, 2023 | 6 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
30 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 4, 2026 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | March 31, 2026 |
| March 4, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | March 31, 2026 |
| March 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 | March 31, 2026 |
| March 4, 2026 | 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 31, 2026 |
| March 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. | D | No | Deficient, Provider has date of correction | March 31, 2026 |
| March 4, 2026 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | March 31, 2026 |
| March 4, 2026 | 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. | D | No | Deficient, Provider has date of correction | March 31, 2026 |
| March 4, 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. | E | No | Deficient, Provider has date of correction | March 31, 2026 |
| January 6, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | January 20, 2026 |
| September 16, 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 | October 15, 2024 |
| April 8, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Yes | Deficient, Provider has date of correction | April 16, 2024 |
| March 20, 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 | April 16, 2024 |
| March 20, 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. | J | No | Deficient, Provider has date of correction | April 16, 2024 |
| March 20, 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 | April 16, 2024 |
| March 20, 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 | No | Deficient, Provider has date of correction | April 16, 2024 |
| March 20, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | May 20, 2024 |
| March 20, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | April 16, 2024 |
| March 20, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | April 16, 2024 |
| March 20, 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | April 16, 2024 |
| March 20, 2024 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | D | No | Deficient, Provider has date of correction | April 16, 2024 |
| March 20, 2024 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | No | Deficient, Provider has date of correction | April 16, 2024 |
| March 20, 2024 | 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 | April 16, 2024 |
| March 20, 2024 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | No | Deficient, Provider has date of correction | April 16, 2024 |
| March 20, 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | April 16, 2024 |
| March 20, 2024 | Health | F 0940 | Administration Deficiencies | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | No | Deficient, Provider has date of correction | April 16, 2024 |
| February 9, 2023 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | No | Deficient, Provider has date of correction | March 26, 2023 |
| February 9, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | March 26, 2023 |
| February 9, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | March 26, 2023 |
| February 9, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | No | Deficient, Provider has date of correction | March 26, 2023 |
| February 9, 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | March 26, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 6, 2026 | Fine | $16,660 | 137717 | ||
| April 23, 2025 | Fine | $47,548 | 70520 | ||
| April 23, 2025 | Payment Denial | May 16, 2025 | 31 | ||
| March 20, 2024 | Fine | $65,556 | 69583 | ||
| March 20, 2024 | Payment Denial | April 16, 2024 | 34 |
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 | Government - County |
| Legal Business Name | COUNTY OF MCHENRY ILLINOIS |
| Date First Approved to Provide Medicare and Medicaid Services | 1989-10-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Mc Henry |
| Telephone Number | 8153380312 |
| 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 | 128 |
| Average Number of Residents per Day | 98.8 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| 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 VALLEY HI NURSING HOME: 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 31, 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 VALLEY HI NURSING HOME
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 145652.