Skilled nursing facility · CMS certification number 145697
KNOX COUNTY NURSING HOME
KNOXVILLE, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 169
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 December 1, 2023 to November 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 22, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,424,830 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $9,424,830 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,397,139 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,972,309 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,064,043 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $91,734 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $91,734 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 61,854 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,672 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,969 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 32,858 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 39,499 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 82 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 21 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 127 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 230 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 189 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1423481, 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 June 27, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,231,827 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $9,231,827 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,606,065 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$374,238 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,485,592 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,111,354 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,111,354 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,353 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 575.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1386936, 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 May 26, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,654,441 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,654,441 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,076,530 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,422,089 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,225,321 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$196,768 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$221,705 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,849 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 821.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 251 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1348465, 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 May 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,588,733 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,588,733 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,957,759 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,369,026 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,175,925 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $806,899 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $806,899 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,428 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 194.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 407.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1317075, 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 September 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,908,095 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,908,095 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,770,681 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,862,586 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,181,792 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$680,794 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$680,794 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,800 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 123 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 113.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 291.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1298276, 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 July 23, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,257,277 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,257,277 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,758,936 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,501,659 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,469,049 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$32,610 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$32,610 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,839 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 378.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 262.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1261107, 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 May 30, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,768,100 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,768,100 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,005,304 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,237,204 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,247,116 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$990,088 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$990,088 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,449 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 419.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 296.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1225881, 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 June 27, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,240,372 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,240,372 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,294,209 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,053,837 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,251,777 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,802,060 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,802,060 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,104 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,766.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 552.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1196201, 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 May 25, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,275,500 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,275,500 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,432,566 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,157,066 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,365,378 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$791,688 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$916,322 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,031 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 84.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 661.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 395.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157988, 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 27, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,338,030 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,338,030 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,853,439 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,515,409 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,381,627 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$133,782 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$133,782 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,134 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 100.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,190.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 606.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145515, 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 July 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,785,463 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,785,463 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,929,659 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,144,196 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $893,100 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$251,096 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$261,498 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,202 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 116.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,085.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 522.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104269, 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 October 15, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,602,642 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,602,642 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,660,771 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,058,129 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $615,503 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$442,626 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$442,626 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,716 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 94.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,555.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 564.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1079052, 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 December 12, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,068,602 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,068,602 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,496,387 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,572,215 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $758,071 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,330,286 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,330,286 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,908 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 93.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,523.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 392.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1052187, 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 October 31, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,821,269 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,821,269 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,512,133 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $309,136 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $763,510 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,072,646 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,072,646 (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 | 169 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,182 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 84.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,791.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 589.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1017911, 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 May 29, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,536,580 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,662,691 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,126,111 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $916,496 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$209,615 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,397 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,285.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 505.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429473, 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 April 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,372,896 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,888,431 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$515,535 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $872,552 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $357,017 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,623 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 581.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 462.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 396932, 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 December 11, 2009.
None of these figures is carried on this report.
CMS report record 360662, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended November 30, 2007
Cost report for December 31, 2006 to November 30, 2007 — a reporting period of 334 days, on form CMS-2540-96, settled, processed by CMS on March 31, 2009.
None of these figures is carried on this report.
CMS report record 336423, 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 March 31, 2008.
None of these figures is carried on this report.
CMS report record 306023, 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 30, 2006.
None of these figures is carried on this report.
CMS report record 267347, 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 7, 2005.
None of these figures is carried on this report.
CMS report record 236268, 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 September 1, 2004.
None of these figures is carried on this report.
CMS report record 191337, 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 August 7, 2003.
None of these figures is carried on this report.
CMS report record 156245, 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, reopened, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,720,192 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,928,527 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$208,335 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,123 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$183,212 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,114 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 146 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 89.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 723.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 439.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 140775, 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 April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,863,924 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,050,986 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,187,062 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $114,115 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,072,947 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,765 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 333 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 83.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 229.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 185.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 139567, 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 17, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,250,069 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,549,669 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$299,600 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $144,684 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$154,916 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,535 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 330 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 259.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 207.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 20189, 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 September 5, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,243,636 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,523,113 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$279,477 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $153,494 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,441 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$133,424 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,850 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 350 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 256.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 202.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 20187, 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 October 19, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,144,036 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,303,837 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$159,801 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $106,491 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,188 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$59,498 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,999 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 335 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 407.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 205.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 20185, 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, reopened, processed by CMS on June 9, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,739,691 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,630,247 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$890,556 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $145,512 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$745,044 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,372 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 250 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 476.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 285.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 20182, 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 |
|---|---|---|---|---|
| AHEARN, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/15/2023 |
| COUNTY OF KNOX | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/06/2012 |
| MINES, JODI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/15/2021 |
| WICKS, MEGHAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/07/2021 |
| MINES, JODI | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/15/2021 |
| MINES, JODI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/15/2021 |
| WICKS, MEGHAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/07/2021 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of COUNTY OF KNOX (enrollment ID O20120718000271).
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 |
|---|---|---|---|---|---|
| COUNTY OF KNOX | Organization | ADP OF THE SNF | Not stated in the filing | 7/6/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| JODI MINES | Individual | ADP OF THE SNF | Not stated in the filing | 1/15/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MEGHAN WICKS | Individual | ADP OF THE SNF | Not stated in the filing | 9/7/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL AHEARN | Individual | ADP OF THE SNF | Not stated in the filing | 5/15/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JODI MINES | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/15/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JODI MINES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/15/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MEGHAN WICKS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/7/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- October 1, 2025: MEGHAN WICKS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JODI MINES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: COUNTY OF KNOX no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MEGHAN WICKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 7, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MEGHAN WICKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 7, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MICHAEL AHEARN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 15, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JODI MINES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JODI MINES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: COUNTY OF KNOX (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 6, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- May 15, 2023: JORI SHULL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: RACHEL SECRIST no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: MEGHAN WICKS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since September 7, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: JODI MINES (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since January 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: JODI MINES (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since January 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Recent changes on this record
- July 30, 2026: A deficiency was cited under tag F 0689, scope and severity G. NH_HealthCitations_Sep2026_2.csv
- October 1, 2025: MEGHAN WICKS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JODI MINES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: COUNTY OF KNOX no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MEGHAN WICKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 7, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MEGHAN WICKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 7, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MICHAEL AHEARN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 15, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JODI MINES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JODI MINES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: COUNTY OF KNOX (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 6, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- May 22, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 27, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 26, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 15, 2023: JORI SHULL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: RACHEL SECRIST no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: MEGHAN WICKS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since September 7, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: JODI MINES (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since January 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: JODI MINES (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since January 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 26, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 16, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- July 23, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- May 30, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- June 27, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- May 25, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- October 27, 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
- October 15, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- December 12, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 31, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- May 29, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- April 20, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- December 11, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- March 31, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- March 31, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- November 30, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- November 7, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- September 1, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- August 7, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- April 7, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- April 7, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 16, 2024 | August 16, 2024 | 3 | 5 |
| 2 | June 15, 2023 | June 15, 2023 | 4 | 6 |
| 3 | April 28, 2022 | April 28, 2022 | 1 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 30, 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 | August 24, 2026 |
| August 1, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | September 15, 2025 |
| August 16, 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 | October 15, 2024 |
| August 16, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | October 15, 2024 |
| June 15, 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. | D | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 15, 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 15, 2023 | 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 | July 28, 2023 |
| April 28, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | May 25, 2022 |
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 | Government - County |
| Legal Business Name | COUNTY OF KNOX |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-09-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Knox |
| Telephone Number | 3092892338 |
| 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 | 169 |
| Average Number of Residents per Day | 104.8 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 2 |
| 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 KNOX COUNTY 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 July 30, 2026: A deficiency was cited under tag F 0689, scope and severity G. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for KNOX COUNTY 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 145697.