Skilled nursing facility · CMS certification number 145699
The Pearl of Fox River Valley
ELGIN, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 112
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: 2 · Fines: 2 · Fines, total amount: $142,448.00 · Payment denials: 0. The most recent penalty on file: July 11, 2024, Fine, $10,033. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,524,542 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,919,763 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,604,779 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,778,598 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$173,819 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,221 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$172,598 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$172,598 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 40,992 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,883 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 24,898 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,800 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 35,581 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 48 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 34 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 305 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 387 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 732.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442196, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 17, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,516,254 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,152,066 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,364,188 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,806,033 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$441,845 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $176,720 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$265,125 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$265,125 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,853 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 434 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 463.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397421, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 1, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,106,454 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,925,962 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,180,492 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,499,709 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,319,217 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $157,012 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,162,205 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,162,205 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,025 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 505 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 67.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372790, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 9, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,112,373 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,174,816 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,937,557 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,749,850 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$812,293 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,100,317 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $288,024 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $288,024 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,152 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 488 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 65.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1342034, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,447,570 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,618,905 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,828,665 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,583,501 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$754,836 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $985,967 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $231,131 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $231,131 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,849 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 528 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 117.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314327, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, reopened, processed by CMS on December 3, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,923,646 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,489,446 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,434,200 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,209,851 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $224,349 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,734 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $246,083 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $246,083 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,916 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 762 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 200.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 40.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1306146, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for October 1, 2018 to December 31, 2018 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 9, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,180,452 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,633,465 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,546,987 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,653,285 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$106,298 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,863 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$103,435 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$103,435 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,656 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 205 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 110 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 27.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240237, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 26, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,032,223 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,819,468 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,212,755 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,041,077 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,828,322 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $87,742 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,740,580 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,740,580 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,457 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 959 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,161 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 25.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1202835, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 24, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,920,332 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,151,774 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,768,558 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,593,798 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$825,240 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,186 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$784,054 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$784,054 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,454 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 897 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,505 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 28.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174803, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,268,403 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,958,534 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,309,869 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,104,598 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $205,271 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $136,736 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $342,007 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $330,596 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,887 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 852 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 440.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 31.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143105, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 29, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,857,792 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,580,692 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,277,100 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,701,300 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $575,800 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,079 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $612,879 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $612,879 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,348 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 852 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 459.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 32.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106015, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for May 1, 2013 to December 31, 2013 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 8, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,019,417 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,530,335 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,489,082 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,080,804 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $408,278 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $404,961 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $813,239 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $813,239 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,471 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 539 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 602.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 32.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1075442, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended April 30, 2012
Cost report for May 1, 2011 to April 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 7, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,233,491 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,806,975 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,426,516 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,386,396 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,040,120 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,949 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,059,069 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,059,069 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,897 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 669 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 527.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1045838, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended April 30, 2011
Cost report for May 1, 2010 to April 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,941,254 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,191,700 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,749,554 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,306 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,762,860 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,763 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 655 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 72.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 45.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433769, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended April 30, 2010
Cost report for May 1, 2009 to April 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 21, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,434,490 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,140,711 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $293,779 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,557 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $315,336 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,395 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 600 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 377.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 50.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418888, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended April 30, 2009
Cost report for May 1, 2008 to April 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 24, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,539,500 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,942,895 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$403,395 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,593 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$384,802 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,149 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 722 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 746.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 45.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 388079, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended April 30, 2008
Cost report for May 1, 2007 to April 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 28, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,835,586 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,426,208 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $409,378 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,753 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $396 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $432,735 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,301 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 680 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 597.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 51.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 332802, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended April 30, 2007
Cost report for May 1, 2006 to April 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 31, 2008.
None of these figures is carried on this report.
CMS report record 322503, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended April 30, 2006
Cost report for May 1, 2005 to April 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 24, 2007.
None of these figures is carried on this report.
CMS report record 294150, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended April 30, 2005
Cost report for May 1, 2004 to April 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 4, 2006.
None of these figures is carried on this report.
CMS report record 248592, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended April 30, 2004
Cost report for May 1, 2003 to April 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 23, 2005.
None of these figures is carried on this report.
CMS report record 231522, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended April 30, 2003
Cost report for May 1, 2002 to April 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,530,555 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,472,976 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $57,579 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,170 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $19,518 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $68,231 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,812 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 469 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 761 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 178329, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended April 30, 2002
Cost report for May 1, 2001 to April 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,134,811 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,087,644 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $47,167 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $86,638 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $133,805 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,895 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 471 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 434.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 69.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 140527, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended April 30, 2001
Cost report for May 1, 2000 to April 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,742,438 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,859,084 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$116,646 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $118,718 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,072 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,437 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 430 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 779.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 116403, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended April 30, 2000
Cost report for May 1, 1999 to April 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 | $5,899,354 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,888,644 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $10,710 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $142,316 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $153,026 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,656 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 436 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,278 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 81.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16704, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended April 30, 1999
Cost report for May 1, 1998 to April 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,478,689 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,537,492 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$58,803 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $163,675 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $104,872 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,949 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 454 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,398 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 83.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 116417, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended April 30, 1998
Cost report for May 1, 1997 to April 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on October 31, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,803,060 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,864,225 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$61,165 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $157,311 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $96,146 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,033 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 644 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,471 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 60.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 235757, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended April 30, 1997
Cost report for May 1, 1996 to April 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 | $5,132,473 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,046,704 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$914,231 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $922,746 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $8,515 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,344 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 702 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 606 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 53.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16699, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 43% | since 10/01/2018 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 43% | since 10/01/2018 |
| OAKWAY OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | since 10/01/2018 |
| CIBC BANK USA | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 10/01/2018 |
| LARKIN AVE PROPERTY HOLDINGS, LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 10/01/2018 |
| AVELINO, JESSICA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/02/2021 |
| DOROS GENERATION TRUST U/A/D 1/3/12 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2018 |
| GPN FAMILY TRUST U/A/D 4/28/08 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2018 |
| LARKIN AVE PROPERTY HOLDINGS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2018 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/11/2025 |
| MILLER COOPER & CO, LTD | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2024 |
| SHABAT, MENACHEM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2018 |
| SHAH, ASAD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2018 |
| SHABAT, MENACHEM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2018 |
| AVELINO, JESSICA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/02/2021 |
| CIBC BANK USA | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2018 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2018 |
| SHABAT, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2018 |
| SHAH, ASAD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2018 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ELGIN SKILLED NURSING FACILITY LLC (enrollment ID O20181101000883).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 42.5 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 42.5 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| OAKWAY OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| CIBC BANK USA | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| LARKIN AVE PROPERTY HOLDINGS, LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| ASAD A SHAH | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| JESSICA AVELINO | Individual | ADP OF THE SNF | Not stated in the filing | 8/2/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LARKIN AVE PROPERTY HOLDINGS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/11/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM SHABAT | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MILLER COOPER & CO, LTD | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2018 | 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 | INDIRECT OWNERSHIP INTEREST | 4.9 | 10/1/2018 | 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 | INDIRECT OWNERSHIP INTEREST | 2.6 | 10/1/2018 | 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 | INDIRECT OWNERSHIP INTEREST | 4.9 | 10/1/2018 | 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 | INDIRECT OWNERSHIP INTEREST | 2.6 | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MENACHEM SHABAT | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ASAD A SHAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CIBC BANK USA | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| JESSICA AVELINO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/2/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM SHABAT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- May 1, 2026: GPN FAM TR UA 04282008 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JESSICA AVELINO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ASAD A SHAH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ASAD A SHAH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CIBC BANK USA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CIBC BANK USA (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DOROS GENERATION TRUST U/A/D 1/3/12 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008 (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MILLER COOPER & CO, LTD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MENACHEM SHABAT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MENACHEM SHABAT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LARKIN AVE PROPERTY HOLDINGS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LARKIN AVE PROPERTY HOLDINGS, LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JESSICA AVELINO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JESSICA AVELINO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
Recent changes on this record
- May 1, 2026: GPN FAM TR UA 04282008 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JESSICA AVELINO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ASAD A SHAH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ASAD A SHAH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CIBC BANK USA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CIBC BANK USA (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DOROS GENERATION TRUST U/A/D 1/3/12 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008 (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MILLER COOPER & CO, LTD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MENACHEM SHABAT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MENACHEM SHABAT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LARKIN AVE PROPERTY HOLDINGS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LARKIN AVE PROPERTY HOLDINGS, LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JESSICA AVELINO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JESSICA AVELINO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- November 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 17, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- February 1, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- February 9, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- April 21, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 3, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 9, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2019.zip
- March 28, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 26, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 24, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- September 30, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 29, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 8, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- November 15, 2013: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- August 7, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- November 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- October 21, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- September 24, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- January 28, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- July 31, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 4, 2025 | July 11, 2024 | 9 | 3 |
| 2 | July 11, 2024 | August 16, 2023 | 8 | 2 |
| 3 | August 16, 2023 | August 5, 2022 | 13 | 10 |
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 |
|---|---|---|---|---|---|---|---|---|
| September 4, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | September 5, 2025 |
| September 4, 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | September 5, 2025 |
| September 4, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | September 5, 2025 |
| September 4, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | No | Deficient, Provider has date of correction | September 5, 2025 |
| September 4, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | September 5, 2025 |
| September 4, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | No | Deficient, Provider has date of correction | September 5, 2025 |
| September 4, 2025 | 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 | September 5, 2025 |
| September 4, 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | September 5, 2025 |
| September 4, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | September 5, 2025 |
| November 21, 2024 | 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 | Yes | Deficient, Provider has date of correction | November 27, 2024 |
| November 21, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | November 27, 2024 |
| July 11, 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. | E | No | Deficient, Provider has date of correction | July 19, 2024 |
| July 11, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | July 19, 2024 |
| July 11, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | July 19, 2024 |
| July 11, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | July 19, 2024 |
| July 11, 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 | July 19, 2024 |
| July 11, 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. | E | No | Deficient, Provider has date of correction | July 19, 2024 |
| December 16, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | December 18, 2023 |
| November 30, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | December 1, 2023 |
| November 30, 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. | G | Yes | Deficient, Provider has date of correction | December 1, 2023 |
| November 30, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | December 1, 2023 |
| November 22, 2023 | 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. | D | Yes | Deficient, Provider has date of correction | November 23, 2023 |
| August 16, 2023 | 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 | No | Deficient, Provider has date of correction | August 17, 2023 |
| August 16, 2023 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | August 17, 2023 |
| August 16, 2023 | 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 | August 17, 2023 |
| August 16, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | August 17, 2023 |
| August 16, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | August 17, 2023 |
| August 16, 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | August 17, 2023 |
| August 16, 2023 | 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 | August 17, 2023 |
| August 16, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | August 17, 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 |
|---|---|---|---|---|---|
| July 11, 2024 | Fine | $10,033 | 70201 | ||
| November 22, 2023 | Fine | $132,415 | 69069 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | ELGIN SKILLED NURSING FACILITY LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-07-30 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Kane |
| Telephone Number | 8477427070 |
| Chain Name | PEARL HEALTHCARE |
| Chain ID | 595 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 112 |
| Average Number of Residents per Day | 95.4 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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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 November 11, 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 The Pearl of Fox River Valley
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.
Other public records in Illinois
- MULBERRY PORK PRODUCERS, GREENVILLE Water discharge permit
- HELLER BROTHERS, GALENA Water discharge permit
- HOMEWOOD SEWERS, HOMEWOOD Water discharge permit
- ORLAND PARK VILLAGE, ORLAND PARK Water discharge permit
- MIDLOTHIAN VILLAGE, MIDLOTHIAN Water discharge permit
- TINLEY PARK, VILLAGE OF, TINLEY PARK Water discharge permit
- EXXONMOBIL-JOLIET REFINERY, CHANNAHON Water discharge permit
- WILMETTE VILLAGE MS4, WILMETTE Water discharge permit
- SOLID ROCK FOUNDATIONS INC, EAST PEORIA Air emission source
- VERSA PRESS INC, EAST PEORIA Air emission source
- ROANOKE CONCRETE PRODUCTS CO, EAST PEORIA Air emission source
- BRADS AUTOBODY, ROANOKE Air emission source
- PARSONS CO INC, ROANOKE Air emission source
- EVERGREEN FS INC, ROANOKE Air emission source
- ROANOKE FARMERS ASSN, ROANOKE Air emission source
- EUREKA-GOODFIELD FIRE PROTECTION DISTRICT, EUREKA Air emission source
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 145699.