Skilled nursing facility · CMS certification number 145767
PAUL HOUSE & HEALTH CR CTR
CHICAGO, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 110
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: 4 · Fines: 2 · Fines, total amount: $107,873.00 · Payment denials: 2. The most recent penalty on file: June 5, 2025, Fine, $39,966. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 18, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,698,007 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $14,698,007 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,435,276 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,262,731 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $107,915 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,370,646 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,370,646 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 40,260 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,167 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 24,159 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,737 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 35,063 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 89 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 50 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 164 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 966.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 213.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448582, 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 10, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,935,905 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $12,597,884 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | −$10,661,979 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,262,839 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$22,924,818 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$22,924,818 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$22,924,818 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 2,656 | 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 | 32.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 32.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440382, 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 2, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,362,369 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $12,362,369 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,366,959 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,590 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$4,590 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,590 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,300 | 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 | 46.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 262.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372879, 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 September 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,441,074 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $12,441,074 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,363,975 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,077,099 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $2,077,099 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,077,099 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,316 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 296 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 118.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365714, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for December 31, 2019 to December 31, 2020 — a reporting period of 366 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,320,357 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,320,357 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,424,581 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$104,224 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$104,224 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$104,224 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,122 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 216 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 193.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331808, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 30, 2019
Cost report for July 1, 2019 to December 30, 2019 — a reporting period of 182 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 21, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,439,369 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,488,510 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,950,859 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,911,761 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$960,902 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $403,046 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$557,856 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$557,856 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,469 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 197 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 488.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1307682, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 6, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,689,657 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,260,868 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,428,789 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,054,995 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,626,206 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,697,320 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $71,114 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$428,886 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,966 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 704 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 343.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 42.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1226751, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,464,198 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,869,048 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,595,150 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,859,604 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,264,454 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $763,296 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,501,158 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,501,158 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,392 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 620 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 453.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1193548, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 7, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,294,372 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,084,712 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,209,660 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,204,079 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,994,419 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,910,862 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $916,443 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $916,443 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,930 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 548 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 253.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172275, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,730,322 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,948,442 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,781,880 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,339,184 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$557,304 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $712,079 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $154,775 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $154,775 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,494 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 483 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 385.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1137038, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,282,714 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,268,640 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,014,074 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,749,061 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$734,987 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $931,308 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $196,321 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $196,321 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,529 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 533 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 308.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119577, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,957,781 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,504,467 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,453,314 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,360,066 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,906,752 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $644,030 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,262,722 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,262,722 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,810 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 360 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 508.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084658, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 16, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,443,038 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,254,531 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,188,507 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,300,463 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,111,956 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,605,178 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,493,222 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,493,222 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,214 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 387 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 384.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1065211, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 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 | $10,631,872 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,745,420 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$113,548 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $947,401 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $833,853 (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 | 178 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,894 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 409 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 244.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 99.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433770, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,645,097 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,814,343 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$169,246 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $763,252 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $594,006 (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 | 178 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,705 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 863 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 731.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 44.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417020, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,078,020 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,959,577 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$881,557 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $460,059 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$421,498 (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 | 178 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,959 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 258 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 125.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 131.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 381451, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 22, 2009.
None of these figures is carried on this report.
CMS report record 357089, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 22, 2008.
None of these figures is carried on this report.
CMS report record 324724, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 13, 2007.
None of these figures is carried on this report.
CMS report record 296189, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2006.
None of these figures is carried on this report.
CMS report record 265905, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 14, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,055,973 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,135,403 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,079,430 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $649,759 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$429,671 (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 | 178 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,497 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 352 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 304.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 163.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 236738, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 18, 2004.
Net income: −$647,639 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 199946, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 5, 2003.
Net income: −$591,386 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 142579, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,082,635 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,622,010 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$539,375 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,163,922 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $624,547 (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 | 205 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,286 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 197 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 86.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 322.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 321.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 116602, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,341,375 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,877,237 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$535,862 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $338,391 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$197,471 (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 | 205 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,286 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 196 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 315.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 327.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16926, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,566,371 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,507,360 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $59,011 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $986,512 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,045,523 (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 | 205 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,780 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 264 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 208.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 241.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16924, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on April 17, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,878,553 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,341,499 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$462,946 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $472,879 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $9,933 (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 | 205 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,164 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 256 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 242.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16921, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for July 1, 1996 to June 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 23, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,670,635 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,387,652 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$717,017 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $404,349 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$312,668 (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 | 205 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,900 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 237 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 245.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 273.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16920, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended June 30, 1996
Cost report for July 1, 1995 to June 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 9, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,538,779 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,780,904 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$242,125 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $287,189 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $45,064 (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 | 216 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,044 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 262.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 300.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 11565, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| JOSEPH MERMELSTEIN FAMILY TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 10% | since 01/01/2020 |
| PARKWAY BANK AND TRUST COMPANY | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 12/31/2019 |
| DEWERDT, KATIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/15/2025 |
| JOSEPH MERMELSTEIN FAMILY TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2020 |
| MAHAJAN, DHEERAJ | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2020 |
| TEN CHICAGO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2020 |
| MERMELSTEIN, JACOB | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2020 |
| DEWERDT, KATIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/15/2025 |
| MAHAJAN, DHEERAJ | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
| MERMELSTEIN, JACOB | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PAUL HOUSE & HEALTH CARE CENTER LLC (enrollment ID O20200220000494).
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 |
|---|---|---|---|---|---|
| JOSEPH MERMELSTEIN FAMILY TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10 | 1/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| TEN CHICAGO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90 | 1/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARVIN MERMELSTEIN FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 90 | 1/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| PARKWAY BANK AND TRUST COMPANY | Organization | 5% OR GREATER SECURITY INTEREST | Not stated in the filing | 12/31/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| DHEERAJ MAHAJAN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH MERMELSTEIN FAMILY TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| KATIE DEWERDT | Individual | ADP OF THE SNF | Not stated in the filing | 10/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TEN CHICAGO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 9/22/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 9/25/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 9/22/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 10/27/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 10/16/2025 | 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 | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 9/25/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JACOB MERMELSTEIN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DHEERAJ MAHAJAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JACOB MERMELSTEIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | 2.72 | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATIE DEWERDT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 1, 2026: JACOB MERMELSTEIN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH MERMELSTEIN FAMILY TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KATIE DEWERDT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KATIE DEWERDT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DHEERAJ MAHAJAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DHEERAJ MAHAJAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PARKWAY BANK AND TRUST COMPANY (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 31, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TEN CHICAGO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JACOB MERMELSTEIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MARVIN MERMELSTEIN FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Recent changes on this record
- July 13, 2026: A deficiency was cited under tag F 0689, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- April 1, 2026: JACOB MERMELSTEIN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH MERMELSTEIN FAMILY TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KATIE DEWERDT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KATIE DEWERDT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DHEERAJ MAHAJAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DHEERAJ MAHAJAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PARKWAY BANK AND TRUST COMPANY (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 31, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TEN CHICAGO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JACOB MERMELSTEIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MARVIN MERMELSTEIN FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- March 18, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 10, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- February 2, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 28, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 16, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 21, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- January 22, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- June 6, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- June 19, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- August 7, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- July 25, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- February 25, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- January 20, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- June 16, 2014: 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
- September 8, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- July 14, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- September 22, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- August 22, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- November 13, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- November 8, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- November 14, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- November 18, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- May 5, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- February 12, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- November 8, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- April 17, 2001: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- January 24, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 5, 2025 | June 5, 2025 | 25 | 25 |
| 2 | July 19, 2024 | July 19, 2024 | 22 | 6 |
| 3 | August 11, 2023 | August 11, 2023 | 13 | 14 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
60 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 13, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | July 21, 2026 |
| March 26, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | April 6, 2026 |
| June 5, 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 | June 20, 2025 |
| June 5, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | F | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | 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. | G | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 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 | June 20, 2025 |
| June 5, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | 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. | E | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 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. | E | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0941 | Administration Deficiencies | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0944 | Administration Deficiencies | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | No | Deficient, Provider has date of correction | June 20, 2025 |
| June 5, 2025 | Health | F 0946 | Administration Deficiencies | Provide training in compliance and ethics. | F | No | Deficient, Provider has date of correction | June 20, 2025 |
| April 13, 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 | Yes | Deficient, Provider has date of correction | April 21, 2025 |
| March 6, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | March 17, 2025 |
| March 6, 2025 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Yes | Deficient, Provider has date of correction | March 17, 2025 |
| January 24, 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. | D | Yes | Deficient, Provider has date of correction | January 29, 2025 |
| October 31, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | November 4, 2024 |
| October 31, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Yes | Deficient, Provider has date of correction | November 5, 2024 |
| October 31, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | November 7, 2024 |
| October 31, 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Yes | Deficient, Provider has date of correction | November 8, 2024 |
| July 19, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | August 1, 2024 |
| July 19, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | August 1, 2024 |
| July 19, 2024 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | No | Deficient, Provider has date of correction | August 1, 2024 |
| July 19, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | August 1, 2024 |
| July 19, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | August 1, 2024 |
| July 19, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | August 1, 2024 |
| July 19, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | August 1, 2024 |
| July 19, 2024 | 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 1, 2024 |
| July 19, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | August 1, 2024 |
| July 19, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | August 1, 2024 |
| July 19, 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | August 1, 2024 |
| July 19, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | August 1, 2024 |
| July 19, 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | August 1, 2024 |
| July 19, 2024 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | No | Deficient, Provider has date of correction | August 1, 2024 |
| July 3, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | July 23, 2024 |
| January 18, 2024 | Health | F 0573 | Resident Rights Deficiencies | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Yes | Deficient, Provider has date of correction | February 2, 2024 |
| October 21, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | October 30, 2023 |
| October 21, 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. | E | Yes | Deficient, Provider has date of correction | October 30, 2023 |
| August 11, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | August 30, 2023 |
| August 11, 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 30, 2023 |
| August 11, 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 30, 2023 |
| August 11, 2023 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | August 30, 2023 |
| August 11, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | August 30, 2023 |
| August 11, 2023 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | No | Deficient, Provider has date of correction | August 30, 2023 |
| August 11, 2023 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | August 30, 2023 |
| August 11, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | August 30, 2023 |
| August 11, 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | August 30, 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 |
|---|---|---|---|---|---|
| June 5, 2025 | Fine | $39,966 | 70612 | ||
| June 5, 2025 | Payment Denial | June 26, 2025 | 5 | ||
| July 3, 2024 | Fine | $67,907 | 70187 | ||
| July 3, 2024 | Payment Denial | August 1, 2024 | 5 |
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 | PAUL HOUSE & HEALTH CARE CENTER LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1993-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Cook |
| Telephone Number | 7734784222 |
| 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 | 110 |
| Average Number of Residents per Day | 97.5 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| 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
One email a day naming what moved on PAUL HOUSE & HEALTH CR CTR: 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 13, 2026: A deficiency was cited under tag F 0689, scope and severity D. That is one line of the alert.
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The citable document for PAUL HOUSE & HEALTH CR CTR
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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- MONEE, VILLAGE OF, MONEE Water discharge permit
- PINGREE GROVE, VILLAGE OF, PINGREE GROVE Water discharge permit
- CHILLICOTHE, CITY OF, CHILLICOTHE Water discharge permit
- BOLINGBROOK, VILLAGE OF, BOLINGBROOK 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
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