Skilled nursing facility · CMS certification number 145838
PETERSON PARK HEALTH CARE CTR
CHICAGO, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 196
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: 1 · Fines, total amount: $13,042.00 · Payment denials: 1. The most recent penalty on file: September 22, 2023, Fine, $13,042. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,953,132 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,008,793 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,944,339 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,892,273 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$947,934 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $387,190 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$560,744 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$560,744 (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 | 196 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 71,736 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,823 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 56,715 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,920 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 64,458 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 298 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 24 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 339 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 107.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 190.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 190.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441632, 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 24, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,602,348 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,750,224 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,852,124 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,430,724 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,578,600 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $514,528 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,064,072 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,064,072 (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 | 196 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 63,755 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 470 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 128.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397872, 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 January 18, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,592,545 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,872,397 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,720,148 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,627,304 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $92,844 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,277,331 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,370,175 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,370,175 (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 | 196 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 66,206 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 532 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 153.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372171, 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 November 17, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,111,321 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $12,289,028 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,822,293 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,658,803 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $163,490 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,175,893 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,339,383 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,339,383 (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 | 196 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,937 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 501 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 150.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1336484, 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 May 19, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,269,856 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,405,293 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,864,563 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,115,038 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,250,475 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,404,982 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$845,493 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$845,493 (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 | 196 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 59,345 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 538 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 141.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1316264, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 3, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,008,743 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,867,659 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,141,084 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,611,750 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $529,334 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,509 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $541,843 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $541,843 (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 | 196 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 67,857 | 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 | 55.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 401.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1291490, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 10, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,283,044 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,391,784 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,891,260 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,803,284 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $87,976 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,833 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $140,809 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $140,809 (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 | 196 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 63,232 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 463 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 156.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1247342, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,087,556 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,402,562 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,684,994 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,781,630 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$96,636 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,909 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$67,727 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$67,727 (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 | 188 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,424 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 371 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 209.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222614, 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 December 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,057,393 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,317,991 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,739,402 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,005,525 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$266,123 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $39,015 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$227,108 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$235,256 (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 | 188 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 64,316 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 393 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 240.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 163.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1216740, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,204,773 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,228,551 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,976,222 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,846,770 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $129,452 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,070 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $172,522 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $161,795 (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 | 188 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 65,451 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 383 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 214.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 170.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173756, 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 December 6, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,768,424 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,273,413 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,495,011 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,676,054 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$181,043 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $98,497 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$82,546 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$82,546 (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 | 188 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,764 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,585.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 445.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1147623, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 18, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,397,044 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,590,865 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,806,179 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,323,993 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $482,186 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $96,297 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $578,483 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $578,483 (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 | 188 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,849 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 374 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 93.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 206.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1090758, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 10, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,468,303 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $13,468,303 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,519,365 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $948,938 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,445 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $955,383 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $955,383 (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 | 188 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 64,383 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 396 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 90.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 206.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085665, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 25, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,742,314 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $13,742,314 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,471,525 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,270,789 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,863 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,307,652 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,307,652 (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 | 188 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 65,795 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 405 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 91.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 203.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1051128, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 20, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,104,843 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,820,862 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,283,981 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $199,519 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,483,500 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 65,084 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 411 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 238.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 158.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430685, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 3, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,236,890 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,268,344 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $968,546 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $968,546 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,302 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 337 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 259.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 187.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398470, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 17, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,996,247 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,672,320 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $323,927 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $323,927 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,404 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 375 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 279.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 169.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364123, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 12, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,865,403 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,374,189 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $491,214 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $491,214 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,511 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 405 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 275.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 159.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 344091, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,340,514 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,196,263 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $144,251 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $144,251 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,298 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 340 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 280.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 186.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306187, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,707,210 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,966,626 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$259,416 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$259,416 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,934 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 500 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 137.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266579, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 28, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,808,982 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,673,748 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $135,234 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $135,234 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,916 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 500 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 142.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 246195, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 16, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,420,617 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,075,247 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $345,370 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $345,370 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,254 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 482 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 181.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 211135, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,801,117 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,921,831 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $879,286 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $879,286 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,965 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 447 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 203.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 134.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173618, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,208,510 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,317,193 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$108,683 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$108,683 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,942 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 316 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 280.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 170.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 131108, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,002,222 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,980,104 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $22,118 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $439,638 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,333 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $459,423 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,181 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 405 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 159.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 131.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 114642, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 13, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,221,792 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,957,776 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $264,016 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,694 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $261,333 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,429 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 431 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.99 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 158.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 130.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17135, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on August 16, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,320,180 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,805,972 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $514,208 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,483 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $156,365 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $380,326 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,422 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 488 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 157.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17133, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 1, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,522,166 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,411,811 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,110,355 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $201,387 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,311,742 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,155 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 457 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 155.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 131.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17132, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 17, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,186,544 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,466,328 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$279,784 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $178,243 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$101,543 (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 | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,945 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 480 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 154.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 129.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 11609, 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 |
|---|---|---|---|---|
| PPA LTD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 11/29/2011 |
| RAJCHENBACH, CHAIM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 5% | since 11/29/2011 |
| SHABAT, MENACHEM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 9% | since 11/29/2011 |
| SHABAT, RONALD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 69% | since 11/29/2011 |
| SHABAT, MENACHEM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/29/2011 |
| SHABAT, AHUVA | GENERAL PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 11/29/2011 |
| ESTERSOHN, STEVEN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/17/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PETERSON PARK ASSOCIATES LLC (enrollment ID O20111014000201).
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 |
|---|---|---|---|---|---|
| CHAIM RAJCHENBACH | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5.32 | 11/29/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MENACHEM SHABAT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 9.04 | 11/29/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PPA LTD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5.32 | 11/29/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD SHABAT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 69.15 | 11/29/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MENACHEM SHABAT | Individual | CORPORATE OFFICER | 100 | 11/29/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AHUVA SHABAT | Individual | GENERAL PARTNERSHIP INTEREST | 1.6 | 11/29/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN ESTERSOHN | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 1/17/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- January 5, 2024: JACK RAJCHENBACH no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
Recent changes on this record
- October 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 24, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- January 18, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- January 5, 2024: JACK RAJCHENBACH no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- November 17, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- May 19, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- August 3, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- December 10, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- April 17, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- December 21, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 18, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- December 6, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- May 18, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- February 10, 2015: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- November 25, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- June 20, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- May 3, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- February 17, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- June 12, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- April 23, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- November 16, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- March 28, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- March 16, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- April 27, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- February 13, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 11, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- June 13, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- August 16, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- February 1, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- June 17, 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | November 29, 2025 | September 20, 2024 | 5 | 1 |
| 2 | September 20, 2024 | October 19, 2023 | 11 | 0 |
| 3 | October 19, 2023 | November 3, 2022 | 17 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
33 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 30, 2026 | 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. | G | Yes | Deficient, Provider has date of correction | January 31, 2026 |
| November 29, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | December 2, 2025 |
| November 29, 2025 | 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 | December 2, 2025 |
| November 29, 2025 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | December 1, 2025 |
| November 29, 2025 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Yes | Deficient, Provider has date of correction | December 1, 2025 |
| March 25, 2025 | 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. | D | Yes | Deficient, Provider has date of correction | April 2, 2025 |
| September 20, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | September 21, 2024 |
| September 20, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | September 21, 2024 |
| September 20, 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. | E | No | Deficient, Provider has date of correction | September 21, 2024 |
| September 20, 2024 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | September 21, 2024 |
| September 20, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | September 21, 2024 |
| September 20, 2024 | 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 21, 2024 |
| September 20, 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 | September 21, 2024 |
| September 20, 2024 | 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 | September 21, 2024 |
| September 20, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | September 21, 2024 |
| September 20, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | September 21, 2024 |
| May 20, 2024 | Health | F 0836 | Administration Deficiencies | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | E | Yes | Deficient, Provider has date of correction | May 22, 2024 |
| March 18, 2024 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Yes | Deficient, Provider has date of correction | March 20, 2024 |
| March 18, 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 | Yes | Deficient, Provider has date of correction | March 20, 2024 |
| October 19, 2023 | 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 | October 20, 2023 |
| October 19, 2023 | 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. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| October 19, 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 | No | Deficient, Provider has date of correction | October 20, 2023 |
| October 19, 2023 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| October 19, 2023 | 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 | October 20, 2023 |
| October 19, 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 | October 20, 2023 |
| October 19, 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 | October 20, 2023 |
| October 19, 2023 | 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. | E | Yes | Deficient, Provider has date of correction | October 20, 2023 |
| October 19, 2023 | Health | F 0926 | Environmental Deficiencies | Have policies on smoking. | E | Yes | Deficient, Provider has date of correction | October 20, 2023 |
| October 5, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | October 6, 2023 |
| October 5, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | October 6, 2023 |
| September 22, 2023 | Health | F 0572 | Resident Rights Deficiencies | Give residents a notice of rights, rules, services and charges. | D | Yes | Deficient, Provider has date of correction | September 25, 2023 |
| September 22, 2023 | 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. | D | Yes | Deficient, Provider has date of correction | September 27, 2023 |
| September 22, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | September 23, 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 |
|---|---|---|---|---|---|
| September 22, 2023 | Fine | $13,042 | 69411 | ||
| September 22, 2023 | Payment Denial | October 14, 2023 | 6 |
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 | PETERSON PARK ASSOCIATES LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1995-08-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Cook |
| Telephone Number | 7734782000 |
| Chain Name | LEGACY HEALTHCARE |
| Chain ID | 306 |
| 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 | 196 |
| Average Number of Residents per Day | 168.6 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on PETERSON PARK HEALTH CARE 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 October 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for PETERSON PARK HEALTH CARE 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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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 145838.