Skilled nursing facility · CMS certification number 145904
SMITH VILLAGE
CHICAGO, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 78
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: $16,350.00 · Payment denials: 1. The most recent penalty on file: May 16, 2026, Fine, $16,350. 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 July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 22, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,380,762 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,457,346 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,923,416 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,597,190 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,673,774 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,004,688 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$669,086 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,999,469 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 28,470 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,381 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 605 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 20,694 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 25,680 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 145 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 75 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 220 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 116.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445187, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 17, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,332,604 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,347,980 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,984,624 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,463,266 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$16,478,642 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,334,980 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,143,662 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$885,528 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,513 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 240 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 155 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401103, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,673,502 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,246,309 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,427,193 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,859,600 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$17,432,407 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,157,939 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,274,468 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,782,380 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,272 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 267 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 90.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1370446, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 15, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,690,075 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $896,797 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,793,278 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,829,279 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$17,036,001 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,323,196 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$6,712,805 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,267,839 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,045 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 170.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338301, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 13, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,860,543 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $452,923 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,407,620 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,273,450 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$14,865,830 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,458,972 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,406,858 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,023,231 (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 | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,137 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 184 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308737, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 19, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,902,212 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $691,122 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,211,090 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,192,973 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,981,883 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,786,992 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $5,805,109 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,130,800 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,114 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 241 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 408.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278586, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,872,432 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $399,108 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,473,324 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,946,516 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$11,473,192 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,385,983 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $912,791 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$434,570 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,579 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 270 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,268 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1248966, read from the public cost report file SNF10FY2018.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 January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,219,718 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $433,730 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,785,988 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,748,603 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,962,615 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,931,592 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $968,977 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $968,977 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,720 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 260 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 668 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217427, 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 January 18, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,122,649 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $210,568 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,912,081 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,192,568 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,280,487 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,138,662 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $858,175 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $858,175 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,650 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 201 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 600.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182509, 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 January 19, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,710,268 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $346,399 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,363,869 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,567,085 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$11,203,216 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,548,003 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$655,213 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$655,213 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,282 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 356 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 229.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151619, 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 October 19, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,454,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $332,084 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,122,068 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,689,257 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,567,189 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,197,586 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$369,603 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$369,603 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,122 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 330 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 186.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144938, 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 December 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,383,117 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $460,829 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,922,288 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,762,412 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,840,124 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,871,107 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,969,017 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,903,882 (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 | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,452 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 365 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 212.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1116269, 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 February 3, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,149,418 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $462,313 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,687,105 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,820,728 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,133,623 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,140,891 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$992,732 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$971,167 (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 | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,932 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 264 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 162.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055077, 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 January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,277,021 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $289,374 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,987,647 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,263,619 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,275,972 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,648,223 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$627,749 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$500,720 (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 | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,467 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 407 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 202.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023715, 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 January 18, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,725,260 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,848,309 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$9,123,049 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,406,894 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$716,155 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,193 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 284 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 116.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423203, 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 March 10, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,123,302 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,567,556 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$9,444,254 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,817,401 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,626,853 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,882 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 363 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 262.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 90.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 395370, 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 April 12, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,160,651 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,568,507 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$10,407,856 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,347,033 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,032,573 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$5,093,396 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,265 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 281 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 396.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 114.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367145, 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 February 5, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,256,067 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,428,119 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$8,172,052 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,913,575 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$3,258,477 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,861 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 298 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 183.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 35.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 113.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333234, 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 January 26, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,477,632 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,154,901 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,677,269 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,184,899 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,492,370 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,262 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,292.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 166.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 332600, 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 September 24, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,239,102 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,019,924 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$5,780,822 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,599,528 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $5,818,706 (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 | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,998 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 146 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 431.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 294151, 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 June 7, 2006.
None of these figures is carried on this report.
CMS report record 251883, 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 August 16, 2005.
None of these figures is carried on this report.
CMS report record 230893, 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 May 3, 2004.
Net income: −$1,778,054 (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 174761, 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 April 7, 2003.
Net income: −$3,341,496 (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 140318, 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 | $7,156,671 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,669,031 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$15,512,360 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,681,958 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,191 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$10,837,593 (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 | 279 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 85,310 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 461 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 327.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 185.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 116404, 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 | $7,070,004 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,074,268 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$4,004,264 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,286,559 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $13,282,295 (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 | 279 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 89,793 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 326 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 296.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 275.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17275, 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 | $5,851,176 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,803,905 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$952,729 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,293,408 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,384 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $8,332,295 (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 | 279 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 86,538 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 350 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 361.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 247.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17273, 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, settled, processed by CMS on November 21, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,633,730 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,206,328 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,572,598 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,149,817 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $21,265 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $8,555,954 (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 | 279 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 84,742 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 372 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 224.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 227.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17271, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for September 6, 1996 to June 30, 1997 — a reporting period of 297 days, not a full year, on form CMS-2540-96, settled, processed by CMS on September 9, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,040,361 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,942,160 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$901,799 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,356,722 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,721 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $4,444,202 (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 | 279 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 66,275 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 245 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 248.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 270.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17270, 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 |
|---|---|---|---|---|
| ARAIZA, EMA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2013 |
| JATIS, MARTI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2012 |
| MARNERIS, RAYMOND | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/23/2025 |
| MCGEE, KEVIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/23/2025 |
| SADOK, SMAIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/03/2025 |
| THE WASHINGTON AND JANE SMITH HOME | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/03/2025 |
| ARAIZA, EMA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/01/2013 |
| MARNERIS, RAYMOND | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/01/2012 |
| MCGEE, KEVIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/01/2012 |
| JATIS, MARTI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2012 |
| SADOK, SMAIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2012 |
| THE WASHINGTON AND JANE SMITH HOME | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/31/2000 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of WASHINGTON AND JANE SMITH COMMUNITY BEVERLY (enrollment ID O20060823000268).
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 |
|---|---|---|---|---|---|
| EMA A ARAIZA | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN MCGEE | Individual | ADP OF THE SNF | Not stated in the filing | 1/23/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARTI JATIS | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAYMOND J MARNERIS | Individual | ADP OF THE SNF | Not stated in the filing | 1/23/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SMAIN SADOK | Individual | ADP OF THE SNF | Not stated in the filing | 2/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THE WASHINGTON AND JANE SMITH HOME | Organization | ADP OF THE SNF | Not stated in the filing | 2/3/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| EMA A ARAIZA | Individual | CORPORATE OFFICER | 0 | 9/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN MCGEE | Individual | CORPORATE OFFICER | 0 | 9/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAYMOND J MARNERIS | Individual | CORPORATE OFFICER | 0 | 9/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARTI JATIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SMAIN SADOK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THE WASHINGTON AND JANE SMITH HOME | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/31/2000 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- April 1, 2025: MARTI JATIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: EMA A ARAIZA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MARTI JATIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: SMAIN SADOK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: SMAIN SADOK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since September 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: THE WASHINGTON AND JANE SMITH HOME (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: EMA A ARAIZA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since September 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: EMA A ARAIZA (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since September 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KEVIN MCGEE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RAYMOND J MARNERIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
Recent changes on this record
- December 22, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- April 1, 2025: MARTI JATIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: EMA A ARAIZA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MARTI JATIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: SMAIN SADOK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: SMAIN SADOK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since September 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: THE WASHINGTON AND JANE SMITH HOME (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: EMA A ARAIZA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since September 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: EMA A ARAIZA (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since September 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KEVIN MCGEE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RAYMOND J MARNERIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- December 17, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- December 14, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- December 15, 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- January 13, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- January 19, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- January 16, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- January 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- January 18, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- January 19, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- October 19, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- December 24, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- February 3, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- January 24, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- January 18, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- March 10, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- April 12, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- February 5, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- January 26, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- September 24, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- June 7, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- August 16, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- May 3, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- April 7, 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
- January 24, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- November 21, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- September 9, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | November 26, 2025 | September 19, 2024 | 6 | 3 |
| 2 | September 19, 2024 | October 20, 2023 | 9 | 5 |
| 3 | October 20, 2023 | December 8, 2022 | 7 | 10 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
23 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 16, 2026 | 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. | E | Yes | Deficient, Provider has date of correction | May 20, 2026 |
| May 16, 2026 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | G | Yes | Deficient, Provider has date of correction | May 20, 2026 |
| January 21, 2026 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | G | Yes | Deficient, Provider has date of correction | March 1, 2026 |
| November 26, 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 | December 10, 2025 |
| November 26, 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. | E | No | Deficient, Provider has date of correction | December 10, 2025 |
| November 26, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | December 11, 2025 |
| February 13, 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. | G | Yes | Deficient, Provider has date of correction | February 14, 2025 |
| February 13, 2025 | Health | F 0909 | Environmental Deficiencies | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | G | Yes | Deficient, Provider has date of correction | March 13, 2025 |
| September 19, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | October 1, 2024 |
| September 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. | E | No | Deficient, Provider has date of correction | October 4, 2024 |
| September 19, 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. | D | No | Deficient, Provider has date of correction | October 2, 2024 |
| September 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 | October 4, 2024 |
| September 19, 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 | October 4, 2024 |
| September 19, 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | October 6, 2024 |
| September 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 | October 2, 2024 |
| April 7, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | April 8, 2024 |
| February 9, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | March 7, 2024 |
| October 20, 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. | E | No | Deficient, Provider has date of correction | October 21, 2023 |
| October 20, 2023 | 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 | October 21, 2023 |
| October 20, 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 | November 2, 2023 |
| October 20, 2023 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | October 25, 2023 |
| October 20, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | October 21, 2023 |
| August 23, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | August 24, 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 |
|---|---|---|---|---|---|
| May 16, 2026 | Fine | $16,350 | 139666 | ||
| January 21, 2026 | Payment Denial | February 13, 2026 | 16 |
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 | Non profit - Other |
| Legal Business Name | WASHINGTON AND JANE SMITH COMMUNITY BEVERLY |
| Date First Approved to Provide Medicare and Medicaid Services | 1996-09-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Cook |
| Telephone Number | 7734747300 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 78 |
| Average Number of Residents per Day | 65.9 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| 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 SMITH VILLAGE: 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 December 22, 2025: A cost report was filed for fiscal year 2025, 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 SMITH VILLAGE
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 145904.