Skilled nursing facility · CMS certification number 145930
GOLDWATER PONTIAC NURSING HOME
PONTIAC, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 90
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,977,625 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,075,283 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,902,342 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,697,746 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,204,596 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $268,411 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,473,007 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,473,007 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 32,940 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,055 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,517 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 19,339 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 30,911 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 44 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 31 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 104 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 179 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 307 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438821, 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 August 7, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,188,600 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,852,188 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,336,412 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,529,935 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$193,523 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $284,118 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $90,595 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $90,595 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,152 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 184.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391314, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for October 1, 2022 to December 31, 2022 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 25, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,353,376 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $322,265 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,031,111 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,881,010 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $150,101 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,634 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $178,735 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $178,735 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,921 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 319.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359740, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,654,542 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,654,542 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,085,808 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$431,266 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $334,139 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$97,127 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$97,127 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,084 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 472.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331810, 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 September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,652,565 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,652,565 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,921,874 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$269,309 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $828,289 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $558,980 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $558,980 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,005 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 361.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331036, 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 27, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,428,167 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,428,167 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,852,019 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,423,852 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,946 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,396,906 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,396,906 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,600 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 304.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1296889, 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 September 26, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,027,877 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,040,476 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,987,401 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,354,376 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$366,975 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $77,900 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$289,075 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$289,075 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,188 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,328 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 228.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243832, 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 August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,747,172 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $320,084 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,427,088 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,369,334 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$942,246 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $109,734 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$832,512 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$832,512 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,636 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 33 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 231.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209794, 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 September 8, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,389,229 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $841,050 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,548,179 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,543,668 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,995,489 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,151 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$13,957,338 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$13,957,338 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,647 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 16 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 84.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 718.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 352.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175495, 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 29, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $855,937 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $855,937 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,198,196 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,342,259 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,253 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,339,006 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,339,006 (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 | 122 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,584 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 20 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 780.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 279.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142842, 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 October 19, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,238,132 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,148,521 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,089,611 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,639,735 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$550,124 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $264,459 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$285,665 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$285,665 (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 | 122 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,149 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 16 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 509.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144651, 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 July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,057,510 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,472,321 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,585,189 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,747,927 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$162,738 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,816 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$143,922 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$143,922 (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 | 122 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,535 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 329.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103499, 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 April 27, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,310,770 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,138,864 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,171,906 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,937,543 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$765,637 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $93,729 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$671,908 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$671,908 (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 | 122 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,277 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 43 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,553.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 355.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089193, 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 August 5, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,955,941 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,262,807 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,693,134 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,181,000 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$487,866 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,062 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$473,804 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$473,804 (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 | 122 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,378 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 142.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1045598, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for March 1, 2010 to December 31, 2010 — a reporting period of 305 days, on form CMS-2540-96, settled, processed by CMS on September 20, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,902,122 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,230,477 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$328,355 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $90,391 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,556 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$239,520 (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 | 122 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,167 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 223.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 132.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432320, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended November 30, 2009
Cost report for December 1, 2008 to November 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 21, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,280,433 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,912,965 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,632,532 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,062,080 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$570,452 (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 | 122 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 5,146 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 43 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 388.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397813, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended November 30, 2008
Cost report for December 1, 2007 to November 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 16, 2010.
None of these figures is carried on this report.
CMS report record 366044, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended November 30, 2007
Cost report for December 1, 2006 to November 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 21, 2009.
None of these figures is carried on this report.
CMS report record 339849, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended November 30, 2006
Cost report for December 1, 2005 to November 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2008.
None of these figures is carried on this report.
CMS report record 306189, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended November 30, 2005
Cost report for December 1, 2004 to November 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 16, 2006.
None of these figures is carried on this report.
CMS report record 266576, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended November 30, 2004
Cost report for December 1, 2003 to November 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 28, 2006.
None of these figures is carried on this report.
CMS report record 246209, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended November 30, 2003
Cost report for December 1, 2002 to November 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 1, 2005.
Net income: $78,581 (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 209238, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended November 30, 2002
Cost report for December 1, 2001 to November 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 18, 2003.
Net income: $141,282 (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 163611, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended November 30, 2001
Cost report for December 1, 2000 to November 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
None of these figures is carried on this report.
CMS report record 126122, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended November 30, 2000
Cost report for December 1, 1999 to November 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on May 23, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,038,236 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,154,649 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$116,413 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $109,643 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$6,770 (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 | 122 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,651 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 129 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 91.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 358.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 322.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17359, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended November 30, 1999
Cost report for December 1, 1998 to November 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on July 20, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,334,943 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,890,432 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$555,489 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $112,900 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$442,589 (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 | 122 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,888 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 171 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 81.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 350.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 244.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17358, read from the public cost report file SNFFY1999.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 |
|---|---|---|---|---|
| 1225 S EWING DRIVE, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/28/2025 |
| CURIS SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2022 |
| DEVAULT, DIANA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| GOLDWATER CARE MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/28/2025 |
| KATZENSTEIN, MEIR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| MAYS, ERIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| SPECTOR, JENNIFER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| STACHOWIAK, MELISSA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| TVERSKY, AARON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| WILHELM, NAFTALI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2022 |
| ZAFAR, MUHAMMAD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| KATZENSTEIN, MEIR | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2022 |
| SPECTOR, JENNIFER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2022 |
| TVERSKY, AARON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2022 |
| DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 10/01/2022 |
| BERKOWITZ, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| MEYSTEL, YOSEF | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| DEVAULT, DIANA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2022 |
| STACHOWIAK, MELISSA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2022 |
| DEVAULT, DIANA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2022 |
| GOLDWATER CARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2022 |
| KATZENSTEIN, MEIR | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2022 |
| MAYS, ERIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2022 |
| SPECTOR, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2022 |
| TUROFSKY, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2022 |
| TVERSKY, AARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2022 |
| WILHELM, NAFTALI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2022 |
| ZAFAR, MUHAMMAD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GOLDWATER PONTIAC NURSING HOME LLC (enrollment ID O20221110000789).
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 |
|---|---|---|---|---|---|
| MEIR KATZENSTEIN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 55 | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 22.5 | 10/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| 1225 S EWING DRIVE, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| AARON TVERSKY | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CURIS SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| DIANA DEVAULT | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIN MAYS | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GOLDWATER CARE MANAGEMENT LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JENNIFER SPECTOR | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MEIR KATZENSTEIN | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MELISSA ANNE STACHOWIAK | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MUHAMMAD ZAFAR | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NAFTALI WILHELM | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| AARON TVERSKY | Individual | CORPORATE OFFICER | 100 | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER SPECTOR | Individual | CORPORATE OFFICER | 100 | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MEIR KATZENSTEIN | Individual | CORPORATE OFFICER | 100 | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE | Organization | DIRECT OWNERSHIP INTEREST | 4.99 | 10/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| DIANA DEVAULT | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MELISSA ANNE STACHOWIAK | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AARON TVERSKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIANA DEVAULT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIN MAYS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GOLDWATER CARE MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| JENNIFER SPECTOR | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MEIR KATZENSTEIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MUHAMMAD ZAFAR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NAFTALI WILHELM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN TUROFSKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 1, 2025: BRIANNE DRONENBERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DAVID A BERKOWITZ RVOC TR DAVID BERKOWITZ TTEE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JENNIFER SPECTOR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MELISSA ANNE STACHOWIAK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MELISSA ANNE STACHOWIAK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CURIS SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: NAFTALI WILHELM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: NAFTALI WILHELM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DIANA DEVAULT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DIANA DEVAULT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DIANA DEVAULT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: GOLDWATER CARE MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: GOLDWATER CARE MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MUHAMMAD ZAFAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MUHAMMAD ZAFAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: STEVEN TUROFSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MEIR KATZENSTEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ERIN MAYS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ERIN MAYS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: AARON TVERSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: AARON TVERSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: AARON TVERSKY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DAVID A. BERKOWITZ REVOCABLE TRUST (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: 1225 S EWING DRIVE, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JENNIFER SPECTOR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JENNIFER SPECTOR (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- May 15, 2023: JENNIFER SPECTOR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since March 10, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: JENNIFER SPECTOR (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since March 10, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- April 14, 2023: BRIANNE DRONENBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: RICHARD HIATT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: BRIANNE LOUDON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JEFF RIENTS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: DEBORAH HOWARD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: BRIANNE DRONENBERG (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: MEIR KATZENSTEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: MEIR KATZENSTEIN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: MEIR KATZENSTEIN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: DAVID A BERKOWITZ RVOC TR DAVID BERKOWITZ TTEE (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 1, 2025: BRIANNE DRONENBERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DAVID A BERKOWITZ RVOC TR DAVID BERKOWITZ TTEE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JENNIFER SPECTOR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MELISSA ANNE STACHOWIAK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MELISSA ANNE STACHOWIAK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CURIS SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: NAFTALI WILHELM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: NAFTALI WILHELM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DIANA DEVAULT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DIANA DEVAULT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DIANA DEVAULT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: GOLDWATER CARE MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: GOLDWATER CARE MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MUHAMMAD ZAFAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MUHAMMAD ZAFAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: STEVEN TUROFSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MEIR KATZENSTEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ERIN MAYS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ERIN MAYS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: AARON TVERSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: AARON TVERSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: AARON TVERSKY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DAVID A. BERKOWITZ REVOCABLE TRUST (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: 1225 S EWING DRIVE, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JENNIFER SPECTOR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JENNIFER SPECTOR (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- August 7, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 25, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2023.zip
- June 28, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 15, 2023: JENNIFER SPECTOR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since March 10, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: JENNIFER SPECTOR (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since March 10, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- April 14, 2023: BRIANNE DRONENBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: RICHARD HIATT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: BRIANNE LOUDON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JEFF RIENTS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: DEBORAH HOWARD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: BRIANNE DRONENBERG (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 16, 2024 | May 16, 2024 | 14 | 4 |
| 2 | July 28, 2023 | July 28, 2023 | 15 | 4 |
| 3 | August 12, 2022 | August 12, 2022 | 4 | 7 |
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 |
|---|---|---|---|---|---|---|---|---|
| June 29, 2026 | Health | F 0567 | Resident Rights Deficiencies | Honor the resident's right to manage his or her financial affairs. | D | Yes | Deficient, Provider has date of correction | June 30, 2026 |
| June 29, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | June 30, 2026 |
| June 29, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | June 30, 2026 |
| August 20, 2025 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | August 21, 2025 |
| August 20, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | August 21, 2025 |
| August 20, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | August 21, 2025 |
| November 25, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | December 2, 2024 |
| November 25, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | December 2, 2024 |
| November 25, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | Yes | Deficient, Provider has date of correction | December 2, 2024 |
| May 16, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | May 21, 2024 |
| May 16, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | May 21, 2024 |
| May 16, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | May 21, 2024 |
| May 16, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | May 21, 2024 |
| May 16, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | May 21, 2024 |
| May 16, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | May 21, 2024 |
| May 16, 2024 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | No | Deficient, Provider has date of correction | May 21, 2024 |
| May 16, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | May 21, 2024 |
| May 16, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | May 17, 2024 |
| May 16, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | May 21, 2024 |
| May 16, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | May 21, 2024 |
| September 27, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | September 29, 2023 |
| July 28, 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. | D | No | Deficient, Provider has date of correction | August 7, 2023 |
| July 28, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | August 7, 2023 |
| July 28, 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | August 7, 2023 |
| July 28, 2023 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | August 7, 2023 |
| July 28, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | August 7, 2023 |
| July 28, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | August 7, 2023 |
| July 28, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | August 7, 2023 |
| July 28, 2023 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | No | Deficient, Provider has date of correction | August 7, 2023 |
| July 28, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | August 7, 2023 |
| August 12, 2022 | 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 | No | Deficient, Provider has date of correction | August 24, 2022 |
| August 12, 2022 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | No | Deficient, Provider has date of correction | August 24, 2022 |
| August 12, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | August 24, 2022 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | GOLDWATER PONTIAC NURSING HOME LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1997-08-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Livingston |
| Telephone Number | 8158445121 |
| Chain Name | GOLDWATER CARE |
| Chain ID | 699 |
| 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 | 90 |
| Average Number of Residents per Day | 84.5 |
| Overall Rating | 2 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on GOLDWATER PONTIAC NURSING HOME: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 11, 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 GOLDWATER PONTIAC NURSING HOME
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Illinois at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in Illinois
- PLANO STP, CITY OF, PLANO Water discharge permit
- WOOD DALE NORTH STP, CITY OF, WOOD DALE Water discharge permit
- GENEVA STP, CITY OF, GENEVA Water discharge permit
- WAUCONDA WWTF, WAUCONDA Water discharge permit
- HARVARD STP, CITY OF, HARVARD Water discharge permit
- MILAN STP, VILLAGE OF, MILAN Water discharge permit
- MANHATTAN STP, VILLAGE OF, MANHATTAN Water discharge permit
- FLORA STP, CITY OF, FLORA Water discharge permit
- SOLID ROCK FOUNDATIONS INC, EAST PEORIA Air emission source
- VERSA PRESS INC, EAST PEORIA Air emission source
- ROANOKE CONCRETE PRODUCTS CO, EAST PEORIA Air emission source
- BRADS AUTOBODY, ROANOKE Air emission source
- PARSONS CO INC, ROANOKE Air emission source
- EVERGREEN FS INC, ROANOKE Air emission source
- ROANOKE FARMERS ASSN, ROANOKE Air emission source
- EUREKA-GOODFIELD FIRE PROTECTION DISTRICT, EUREKA Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 145930.