Skilled nursing facility · CMS certification number 145986
LAKE FOREST PLACE
LAKE FOREST, Illinois · Medicare
Certified beds, as filed in Care Compare: 50
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: 1 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 1. The most recent penalty on file: March 6, 2026, Payment Denial. 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 April 1, 2024 to March 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 15, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,019,467 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,413,440 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,606,027 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,151,481 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,545,454 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,099,812 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $39,554,358 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,350,678 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 18,250 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,260 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 11,641 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,901 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 216 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 237 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 453 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 37.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439556, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended March 31, 2024
Cost report for April 1, 2023 to March 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,519,351 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,284,088 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,235,263 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,648,106 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,412,843 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $44,663,056 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $43,250,213 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $12,676,675 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,590 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 380 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 43.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397096, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended March 31, 2023
Cost report for April 1, 2022 to March 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 19, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,856,204 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,623,573 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,232,631 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,447,086 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,214,455 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,230,371 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $22,015,916 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,507,416 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,713 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 820 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 19.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366844, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended March 31, 2022
Cost report for April 1, 2021 to March 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 28, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,657,542 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,438,089 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,219,453 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,951,446 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,731,993 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,672,588 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $26,940,595 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,155,966 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,504 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 728 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 22.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335826, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended March 31, 2021
Cost report for April 1, 2020 to March 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,685,635 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $981,715 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,703,920 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,169,732 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,465,812 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $44,894,251 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $42,428,439 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $18,465,310 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,644 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 399 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 41.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1306782, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended March 31, 2020
Cost report for April 1, 2019 to March 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 3, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,017,731 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,017,502 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,000,229 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,556,690 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,556,461 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,369,963 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $28,813,502 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,850,378 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,152 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 501 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 36.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274788, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended March 31, 2019
Cost report for April 1, 2018 to March 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,187,409 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,510,663 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,676,746 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,935,353 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,258,607 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,986,382 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $21,727,775 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,432,461 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,280 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 572 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 40.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243762, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended March 31, 2018
Cost report for April 1, 2017 to March 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 13, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,445,068 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,578,001 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,867,067 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,178,397 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$311,330 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,430,712 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $25,119,382 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,908,330 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,670 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 466 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 50.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1212535, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended March 31, 2017
Cost report for April 1, 2016 to March 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 9, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,062,068 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,012,295 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,049,773 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,725,908 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$676,135 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,517,938 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $28,841,803 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $9,077,444 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,791 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 470 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 48.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178099, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended March 31, 2016
Cost report for December 1, 2015 to March 31, 2016 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on November 4, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,126,510 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $647,670 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,478,840 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,956,381 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,477,541 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,453,703 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $976,162 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $906,159 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,437 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 177 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 42.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145921, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended November 30, 2015
Cost report for April 1, 2015 to November 30, 2015 — a reporting period of 243 days, not a full year, on form CMS-2540-10, settled, processed by CMS on November 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,810,377 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $983,036 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,827,341 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,867,409 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,040,068 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,458,006 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,417,938 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,417,938 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,211 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 329 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 46.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1146893, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended March 31, 2014
Cost report for April 1, 2013 to March 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,849,364 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $704,936 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,144,428 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,286,992 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$19,142,564 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,304,996 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $5,162,432 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,162,432 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,103 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 372 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 54.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1079356, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended March 31, 2013
Cost report for April 1, 2012 to March 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 5, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,332,877 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $43,451 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,289,426 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,118,332 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$19,828,906 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,203,249 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,625,657 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,625,657 (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 | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,066 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 371 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 56.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049168, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended March 31, 2012
Cost report for April 1, 2011 to March 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 20, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,735,007 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,735,007 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,567,997 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$17,832,990 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,359,588 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$6,473,402 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,473,402 (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 | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,016 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 796 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 26.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1010342, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended March 31, 2011
Cost report for April 1, 2010 to March 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 21, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,616,316 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,558,775 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$20,942,459 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,673,584 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,268,875 (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 | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,781 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 759 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 27.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 419298, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended March 31, 2010
Cost report for April 1, 2009 to March 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 2, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,995,906 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,412,661 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$19,416,755 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,862,207 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $4,445,452 (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 | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,905 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 715 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 29.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 389248, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended March 31, 2009
Cost report for April 1, 2008 to March 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 28, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,883,853 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,379,267 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,495,414 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,900 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$2,489,514 (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 | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,007 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 467 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 44.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358352, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended March 31, 2008
Cost report for April 1, 2007 to March 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 14, 2009.
None of these figures is carried on this report.
CMS report record 336586, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended March 31, 2007
Cost report for April 1, 2006 to March 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 31, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $26,885,110 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,376,098 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,509,012 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $1,509,012 (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 | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,832 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 731 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 14.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 27.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322504, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended March 31, 2006
Cost report for April 1, 2005 to March 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 29, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $26,071,506 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,160,189 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,911,317 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,223 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,891,687 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$920,147 (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 | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,601 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 411 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 47.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 279632, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended March 31, 2005
Cost report for April 1, 2004 to March 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 17, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $23,615,006 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,037,058 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,577,948 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,971,285 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,170,772 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$2,621,539 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,644 | 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 | 15.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 80.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249544, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended March 31, 2004
Cost report for April 1, 2003 to March 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 9, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,570,575 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,378,713 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,191,862 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $147,742 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,846,778 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,507,174 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,473 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 548 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 33.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 232680, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended March 31, 2003
Cost report for April 1, 2002 to March 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,061,593 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,253,340 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $808,253 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,091,894 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,407,330 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$507,183 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,352 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 312 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 55.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 178331, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended March 31, 2002
Cost report for April 1, 2001 to March 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $23,155,661 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,513,253 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $2,642,408 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $3,095,238 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$452,830 (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 | 56 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,501 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 288 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 57.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 140533, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended March 31, 2001
Cost report for April 1, 2000 to March 31, 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 | $22,389,250 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,155,637 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,233,613 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $693,165 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,926,778 (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 | 56 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,543 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 70.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 116416, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended March 31, 2000
Cost report for September 23, 1999 to March 31, 2000 — a reporting period of 190 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 23, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,555,980 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,359,330 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$4,803,350 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,475,172 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$2,328,178 (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 | 56 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,234 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 126 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 57.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17487, 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 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| PRESBYTERIAN HOMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 12/01/2015 |
| BAILEY, BARBARA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/27/2016 |
| JACOBSON, LYDIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/18/2024 |
| LIGGETT, ANNA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/09/2025 |
| PRESBYTERIAN HOMES MANAGER LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/17/2025 |
| VANBERKEL, CAROL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/02/2025 |
| BRAULT, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/24/2022 |
| DEARBORN, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2023 |
| DENISON, CHARLES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2015 |
| HITE, ELINOR | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/01/2017 |
| KELLY, VINCENT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2017 |
| LINCOLN, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2021 |
| MARX, DENNIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2015 |
| MCAFEE, THOMAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2019 |
| MOLLMAN, ERIC | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/24/2022 |
| OBERREIDER, MARSHA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/22/2024 |
| REYNOLDS, SAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2024 |
| SEYMOUR, JULIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2021 |
| STRAUSBAUGH, JESSICA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2023 |
| WETZEL, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2021 |
| ABI-ANTOUN, NADIM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2023 |
| HAVRILKA, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2015 |
| BAILEY, BARBARA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/27/2016 |
| ICHINOSE, KELLY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/03/2023 |
| JACOBSON, LYDIA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/18/2024 |
| LIGGETT, ANNA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2005 |
| MADAL, ANTHONY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/23/2023 |
| PATEL, ALPANA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/10/2018 |
| VANBERKEL, CAROL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/03/2022 |
| BAILEY, BARBARA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/27/2016 |
| FAMILARA, CEAZAR | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/10/2022 |
| HAVRILKA, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2015 |
| ICHINOSE, KELLY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/03/2023 |
| JACOBSON, LYDIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/18/2024 |
| LIGGETT, ANNA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2025 |
| MADAL, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/23/2023 |
| MILLER, CHERYL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/04/2015 |
| PATEL, ALPANA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/10/2018 |
| PRATT, PATRICIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/24/2023 |
| PRESBYTERIAN HOMES MANAGER LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2015 |
| VANBERKEL, CAROL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2022 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of LAKE FOREST PLACE, LLC (enrollment ID O20160104001908).
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 |
|---|---|---|---|---|---|
| PRESBYTERIAN HOMES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANNA BREEN LIGGETT | Individual | ADP OF THE SNF | Not stated in the filing | 7/9/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BARBARA BAILEY | Individual | ADP OF THE SNF | Not stated in the filing | 9/27/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROL VANBERKEL | Individual | ADP OF THE SNF | Not stated in the filing | 4/2/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYDIA JACOBSON | Individual | ADP OF THE SNF | Not stated in the filing | 11/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PRESBYTERIAN HOMES MANAGER LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/17/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/8/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHARLES G DENISON | Individual | CORPORATE DIRECTOR | 0 | 12/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENNIE MARX | Individual | CORPORATE DIRECTOR | 0 | 12/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELINOR HITE | Individual | CORPORATE DIRECTOR | 0 | 8/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIC MOLLMAN | Individual | CORPORATE DIRECTOR | 0 | 5/24/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES BRAULT | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/24/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JESSICA STRAUSBAUGH | Individual | CORPORATE DIRECTOR | 0 | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE SEYMOUR | Individual | CORPORATE DIRECTOR | 0 | 4/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK WETZEL | Individual | CORPORATE DIRECTOR | 0 | 4/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARSHA OBERREIDER | Individual | CORPORATE DIRECTOR | 0 | 8/22/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL LINCOLN | Individual | CORPORATE DIRECTOR | 0 | 4/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT DEARBORN | Individual | CORPORATE DIRECTOR | 0 | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAM REYNOLDS | Individual | CORPORATE DIRECTOR | 0 | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS J MCAFEE | Individual | CORPORATE DIRECTOR | 0 | 4/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VINCENT K KELLY | Individual | CORPORATE DIRECTOR | 0 | 3/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK E HAVRILKA | Individual | CORPORATE OFFICER | 0 | 12/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NADIM M ABI-ANTOUN | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALPANA PATEL | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/10/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANNA BREEN LIGGETT | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 7/1/2005 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY MADAL | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/23/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BARBARA BAILEY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/27/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROL VANBERKEL | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/3/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KELLY ICHINOSE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 7/3/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYDIA JACOBSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALPANA PATEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/10/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANNA BREEN LIGGETT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY MADAL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/23/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BARBARA BAILEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/27/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROL VANBERKEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/3/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CEAZAR FAMILARA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/10/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHERYL MILLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/4/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KELLY ICHINOSE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/3/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYDIA JACOBSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK E HAVRILKA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICIA G PRATT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/24/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PRESBYTERIAN HOMES MANAGER LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- May 1, 2026: NADIM M ABI-ANTOUN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CEAZAR FAMILARA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LESLIE GREEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CAROL VANBERKEL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DAVID R DONNERSBERGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MARK F TOLEDO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LAKE FOREST PLACE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PAULA M NOBLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MICHAEL D KIRBY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PRESBYTERIAN HOMES no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MONICA HEENAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: TODD F SWORTZEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: TODD F SWORTZEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BARBARA BAILEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 27, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PRESBYTERIAN HOMES MANAGER LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PATRICIA G PRATT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ALPANA PATEL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 10, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ALPANA PATEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 10, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LYDIA JACOBSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LYDIA JACOBSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LYDIA JACOBSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PRESBYTERIAN HOMES (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JESSICA STRAUSBAUGH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SAM REYNOLDS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANNA BREEN LIGGETT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANNA BREEN LIGGETT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANNA BREEN LIGGETT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CEAZAR FAMILARA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 10, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ROBERT DEARBORN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MARSHA OBERRIEDER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANTHONY MADAL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANTHONY MADAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CAROL VANBERKEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CAROL VANBERKEL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CAROL VANBERKEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CHERYL MILLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 4, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KELLY ICHINOSE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KELLY ICHINOSE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BARBARA BAILEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 27, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BARBARA BAILEY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 27, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- February 15, 2023: NADIM M ABI-ANTOUN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since December 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: CEAZAR FAMILARA (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since January 10, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: LESLIE GREEN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since May 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: DENNIS MARX (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since December 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: CAROL VANBERKEL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MARK E HAVRILKA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since December 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: DAVID R DONNERSBERGER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MICHAEL LINCOLN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since April 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MARK F TOLEDO (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since April 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: THOMAS J MCAFEE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since April 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: PAULA M NOBLE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since December 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MICHAEL D KIRBY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: VINCENT K KELLY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since March 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MARK WETZEL (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since April 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: ELINOR HITE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MONICA HEENAN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since December 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: TODD F SWORTZEL (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since December 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: JULIE SEYMOUR (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since April 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: CHARLES G DENISON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since December 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: ERIC MOLLMAN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since May 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: JAMES BRAULT (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since May 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- May 1, 2026: NADIM M ABI-ANTOUN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CEAZAR FAMILARA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LESLIE GREEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CAROL VANBERKEL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DAVID R DONNERSBERGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MARK F TOLEDO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LAKE FOREST PLACE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PAULA M NOBLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MICHAEL D KIRBY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PRESBYTERIAN HOMES no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MONICA HEENAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: TODD F SWORTZEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: TODD F SWORTZEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BARBARA BAILEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 27, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PRESBYTERIAN HOMES MANAGER LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PATRICIA G PRATT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ALPANA PATEL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 10, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ALPANA PATEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 10, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LYDIA JACOBSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LYDIA JACOBSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LYDIA JACOBSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PRESBYTERIAN HOMES (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JESSICA STRAUSBAUGH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SAM REYNOLDS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANNA BREEN LIGGETT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANNA BREEN LIGGETT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANNA BREEN LIGGETT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CEAZAR FAMILARA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 10, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ROBERT DEARBORN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MARSHA OBERRIEDER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANTHONY MADAL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANTHONY MADAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CAROL VANBERKEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CAROL VANBERKEL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CAROL VANBERKEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CHERYL MILLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 4, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KELLY ICHINOSE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KELLY ICHINOSE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BARBARA BAILEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 27, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 12, 2024 | December 12, 2024 | 6 | 6 |
| 2 | January 11, 2024 | January 11, 2024 | 3 | 7 |
| 3 | March 8, 2023 | March 8, 2023 | 6 | 13 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
15 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 3, 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 25, 2026 |
| April 23, 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 | May 21, 2026 |
| January 28, 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 | February 12, 2026 |
| August 13, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | August 28, 2025 |
| February 27, 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 | March 7, 2025 |
| December 12, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | December 23, 2024 |
| December 12, 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 | December 23, 2024 |
| December 12, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 23, 2024 |
| August 14, 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 | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| August 14, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| May 8, 2024 | Health | F 0811 | Nutrition and Dietary Deficiencies | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | Yes | Deficient, Provider has date of correction | May 17, 2024 |
| January 11, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | January 25, 2024 |
| March 8, 2023 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | No | Deficient, Provider has date of correction | March 22, 2023 |
| March 8, 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. | G | No | Deficient, Provider has date of correction | March 22, 2023 |
| March 8, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | March 22, 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 |
|---|---|---|---|---|---|
| March 6, 2026 | Payment Denial | June 6, 2026 | 19 |
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 |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | LAKE FOREST PLACE, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1999-09-23 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Lake |
| Telephone Number | 8476046701 |
| 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 | 50 |
| Average Number of Residents per Day | 47.4 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on LAKE FOREST PLACE: 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 May 1, 2026: NADIM M ABI-ANTOUN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. 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 LAKE FOREST PLACE
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
- SOUTH HOLLAND METAL FINISHING, MONEE Water discharge permit
- TRANS WESTERN POLYMERS, LARE FOREST Water discharge permit
- DAVID SHEPPARD, HAINESVILLE Water discharge permit
- ROCKFORD, CITY OF, ROCKFORD Water discharge permit
- MONEE, VILLAGE OF, MONEE Water discharge permit
- PINGREE GROVE, VILLAGE OF, PINGREE GROVE Water discharge permit
- CHILLICOTHE, CITY OF, CHILLICOTHE Water discharge permit
- BOLINGBROOK, VILLAGE OF, BOLINGBROOK Water discharge permit
- SOLID ROCK FOUNDATIONS INC, EAST PEORIA Air emission source
- VERSA PRESS INC, EAST PEORIA Air emission source
- ROANOKE CONCRETE PRODUCTS CO, EAST PEORIA Air emission source
- BRADS AUTOBODY, ROANOKE Air emission source
- PARSONS CO INC, ROANOKE Air emission source
- EVERGREEN FS INC, ROANOKE Air emission source
- ROANOKE FARMERS ASSN, ROANOKE Air emission source
- EUREKA-GOODFIELD FIRE PROTECTION DISTRICT, EUREKA Air emission source
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 145986.