Skilled nursing facility · CMS certification number 145993
COULTERVILLE REHAB & HCC
COULTERVILLE, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 75
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: 1 · Fines, total amount: $113,818.00 · Payment denials: 0. The most recent penalty on file: April 7, 2026, Fine, $113,818. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,506,377 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $545,920 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,960,457 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,990,228 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$29,771 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $164,693 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $134,922 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $134,922 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 27,450 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,002 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 11,423 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,996 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 25,421 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 51 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 93 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 120 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 264 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 122.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436621, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 7, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,912,545 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $491,112 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,421,433 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,662,788 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$241,355 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $244,697 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,342 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,342 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,847 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 250 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 311.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401831, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 31, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,880,309 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $891,457 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,988,852 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,003,684 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$14,832 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,057 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $12,225 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $12,225 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,303 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 126.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360385, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 10, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,893,946 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,592,489 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,301,457 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,810,363 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$508,906 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $528,581 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $19,675 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $19,675 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,764 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 139 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 411.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329378, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,304,870 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,615,330 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,689,540 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,949,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$259,735 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $288,075 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $28,340 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $28,340 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,664 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 317.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313752, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,978,916 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,413,759 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,565,157 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,557,207 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $7,950 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,042 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $27,992 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $27,992 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,788 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 182 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 291 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1264536, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 6, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,901,376 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,482,478 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,418,898 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,819,622 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $599,276 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,115 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $640,391 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $640,391 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,538 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 157 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 649.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239682, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,954,518 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,981,749 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,972,769 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,449,925 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $522,844 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,084 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $542,928 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $542,928 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,155 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 658.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207446, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,332,267 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,387,722 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,944,545 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,367,815 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $576,730 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,070 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $597,800 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $597,800 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,202 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 562.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 170.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1168885, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,492,317 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $403,103 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,089,214 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,538,621 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $550,593 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,491 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $580,084 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $580,084 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,016 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 196 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157531, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,469,590 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $535,379 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,934,211 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,522,739 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $411,472 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,501 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $434,973 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $434,973 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,324 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 197 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 218.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104668, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 20, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,500,148 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $396,368 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,103,780 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,057,875 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $45,905 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,206 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $76,111 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $76,111 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,091 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 178 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 91.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 218.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076543, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,339,914 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $495,038 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,844,876 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,230,748 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$385,872 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $62,211 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$323,661 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$323,661 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,834 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 113 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 589.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 219.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043630, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 25, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,756,414 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $230,291 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,526,123 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,538,003 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$11,880 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $48,121 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $36,241 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $23,728 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,230 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 296 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 203.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1011714, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 18, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,070,797 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,274,989 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$204,192 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $239,933 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $35,741 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,735 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 218.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 134.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 420421, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 6, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,271,914 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,186,464 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $85,450 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,816 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $122,266 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,787 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 174 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 137.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 197.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398848, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on October 28, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,122,333 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,061,038 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $61,295 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,736 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $82,031 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,035 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 192 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 304.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 125.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358362, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,998,153 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,887,091 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $111,062 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,351 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $132,413 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,274 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,255.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 247.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 319680, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 25, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,102,934 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,629,301 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $473,633 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,119 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $493,752 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,683 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 90 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 413.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 196.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 288603, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 23, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,816,535 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,497,521 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $319,014 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $384,964 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $703,978 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,849 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 265.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 255343, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 6, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,084,167 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,257,061 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$172,894 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,391 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$165,503 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,608 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 111 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 411.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 203.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 219685, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 4, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,277,890 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,029,491 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $248,399 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,022 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $255,421 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,031 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 145.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,037.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 531.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 189317, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 15, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,053,756 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,169,225 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$115,469 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,004 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $21 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$94,486 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,984 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 245.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 188.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 197372, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on March 30, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,752,024 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,805,090 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$53,066 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$31,565 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$84,631 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,901 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 309.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 171.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 172365, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for May 1, 2000 to December 31, 2000 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 15, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,492,583 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,947,431 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$454,848 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,188 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$436,660 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,760 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 301.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 254.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 86361, read from the public cost report file SNFFY2000.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BLOOM, RANDALL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/25/2017 |
| BROOKS, KILEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2019 |
| HIPSKIND, TIMOTHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| THORSON, ANGELA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| TI-COULTERVILLE, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/31/2017 |
| TUTERA, JOSEPH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/25/2017 |
| WAGNER, ALISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| WALNUT CREEK MANAGEMENT COMPANY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/07/2025 |
| JCT FAMILY LIMITED PARTNERSHIP | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/20/2013 |
| JCT INVESTMENTS, LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/20/2013 |
| DOMINIC FRANK TUTERA 2016 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 07/18/2015 |
| HANNAH MARIE TUTERA 2013 IRREVOCABLE TRUST | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/20/2013 |
| JOSEPH CHARLES TUTERA JR 2019 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 06/27/2019 |
| LAURA CIRESE TUTERA 2011 IRREVOCABLE TRUST | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/20/2013 |
| TUTERA INVESTMENTS, LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 12/31/2023 |
| BLOOM, RANDALL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/04/2004 |
| BROOKS, KILEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2019 |
| HIPSKIND, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| THORSON, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| TUTERA, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/25/2017 |
| WAGNER, ALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| WALNUT CREEK MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2014 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of COULTERVILLE REHABILITATION & HEALTH CARE CENTER, LLC (enrollment ID O20140701000090).
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 |
|---|---|---|---|---|---|
| ALISA WAGNER | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGELA THORSON | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH C TUTERA | Individual | ADP OF THE SNF | Not stated in the filing | 4/25/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KILEY A BROOKS | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDALL BLOOM | Individual | ADP OF THE SNF | Not stated in the filing | 4/25/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TI-COULTERVILLE, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/31/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| TIMOTHY HIPSKIND | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WALNUT CREEK MANAGEMENT COMPANY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JCT FAMILY LIMITED PARTNERSHIP | Organization | DIRECT OWNERSHIP INTEREST | 99 | 11/20/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| JCT INVESTMENTS, LLC | Organization | DIRECT OWNERSHIP INTEREST | 1 | 11/20/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| DOMINIC FRANK TUTERA 2016 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | 24.75 | 7/18/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| HANNAH MARIE TUTERA 2013 IRREVOCABLE TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 24.75 | 11/20/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOSEPH CHARLES TUTERA JR 2019 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | 24.75 | 6/27/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| LAURA CIRESE TUTERA 2011 IRREVOCABLE TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 24.75 | 11/20/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| TUTERA INVESTMENTS, LLC | Organization | INDIRECT OWNERSHIP INTEREST | 1 | 12/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALISA WAGNER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGELA THORSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH C TUTERA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/25/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KILEY A BROOKS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDALL BLOOM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/4/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIMOTHY HIPSKIND | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WALNUT CREEK MANAGEMENT COMPANY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- April 1, 2026: JCT FAMILY LIMITED PARTNERSHIP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JCT FAMILY LIMITED PARTNERSHIP no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH C TUTERA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DOMINIC F TUTERA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: WHITNEY OBERLINK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: HANNAH M TUTERA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KILEY A BROOKS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH C TUTERA no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH C TUTERA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JCT INVESTMENTS, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LAURA C TUTERA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: HANNAH MARIE TUTERA 2013 IRREVOCABLE TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 20, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JCT FAMILY LIMITED PARTNERSHIP (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 20, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ALISA WAGNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ALISA WAGNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TIMOTHY HIPSKIND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TIMOTHY HIPSKIND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANGELA THORSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANGELA THORSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: WALNUT CREEK MANAGEMENT COMPANY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LAURA CIRESE TUTERA 2011 IRREVOCABLE TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 20, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DOMINIC FRANK TUTERA 2016 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 18, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KILEY A BROOKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KILEY A BROOKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH C TUTERA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TI-COULTERVILLE, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 31, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH CHARLES TUTERA JR 2019 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 27, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RANDALL L BLOOM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RANDALL L BLOOM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 4, 2004. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TUTERA INVESTMENTS, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JCT INVESTMENTS, LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 20, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Recent changes on this record
- July 16, 2026: A deficiency was cited under tag F 0689, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- April 1, 2026: JCT FAMILY LIMITED PARTNERSHIP no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JCT FAMILY LIMITED PARTNERSHIP no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH C TUTERA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DOMINIC F TUTERA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: WHITNEY OBERLINK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: HANNAH M TUTERA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KILEY A BROOKS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH C TUTERA no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH C TUTERA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JCT INVESTMENTS, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LAURA C TUTERA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: HANNAH MARIE TUTERA 2013 IRREVOCABLE TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 20, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JCT FAMILY LIMITED PARTNERSHIP (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 20, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ALISA WAGNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ALISA WAGNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TIMOTHY HIPSKIND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TIMOTHY HIPSKIND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANGELA THORSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANGELA THORSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: WALNUT CREEK MANAGEMENT COMPANY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LAURA CIRESE TUTERA 2011 IRREVOCABLE TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 20, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DOMINIC FRANK TUTERA 2016 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 18, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KILEY A BROOKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KILEY A BROOKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH C TUTERA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TI-COULTERVILLE, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 31, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOSEPH CHARLES TUTERA JR 2019 IRRV TR (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 27, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RANDALL L BLOOM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RANDALL L BLOOM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 4, 2004. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TUTERA INVESTMENTS, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JCT INVESTMENTS, LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 20, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- January 7, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 31, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 10, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- April 21, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- August 21, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 6, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 30, 2024 | August 30, 2024 | 6 | 1 |
| 2 | July 21, 2023 | July 21, 2023 | 7 | 1 |
| 3 | June 16, 2022 | June 16, 2022 | 0 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
13 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 16, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | July 28, 2026 |
| April 7, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Yes | Deficient, Provider has date of correction | April 9, 2026 |
| April 7, 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. | J | Yes | Deficient, Provider has date of correction | April 9, 2026 |
| December 15, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | December 31, 2025 |
| August 30, 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | September 20, 2024 |
| August 30, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | September 20, 2024 |
| July 21, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | August 15, 2023 |
| July 21, 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 | August 15, 2023 |
| July 21, 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Deficient, Provider has date of correction | August 15, 2023 |
| July 21, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | August 15, 2023 |
| July 21, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | August 15, 2023 |
| July 21, 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | August 15, 2023 |
| July 21, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | August 15, 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 |
|---|---|---|---|---|---|
| April 7, 2026 | Fine | $113,818 | 139297 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | COULTERVILLE REHABILITATION & HEALTH CARE CENTER, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2000-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Randolph |
| Telephone Number | 6187582256 |
| Chain Name | TUTERA SENIOR LIVING & HEALTH CARE |
| Chain ID | 531 |
| 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 | 75 |
| Average Number of Residents per Day | 69.3 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 1 |
| 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 COULTERVILLE REHAB & HCC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 16, 2026: A deficiency was cited under tag F 0689, scope and severity D. That is one line of the alert.
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The citable document for COULTERVILLE REHAB & HCC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Illinois at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 145993.