Skilled nursing facility · CMS certification number 165516
Jackson Ridge Healthcare Center
Maquoketa, Iowa · 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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,553,753 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $28,222 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,525,531 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,500,576 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $24,955 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,946 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $54,901 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $54,901 (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 | 276 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,183 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,538 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,997 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 3 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 8 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 12 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 14,183 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,499.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433845, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for April 1, 2023 to December 31, 2023 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 25, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,189,892 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $64,173 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,125,719 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,098,110 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $27,609 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $27,609 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $27,609 (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 | 10,635 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 6 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 8,100 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,772.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395823, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for November 16, 2022 to December 31, 2022 — a reporting period of 45 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 1, 2023.
None of these figures is carried on this report.
CMS report record 1369143, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,781,687 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $725,759 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,055,928 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,425,366 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,369,438 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,369,438 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,369,438 (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 | 17,811 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 29 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 773.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 614.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330718, 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 December 6, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,842,194 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $721,540 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,120,654 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,042,738 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $77,916 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $558,230 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $636,146 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $636,146 (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 | 23,462 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 564.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 335.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1306366, 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 December 4, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,853,234 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,151,529 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,701,705 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,907,344 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$205,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,443 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$203,196 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$203,196 (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 | 24,452 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,137.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 520.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275000, 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 July 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,845,950 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,015,853 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,830,097 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,802,274 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $27,823 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $902 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $28,725 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $25,377 (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 | 24,947 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 961.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 366.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238061, 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 July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,622,248 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $676,015 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,946,233 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,895,978 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $50,255 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $359 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $50,614 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $13,984 (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 | 25,588 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,840.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 533.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200730, 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 June 29, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,521,060 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $422,117 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,098,943 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,969,737 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $129,206 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $289 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $129,495 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $74,304 (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 | 25,189 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 132.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,406.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 599.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1167275, 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 July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,231,004 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $341,824 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,889,180 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,796,691 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $92,489 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,679 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $94,168 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $57,164 (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 | 24,072 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,007.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 422.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1136745, 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 June 30, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,141,378 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $369,316 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,772,062 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,716,010 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $56,052 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,348 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $57,400 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $14,652 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,112 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 64 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 555.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 376.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1100934, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,120,792 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $183,925 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,936,867 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,640,976 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $295,891 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $295,891 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $284,532 (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 | 24,530 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 107.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 950.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 480.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1072116, 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 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,507,196 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $113,960 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,393,236 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,238,572 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $154,664 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $154,664 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $154,384 (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 | 21,305 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,439.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 355.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042305, 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 | $3,403,595 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $28,473 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,375,122 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,289,552 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $85,570 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $342 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $85,912 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $84,710 (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 | 21,011 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 687.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 375.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1011793, 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 July 22, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,522,999 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,393,806 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $129,193 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $129,205 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,163 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 859 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 321.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 412433, 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 July 16, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,206,902 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,163,728 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $43,174 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,283 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $45,457 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,524 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 641.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 300.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 381883, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 21, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,958,419 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,956,713 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,706 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,397 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $3,103 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,946 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 56 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 83.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 560.54 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 391.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 351761, 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 | $3,033,099 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,917,254 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $115,845 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $391 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $116,236 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,110 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 757.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 453.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 320545, 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 December 17, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,931,068 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,810,238 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $120,830 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,607 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,563 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $117,874 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,479 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 788.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 394.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 298689, 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 28, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,364,281 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,387,031 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$22,750 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,185 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,821 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$31,386 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,149 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 512 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 277.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 256170, 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 July 19, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,457,897 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,458,674 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$777 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $704 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$73 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,508 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,146.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 311.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 228166, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for December 1, 2003 to December 31, 2003 — a reporting period of 30 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 3, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $218,498 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $220,293 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,795 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $109 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,686 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 1,951 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 2 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicaid, in days | 1,422 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 975.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 209611, read from the public cost report file SNFFY2004.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 |
|---|---|---|---|---|
| 1015 JACKSON PROPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2023 |
| BYBEE, JERALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2010 |
| CARR, AMANDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2019 |
| HOFFMAN, SHLOMO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2024 |
| LTC CONSULTING SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2023 |
| MIDWEST SNF HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2023 |
| PAVEL, ASHER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2024 |
| SHEINBEIN, JOSHUA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2024 |
| STELLAR HEALTHCARE MGMT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2023 |
| SVARC, JONAH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2023 |
| YY SEA FAMILY IRREVOCABLE TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2023 |
| HOFFMAN, JESSICA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/20/2026 |
| PAVEL, ASHER | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/01/2024 |
| SHEINBEIN, JOSHUA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/01/2024 |
| SVARC, JONAH | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 04/01/2023 |
| BYBEE, JERALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2010 |
| CARR, AMANDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2019 |
| PAVEL, ASHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2024 |
| SHEINBEIN, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2024 |
| STELLAR HEALTHCARE MGMT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2023 |
| SVARC, JONAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of JACKSON IA OPCO LLC (enrollment ID O20230605002274).
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 |
|---|---|---|---|---|---|
| ASHER PAVEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16.66 | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONAH SVARC | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33.3 | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA SHEINBEIN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16.66 | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHLOMO D HOFFMAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33.3 | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| 1015 JACKSON PROPCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMANDA CARR | Individual | ADP OF THE SNF | Not stated in the filing | 11/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ASHER PAVEL | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JERALD W BYBEE | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONAH SVARC | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA SHEINBEIN | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LTC CONSULTING SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| MIDWEST SNF HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHLOMO D HOFFMAN | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STELLAR HEALTHCARE MGMT LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| YY SEA FAMILY IRREVOCABLE TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| ASHER PAVEL | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONAH SVARC | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA SHEINBEIN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMANDA CARR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ASHER PAVEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JERALD W BYBEE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONAH SVARC | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA SHEINBEIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STELLAR HEALTHCARE MGMT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- March 1, 2026: SHELDON GOLDBERGER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AMANDA CARR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHLOMO D HOFFMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: 1015 JACKSON PROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JONAH SVARC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JONAH SVARC (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JONAH SVARC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: STELLAR HEALTHCARE MGMT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MIDWEST SNF HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AMANDA CARR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AMANDA CARR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JERALD W BYBEE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JERALD W BYBEE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOSHUA SHEINBEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOSHUA SHEINBEIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOSHUA SHEINBEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOSHUA SHEINBEIN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ASHER PAVEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ASHER PAVEL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ASHER PAVEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ASHER PAVEL (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LTC CONSULTING SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YY SEA FAMILY IRREVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- August 1, 2024: SHLOMO HOFFMAN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: SHELDON GOLDBERGER (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JONAH SVARC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: STELLAR HEALTHCARE MGMT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: AMANDA CARR (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: TRUESTONE EQUITY LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: TRUESTONE IOWA PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BCH OPERATIONS LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BLUE HOME CARE INVESTMENTS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BCH PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: AMANDA CARR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BLUE CARE HOMES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: EMA IND WAY LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JOSEPH RUBIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BLUE CARE OPCO HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: SHMUEL HAIKINS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: AFG2 HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- July 1, 2024: TRUESTONE EQUITY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: TRUESTONE IOWA PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: BCH OPERATIONS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: BLUE HOME CARE INVESTMENTS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: BCH PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: AMANDA CARR (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: BLUE CARE HOMES LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: EMA IND WAY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JOSEPH RUBIN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: BLUE CARE OPCO HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: SHMUEL HAIKINS (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: AFG2 HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: SHLOMO HOFFMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: SHELDON GOLDBERGER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JONAH SVARC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: STELLAR HEALTHCARE MGMT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: AMANDA CARR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- June 3, 2024: SHLOMO HOFFMAN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: SHELDON GOLDBERGER (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JONAH SVARC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: STELLAR HEALTHCARE MGMT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: AMANDA CARR (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: TRUESTONE EQUITY LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: TRUESTONE IOWA PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BCH OPERATIONS LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BLUE HOME CARE INVESTMENTS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BCH PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: AMANDA CARR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BLUE CARE HOMES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: EMA IND WAY LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JOSEPH RUBIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BLUE CARE OPCO HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: SHMUEL HAIKINS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: AFG2 HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- May 1, 2024: TRUESTONE EQUITY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: TRUESTONE IOWA PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BCH OPERATIONS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BLUE HOME CARE INVESTMENTS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BCH PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: AMANDA CARR (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BLUE CARE HOMES LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: EMA IND WAY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JOSEPH RUBIN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BLUE CARE OPCO HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: SHMUEL HAIKINS (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: AFG2 HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: SHLOMO HOFFMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: SHELDON GOLDBERGER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JONAH SVARC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: STELLAR HEALTHCARE MGMT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: AMANDA CARR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- November 1, 2023: SHLOMO HOFFMAN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: SHELDON GOLDBERGER (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: JONAH SVARC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: STELLAR HEALTHCARE MGMT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: AMANDA CARR (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- October 2, 2023: SHLOMO HOFFMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: SHELDON GOLDBERGER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JONAH SVARC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: STELLAR HEALTHCARE MGMT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: AMANDA CARR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- September 15, 2023: AMANDA CARR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: BLUE CARE HOMES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: EMA IND WAY LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: JOSEPH RUBIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: BLUE CARE OPCO HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: SHMUEL HAIKINS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: AFG2 HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: TRUESTONE EQUITY LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: TRUESTONE IOWA PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: BCH OPERATIONS LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: BLUE HOME CARE INVESTMENTS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: BCH PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: SHLOMO HOFFMAN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: SHELDON GOLDBERGER (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: JONAH SVARC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: STELLAR HEALTHCARE MGMT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: AMANDA CARR (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- May 15, 2023: JUDY A TUCKER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: QHC MANAGEMENT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: CHRISTINE HAHN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: JERRY W VOYNA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: JERRY W VOYNA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: NANCY A VOYNA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: TRUESTONE EQUITY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: TRUESTONE IOWA PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: BCH OPERATIONS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: BLUE HOME CARE INVESTMENTS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: BCH PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: AMANDA CARR (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: BLUE CARE HOMES LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: EMA IND WAY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: JOSEPH RUBIN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: BLUE CARE OPCO HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: SHMUEL HAIKINS (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: AFG2 HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Recent changes on this record
- March 1, 2026: SHELDON GOLDBERGER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AMANDA CARR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHLOMO D HOFFMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: 1015 JACKSON PROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JONAH SVARC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JONAH SVARC (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JONAH SVARC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: STELLAR HEALTHCARE MGMT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MIDWEST SNF HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AMANDA CARR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AMANDA CARR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JERALD W BYBEE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JERALD W BYBEE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOSHUA SHEINBEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOSHUA SHEINBEIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOSHUA SHEINBEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOSHUA SHEINBEIN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ASHER PAVEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ASHER PAVEL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ASHER PAVEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ASHER PAVEL (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LTC CONSULTING SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YY SEA FAMILY IRREVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 25, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 1, 2024: SHLOMO HOFFMAN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: SHELDON GOLDBERGER (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JONAH SVARC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: STELLAR HEALTHCARE MGMT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: AMANDA CARR (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: TRUESTONE EQUITY LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: TRUESTONE IOWA PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BCH OPERATIONS LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BLUE HOME CARE INVESTMENTS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BCH PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: AMANDA CARR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BLUE CARE HOMES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: EMA IND WAY LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JOSEPH RUBIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BLUE CARE OPCO HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 26, 2025 | June 26, 2025 | 7 | 3 |
| 2 | August 7, 2024 | August 7, 2024 | 10 | 3 |
| 3 | August 24, 2023 | August 24, 2023 | 3 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
20 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 5, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | June 26, 2026 |
| June 5, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Yes | Deficient, Provider has date of correction | June 26, 2026 |
| June 26, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | June 30, 2025 |
| June 26, 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | June 30, 2025 |
| June 26, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | June 30, 2025 |
| June 26, 2025 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | E | No | Deficient, Provider has date of correction | June 30, 2025 |
| June 26, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 30, 2025 |
| August 7, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | August 8, 2024 |
| August 7, 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 8, 2024 |
| August 7, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | August 8, 2024 |
| August 7, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | August 8, 2024 |
| August 7, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | August 8, 2024 |
| August 7, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | August 8, 2024 |
| August 7, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | August 8, 2024 |
| August 7, 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. | E | No | Deficient, Provider has date of correction | August 8, 2024 |
| August 7, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | August 8, 2024 |
| August 7, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Yes | Deficient, Provider has date of correction | August 8, 2024 |
| August 24, 2023 | 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 | August 28, 2023 |
| August 24, 2023 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | No | Deficient, Provider has date of correction | August 28, 2023 |
| August 24, 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. | E | No | Deficient, Provider has date of correction | August 28, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | JACKSON IA OPCO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2003-12-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Jackson |
| Telephone Number | 5636524968 |
| Chain Name | SHLOMO HOFFMAN |
| Chain ID | 713 |
| 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 | 62.4 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on Jackson Ridge Healthcare Center: 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 August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Jackson Ridge Healthcare Center
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 Iowa 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 165516.