Skilled nursing facility · CMS certification number 185038
The Pavilion at Kenton
Covington, Kentucky · Medicare and Medicaid
Certified beds, as filed in Care Compare: 82
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, as submitted, processed by CMS on June 12, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,711,067 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $798,696 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,912,371 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,722,576 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,189,795 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,483 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,232,278 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,232,278 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 30,012 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,406 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 22,135 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,802 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 28,343 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 33 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 100 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 40 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 173 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 221.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 163.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1427652, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 19, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,559,651 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $591,252 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,968,399 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,776,957 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $191,442 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $221,704 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $413,146 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $413,146 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,777 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 220.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1447934, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,871,496 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $648,846 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,222,650 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,707,489 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$484,839 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $899,284 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $414,445 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $414,445 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,153 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 267 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 221.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1378992, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 12, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,727,793 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $670,937 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,056,856 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,576,544 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $480,312 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,111,848 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,592,160 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,592,160 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,969 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 244 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 186.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366552, 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 June 17, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,884,302 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $685,351 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,198,951 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,478,820 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$279,869 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $377,750 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $97,881 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $97,881 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,426 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 312 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 148.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1320489, 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 January 15, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,240,213 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $818,769 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,421,444 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,249,089 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $172,355 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $339,901 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $512,256 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $512,256 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,395 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 372 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 147.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278356, 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 October 16, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,827,169 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $730,646 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,096,523 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,389,817 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $706,706 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$82,812 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $623,894 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $623,894 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,991 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 771 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 34.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 35.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1244150, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for August 29, 2017 to December 31, 2017 — a reporting period of 124 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 13, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,585,401 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $196,736 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,388,665 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,242,053 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $146,612 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $47,433 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $194,045 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $194,045 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,665 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 287 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 34.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 33.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1212780, 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 August 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,962,745 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,926,323 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,036,422 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,125,673 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$89,251 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $102,396 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $13,145 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $13,145 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,241 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 299 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 365.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173514, 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 November 17, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,314,742 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,705,360 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,609,382 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,131,209 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$521,827 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $85,471 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$436,356 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$436,356 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,042 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 337 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 264.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1146575, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for December 1, 2014 to December 31, 2014 — a reporting period of 30 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 7, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $774,473 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $164,626 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $609,847 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $541,638 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $68,209 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,960 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $72,169 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $72,169 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 2,364 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 31 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 290.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119959, read from the public cost report file SNF10FY2015.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 January 29, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,807,538 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,192,377 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,615,161 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,530,575 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,084,586 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,504 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,102,090 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,102,090 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,548 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 252 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 615.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085167, 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 February 21, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,733,356 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,299,371 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,433,985 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,371,094 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,062,891 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,354 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,075,245 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,075,245 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,588 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 270 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 415.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055879, 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 April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,144,228 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $576,901 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,567,327 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,415,420 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,151,907 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $39,423 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,191,330 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,191,330 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,949 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 284 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 430.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1027206, 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 April 23, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,693,880 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,822,021 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $871,859 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,789 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $875,648 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,272 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 215 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 283.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 103.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428052, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended August 11, 2009
Cost report for January 1, 2009 to August 11, 2009 — a reporting period of 222 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 26, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,499,916 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,047,394 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $452,522 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $62,589 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $515,111 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,848 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 268.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 204.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 400462, 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 June 19, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,645,624 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,548,915 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $96,709 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $188,978 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $285,687 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,992 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 84.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 346.54 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 301.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 376251, 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 June 17, 2009.
None of these figures is carried on this report.
CMS report record 345341, 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 February 11, 2008.
None of these figures is carried on this report.
CMS report record 302027, 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 May 1, 2007.
None of these figures is carried on this report.
CMS report record 276719, 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 May 17, 2006.
None of these figures is carried on this report.
CMS report record 249435, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 29, 2005.
None of these figures is carried on this report.
CMS report record 233899, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 28, 2003.
None of these figures is carried on this report.
CMS report record 162221, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
None of these figures is carried on this report.
CMS report record 139487, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,524,990 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,532,961 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$7,971 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$21,983 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$29,954 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,303 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 283.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 275.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 114311, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 1, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,232,343 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,024,055 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $208,288 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $111,389 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $319,677 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,623 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 332.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 293.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 20439, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 16, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,124,223 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,982,544 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $141,679 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $107,950 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $249,629 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,521 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 338.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 268.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 20437, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on August 6, 1998.
Net income: $252,067 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 20436, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| WILD CAT HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/09/2017 |
| WILDCAT HOLDING LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/09/2017 |
| BERGER, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 20% | since 05/09/2017 |
| KLEIN, CHAIM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 8% | since 05/09/2017 |
| KLEIN, GERSHON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 8% | since 05/09/2017 |
| KLEIN, YISRAEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 8% | since 05/09/2017 |
| LIEBERMAN, NECHEMIA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 24% | since 05/09/2017 |
| NIELK EQUITIES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 25% | since 05/09/2017 |
| RAINLAND HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5% | since 01/01/2022 |
| THE PAVILION AT KENTON PROPERTY LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 05/09/2017 |
| BERGER, DAVID | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/09/2017 |
| CITRIN COOPERMAN ADVISORS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/09/2017 |
| FASTEN HALBERSTAM LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/09/2017 |
| FAUGHN, LAURA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2025 |
| FREY, CHRISTINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/14/2025 |
| FULL MED STAFFING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/09/2017 |
| GALE HEALTHCARE SOLUTIONS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/09/2017 |
| LIEBERMAN, NECHEMIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/09/2017 |
| MED-NET COMPLIANCE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2018 |
| MOERMAN, RAFAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/09/2017 |
| NIELK EQUITIES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/09/2017 |
| OVATION REHABILITATION SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/09/2017 |
| RAINLAND HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| WILD CAT HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/09/2017 |
| MOERMAN, RAFAEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/09/2017 |
| FREY, CHRISTINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/14/2025 |
| KRIESER, AKIVA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/09/2017 |
| MOERMAN, RAFAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/09/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PAVILION AT KENTON FOR NURSING AND REHABILITATION LLC (enrollment ID O20171019000111).
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 |
|---|---|---|---|---|---|
| WILD CAT HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/9/2017 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| WILDCAT HOLDING LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/9/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAIM KLEIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8.33 | 5/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID BERGER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 19.79 | 5/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GERSHON KLEIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8.33 | 5/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NECHEMIA M LIEBERMAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24 | 5/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NIELK EQUITIES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25 | 5/9/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| RAFAEL MOERMAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 26 | 5/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAINLAND HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.21 | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| YISRAEL KLEIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8.33 | 5/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THE PAVILION AT KENTON PROPERTY LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 5/9/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHRISTINA FREY | Individual | ADP OF THE SNF | Not stated in the filing | 1/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CITRIN COOPERMAN ADVISORS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/9/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID BERGER | Individual | ADP OF THE SNF | Not stated in the filing | 5/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FASTEN HALBERSTAM LLP | Organization | ADP OF THE SNF | Not stated in the filing | 5/9/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| FULL MED STAFFING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/9/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| GALE HEALTHCARE SOLUTIONS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/9/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| LAURA L FAUGHN | Individual | ADP OF THE SNF | Not stated in the filing | 1/2/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MED-NET COMPLIANCE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| NECHEMIA M LIEBERMAN | Individual | ADP OF THE SNF | Not stated in the filing | 5/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NIELK EQUITIES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/9/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| OVATION REHABILITATION SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/9/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| RAFAEL MOERMAN | Individual | ADP OF THE SNF | Not stated in the filing | 5/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAINLAND HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILD CAT HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/9/2017 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| RAFAEL MOERMAN | Individual | CORPORATE OFFICER | Not stated in the filing | 5/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AKIVA KRIESER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTINA FREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAFAEL MOERMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2025: YAAKOV DAVIDSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PAVILION AT KENTON FOR NURSING AND REHABILITATION LLC no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DANIEL ROMANELLO no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DANIEL ROMANELLO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DANIEL ROMANELLO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DONALD EDELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NECHEMIA M LIEBERMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OVATION REHABILITATION SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FASTEN HALBERSTAM LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MED-NET COMPLIANCE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAFAEL MOERMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAFAEL MOERMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: THE PAVILION AT KENTON PROPERTY LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CITRIN COOPERMAN ADVISORS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AKIVA KRIESER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAINLAND HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WILD CAT HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WILD CAT HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINA FREY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINA FREY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FULL MED STAFFING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NIELK EQUITIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAVID BERGER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAURA L FAUGHN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GALE HEALTHCARE SOLUTIONS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- July 17, 2023: YAAKOV DAVIDSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RAINLAND HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- March 15, 2023: DONALD EDELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: PAVILION AT KENTON FOR NURSING AND REHABILITATION LLC (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: DANIEL ROMANELLO (OTHER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: DANIEL ROMANELLO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: DANIEL ROMANELLO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- November 30, 2022: JEFFREY WEINER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: JEFFREY WEINER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: DONALD EDELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: DONALD EDELL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Recent changes on this record
- February 19, 2026: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 1, 2025: YAAKOV DAVIDSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PAVILION AT KENTON FOR NURSING AND REHABILITATION LLC no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DANIEL ROMANELLO no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DANIEL ROMANELLO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DANIEL ROMANELLO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DONALD EDELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NECHEMIA M LIEBERMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OVATION REHABILITATION SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FASTEN HALBERSTAM LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MED-NET COMPLIANCE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAFAEL MOERMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAFAEL MOERMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: THE PAVILION AT KENTON PROPERTY LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CITRIN COOPERMAN ADVISORS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AKIVA KRIESER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RAINLAND HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WILD CAT HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WILD CAT HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINA FREY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINA FREY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FULL MED STAFFING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NIELK EQUITIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAVID BERGER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LAURA L FAUGHN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GALE HEALTHCARE SOLUTIONS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- June 12, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- May 23, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- October 12, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 17, 2023: YAAKOV DAVIDSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RAINLAND HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- March 15, 2023: DONALD EDELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: PAVILION AT KENTON FOR NURSING AND REHABILITATION LLC (LIMITED PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since May 9, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: DANIEL ROMANELLO (OTHER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: DANIEL ROMANELLO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: DANIEL ROMANELLO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- November 30, 2022: JEFFREY WEINER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: JEFFREY WEINER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: DONALD EDELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: DONALD EDELL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 26, 2026 | March 26, 2026 | 18 | 5 |
| 2 | February 28, 2025 | February 28, 2025 | 3 | 3 |
| 3 | July 15, 2021 | July 15, 2021 | 3 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
24 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 26, 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0576 | Resident Rights Deficiencies | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | No | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | No | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | 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. | E | Yes | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | Yes | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | E | No | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | No | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Yes | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | No | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 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. | F | Yes | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | June 2, 2026 |
| March 26, 2026 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Yes | Deficient, Provider has date of correction | June 2, 2026 |
| February 28, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | F | No | Deficient, Provider has date of correction | April 3, 2025 |
| February 28, 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 | April 3, 2025 |
| February 28, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | April 3, 2025 |
| July 15, 2021 | 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 | No | Deficient, Provider has date of correction | August 7, 2021 |
| July 15, 2021 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | August 7, 2021 |
| July 15, 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | September 9, 2021 |
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 | PAVILION AT KENTON FOR NURSING AND REHABILITATION LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1967-02-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Kenton |
| Telephone Number | 8592836600 |
| Chain Name | THE PAVILION GROUP |
| Chain ID | 514 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 82 |
| Average Number of Residents per Day | 77.8 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 2 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 2 |
| 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 The Pavilion at Kenton: 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 February 19, 2026: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.
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The citable document for The Pavilion at Kenton
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 Kentucky 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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- LEX/FAYETTE URBAN CO GOVT, LEXINGTON Water discharge permit
- GREENUP COUNTY ENVIRONMENTAL COMMISSION WWTP, RUSSELL Water discharge permit
- PREPARATION PLANT & REFUSE, LEXINGTON Water discharge permit
- GLEN HAYES LOADOUT, LOUISA Water discharge permit
- EAGLEHAWK NO. 3A AND 3B, LEXINGTON Water discharge permit
- POWDERMILL BRANCH HAULROAD, LOUSIA Water discharge permit
- RAMP RUN #2 MINE, DEBOARD Water discharge permit
- CARBIDE INDUSTRIES, LLC, LOUISVILLE Air emission source
- INDUSTRIAL CONTAINER SERVICES-KY, LLC, LOUISVILLE Air emission source
- SMYRNA READY MIX CO LLC, LOUISVILLE Air emission source
- AMERICAN SYNTHETIC RUBBER COMPANY, LOUISVILLE Air emission source
- LLFLEX LLC, LOUISVILLE Air emission source
- QUIKRETE - KENTUCKY, LOUISVILLE Air emission source
- BAKELITE SYNTHETICS, LOUISVILLE Air emission source
- CALDWELL TANKS, INC, LOUISVILLE Air emission source
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