Skilled nursing facility · CMS certification number 205086
PINNACLE HEALTH & REHAB AT N BERWICK
NORTH BERWICK, Maine · Medicare and Medicaid
Certified beds, as filed in Care Compare: 64
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,641,694 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,622,682 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,019,012 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,809,878 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$790,866 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$790,866 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$790,866 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 23,424 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 786 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 15,911 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,099 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,796 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 6 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 131 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 568.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 444.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439200, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,904,774 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $398,915 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,505,859 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,323,283 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,817,424 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $718,025 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,099,399 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,099,399 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,210 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 54 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 129.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 509.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 374.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390796, 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 August 1, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,641,881 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$355,450 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,997,331 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,756,466 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $240,865 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $489,251 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $730,116 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $730,116 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,388 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 160.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 614.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 334.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360554, 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 September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,299,575 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $970,045 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,329,530 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,138,197 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$808,667 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,006,943 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $198,276 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $198,276 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,785 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 113.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 750.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 433.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331935, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for February 1, 2020 to December 31, 2020 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,574,921 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,032,104 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,542,817 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,830,716 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$287,899 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,229,200 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $941,301 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $941,301 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,546 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 30 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 126.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 907.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 618.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301237, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 27, 2019.
None of these figures is carried on this report.
CMS report record 1242434, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,997,700 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,084,267 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,913,433 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,234,193 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$320,760 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$320,760 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$320,760 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,264 | 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 | 55.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,289.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 698.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1210013, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 18, 2017.
None of these figures is carried on this report.
CMS report record 1169781, 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.
None of these figures is carried on this report.
CMS report record 1135015, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.
None of these figures is carried on this report.
CMS report record 1101949, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 8, 2014.
None of these figures is carried on this report.
CMS report record 1075319, 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 June 26, 2013.
None of these figures is carried on this report.
CMS report record 1039422, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for July 1, 2011 to December 31, 2011 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 26, 2012.
None of these figures is carried on this report.
CMS report record 1012226, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 28, 2011.
None of these figures is carried on this report.
CMS report record 393384, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 4, 2010.
None of these figures is carried on this report.
CMS report record 363580, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,233,889 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,220,930 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $12,959 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,509 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,902 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $3,566 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,120 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 94 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 488.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 245.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337661, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 25, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,064,486 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,139,348 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$74,862 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,590 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,985 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$72,257 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,969 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 575.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 370.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301209, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,893,025 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,048,586 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$155,561 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,732 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $949 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$151,778 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,101 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,177.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 563.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295512, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 15, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,881,593 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,949,345 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$67,752 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $407 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $615 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$67,960 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,003 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 769.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 348.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266410, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 28, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,984,198 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,002,143 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$17,945 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $162,988 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $145,043 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,113 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 34 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,451.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 679.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 209191, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,753,127 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,638,194 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $114,933 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $132 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $115,065 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,983 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 25 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,405 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 919.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 172903, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 17, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,111,786 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,228,387 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$116,601 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,333 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$115,268 (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 | 62 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,610 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 22 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,536.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 936.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 149664, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,786,319 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,211,931 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$425,612 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $976 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $457 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$425,093 (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 | 62 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,734 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 47 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 588.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 419.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141641, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
None of these figures is carried on this report.
CMS report record 116540, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 26, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,354,524 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,462,785 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$108,261 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,059 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,220 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$107,422 (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 | 62 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,606 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 35 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,034.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 560.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 22313, read from the public cost report file SNFFY1998.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 |
|---|---|---|---|---|
| NACHFOLGER, ISRAEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 99% | since 01/14/2019 |
| BOUCHARD, ANDREA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/02/2025 |
| ELM ST REALTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/01/2020 |
| NACHFOLGER, ISRAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2020 |
| NACHFOLGER, MIRIAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2020 |
| SIVAKUMAR, SIVA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/23/2025 |
| NACHFOLGER, MIRIAM | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/14/2019 |
| NACHFOLGER, MIRIAM | GENERAL PARTNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/14/2019 |
| NACHFOLGER, ISRAEL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/01/2020 |
| NACHFOLGER, MIRIAM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/01/2020 |
| BOUCHARD, ANDREA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/03/2023 |
| NACHFOLGER, ISRAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2020 |
| SIVAKUMAR, SIVA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| NACHFOLGER, ISRAEL | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2020 |
| NACHFOLGER, MIRIAM | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/14/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PINNACLE GROUP OF HUDSON VALLEY III LLC (enrollment ID O20200213000623).
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 |
|---|---|---|---|---|---|
| ISRAEL NACHFOLGER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99 | 1/14/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREA BOUCHARD | Individual | ADP OF THE SNF | Not stated in the filing | 4/2/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELM ST REALTY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 2/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| ISRAEL NACHFOLGER | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIRIAM NACHFOLGER | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SIVA P SIVAKUMAR | Individual | ADP OF THE SNF | Not stated in the filing | 3/23/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIRIAM NACHFOLGER | Individual | DIRECT OWNERSHIP INTEREST | 1 | 1/14/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIRIAM NACHFOLGER | Individual | GENERAL PARTNERSHIP INTEREST | 1 | 1/14/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ISRAEL NACHFOLGER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIRIAM NACHFOLGER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREA BOUCHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/3/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ISRAEL NACHFOLGER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SIVA P SIVAKUMAR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ISRAEL NACHFOLGER | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 2/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIRIAM NACHFOLGER | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/14/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 1, 2026: ELM ST REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ISRAEL NACHFOLGER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ISRAEL NACHFOLGER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ISRAEL NACHFOLGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIRIAM NACHFOLGER (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 14, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIRIAM NACHFOLGER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIRIAM NACHFOLGER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 14, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIRIAM NACHFOLGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIRIAM NACHFOLGER (GENERAL PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 14, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SIVA P SIVAKUMAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SIVA P SIVAKUMAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANDREA BOUCHARD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANDREA BOUCHARD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Recent changes on this record
- April 1, 2026: ELM ST REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ISRAEL NACHFOLGER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ISRAEL NACHFOLGER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ISRAEL NACHFOLGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIRIAM NACHFOLGER (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 14, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIRIAM NACHFOLGER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIRIAM NACHFOLGER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 14, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIRIAM NACHFOLGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIRIAM NACHFOLGER (GENERAL PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 14, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SIVA P SIVAKUMAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SIVA P SIVAKUMAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANDREA BOUCHARD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANDREA BOUCHARD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 1, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 28, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 24, 2020: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- August 27, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 22, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 18, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 25, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 24, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 8, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- June 26, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- September 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- December 29, 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- January 28, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- February 4, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- April 23, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- January 25, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- November 1, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- November 15, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- February 28, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- April 27, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- June 17, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- April 7, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- February 12, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- June 26, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 27, 2026 | January 27, 2026 | 1 | 4 |
| 2 | October 30, 2024 | October 30, 2024 | 5 | 11 |
| 3 | August 23, 2023 | August 23, 2023 | 6 | 10 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
12 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 27, 2026 | 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 | January 29, 2026 |
| October 30, 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. | E | No | Deficient, Provider has date of correction | November 29, 2024 |
| October 30, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | November 25, 2024 |
| October 30, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | November 19, 2024 |
| October 30, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | November 25, 2024 |
| October 30, 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | November 25, 2024 |
| August 23, 2023 | 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 | No | Deficient, Provider has date of correction | September 29, 2023 |
| August 23, 2023 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | September 29, 2023 |
| August 23, 2023 | 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 | September 29, 2023 |
| August 23, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | September 29, 2023 |
| August 23, 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 | September 29, 2023 |
| August 23, 2023 | 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 | September 29, 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 - Individual |
| Legal Business Name | PINNACLE GROUP OF HUDSON VALLEY III LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1993-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | York |
| Telephone Number | 2076762242 |
| 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 | 64 |
| Average Number of Residents per Day | 56.9 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The citable document for PINNACLE HEALTH & REHAB AT N BERWICK
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 Maine 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 205086.