Skilled nursing facility · CMS certification number 215168
LAYHILL NURSING AND REHABILITATION CENTER
SILVER SPRING, Maryland · Medicare and Medicaid
Certified beds, as filed in Care Compare: 129
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.
CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)
In Care Compare’s provider information: Penalties: 3 · Fines: 2 · Fines, total amount: $153,596.00 · Payment denials: 1. The most recent penalty on file: September 23, 2024, Fine, $100,523. 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 May 19, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,510,139 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,592,432 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,917,707 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,091,825 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,825,882 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $1,825,882 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,825,882 (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 | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 50,508 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 9,858 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 29,539 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,164 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 47,561 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 258 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 93 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 335 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 686 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 317.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449923, 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 November 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,287,173 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,706,836 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,580,337 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,545,597 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,034,740 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $170,063 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,204,803 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,204,803 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,412 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 691 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 439.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442213, 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 October 28, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,082,336 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,027,916 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,054,420 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,588,188 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,466,232 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $137,654 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,603,886 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,603,886 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,806 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 660 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 224.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398127, 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 11, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,864,217 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,378,026 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,486,191 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,791,281 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,694,910 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $168,358 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,863,268 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,863,268 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,303 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 921 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 235.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366279, 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 October 17, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,473,395 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,435,362 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,038,033 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,523,172 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,514,861 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $373,926 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,888,787 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,888,787 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,808 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 740 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 251.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335089, 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 November 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,687,240 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,947,893 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,739,347 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,179,649 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,559,698 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $1,559,698 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,559,698 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,295 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 993 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304152, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for August 1, 2018 to December 31, 2018 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 17, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,793,678 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,231,400 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,562,278 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,471,484 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $90,794 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $90,794 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $90,794 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,239 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 417 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 38.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260309, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,184,348 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,935,995 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,248,353 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,047,327 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,798,974 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,638 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,761,336 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,761,336 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,593 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,101 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 265.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 31.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238188, 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 26, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,656,652 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,537,839 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,118,813 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,208,593 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,089,780 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,348 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,059,432 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,059,432 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,043 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,015 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 34.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1202921, 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 December 14, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,121,836 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,735,616 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,386,220 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,853,403 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,467,183 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,847 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,456,336 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,456,336 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,290 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 953 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 43.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1180300, 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 December 29, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,784,194 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,013,965 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,770,229 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,266,024 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,495,795 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,804 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,487,991 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,487,991 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,407 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,083 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 37.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1116658, 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 November 11, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,397,385 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,386,787 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,010,598 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,298,609 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,288,011 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,517 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,266,494 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,266,494 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,936 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 917 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 42.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080066, 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 4, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,933,543 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,499,272 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,434,271 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,639,276 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,205,005 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,234 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,193,771 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,193,771 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,747 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 804 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 48.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055193, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for April 1, 2011 to December 31, 2011 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 26, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,110,895 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,304,219 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,806,676 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,685,282 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$878,606 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,903 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$870,703 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$870,703 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,492 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 487 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 54.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1039144, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 21, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,539,349 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,205,782 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $333,567 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,138 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $338,705 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,839 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 400 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 94.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424918, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 12, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,566,372 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,943,319 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $623,053 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,067 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $627,120 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,639 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 370 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 104.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392292, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 19, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,961,281 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,293,255 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $668,026 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,262 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $676,288 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,890 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 412 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 91.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359377, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 30, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,868,829 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,720,064 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $148,765 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,121 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $156,886 (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 | 122 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,052 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 369 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 103.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 332957, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 13, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,570,236 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,186,403 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $383,833 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,245 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $403,078 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,564 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 365 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 105.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 293635, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 14, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,422,484 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,035,439 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $387,045 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,822 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $412,867 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,185 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 273 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 143.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 262553, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,259,015 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,493,129 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $765,886 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,116 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $787,002 (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 | 149 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,421 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 201 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 181.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 234855, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,054,495 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,550,772 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $503,723 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,915 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $536,638 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,632 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 449 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 86.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195091, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,862,248 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,590,691 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $271,557 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $56,735 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $328,292 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,012 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 476 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 88.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159294, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on November 26, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,225,936 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,421,355 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $804,581 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $59,431 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $864,012 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,624 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 417 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 104.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 164027, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on November 19, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,178,479 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,562,718 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $615,761 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,611 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $656,372 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,627 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 312 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 139.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 163635, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on December 8, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,872,719 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,118,739 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $753,980 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,663 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $796,643 (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 | 129 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,174 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 435 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 101.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 164732, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 4, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,894,325 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,379,590 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $514,735 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $521,338 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,036,073 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,082 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 458 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 96.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303534, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 20, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,836,071 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,904,527 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $931,544 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $430,353 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $75,662 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,286,235 (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 | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,064 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 430 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 100.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305128, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on August 1, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,851,868 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,022,164 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $829,704 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $502,609 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,332,313 (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 | 138 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,220 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 408 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 108.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 52953, read from the public cost report file SNFFY1996.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 |
|---|---|---|---|---|
| THUNDER HEALTH HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 07/01/2018 |
| BIRNBAUM, ISRAEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 37% | since 05/01/2021 |
| KOHN, AVROHOM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 11% | since 05/01/2021 |
| RMA EQUITY LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 10% | since 07/13/2023 |
| BIRNBAUM, ISRAEL | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 08/01/2018 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LAYHILL SNF LLC (enrollment ID O20180821000010).
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 |
|---|---|---|---|---|---|
| THUNDER HEALTH HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| AVROHOM Y KOHN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10.53 | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ISRAEL M BIRNBAUM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 36.84 | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELE NETZER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 36.84 | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RMA EQUITY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10 | 7/13/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| ISRAEL M BIRNBAUM | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 8/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 15, 2023: SIMON J STERN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: AARON AREM no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: RMA EQUITY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since July 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
Recent changes on this record
- September 1, 2026: special_focus_status: SFF Candidate (blank in the earlier file). NH_ProviderInfo_Sep2026_3.csv
- July 14, 2026: A deficiency was cited under tag F 0697, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 14, 2026: A deficiency was cited under tag F 0684, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- May 19, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- November 11, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 28, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- October 11, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 15, 2023: SIMON J STERN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: AARON AREM no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: RMA EQUITY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since July 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- October 17, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- November 10, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 17, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 18, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 25, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 26, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- December 14, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- December 29, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- November 11, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- February 4, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- June 26, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- February 21, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- January 12, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- November 19, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- January 30, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- March 20, 2008: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- March 4, 2008: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- September 13, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- September 14, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- October 18, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- September 21, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- December 8, 2003: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- November 26, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- November 19, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- September 11, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- August 1, 2000: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 18, 2026 | February 18, 2026 | 28 | 16 |
| 2 | September 23, 2024 | September 23, 2024 | 46 | 18 |
| 3 | September 27, 2019 | September 27, 2019 | 31 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
105 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 14, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | August 21, 2026 |
| July 14, 2026 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | August 21, 2026 |
| February 18, 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. | D | No | Deficient, Provider has date of correction | April 3, 2026 |
| February 18, 2026 | Health | F 0567 | Resident Rights Deficiencies | Honor the resident's right to manage his or her financial affairs. | E | No | Deficient, Provider has date of correction | April 3, 2026 |
| February 18, 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. | D | No | Deficient, Provider has date of correction | April 3, 2026 |
| February 18, 2026 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | No | Deficient, Provider has date of correction | April 3, 2026 |
| February 18, 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 | Yes | Deficient, Provider has date of correction | April 3, 2026 |
| February 18, 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. | D | No | Deficient, Provider has date of correction | April 3, 2026 |
| February 18, 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 | April 3, 2026 |
| February 18, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | April 3, 2026 |
| February 18, 2026 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | April 3, 2026 |
| February 18, 2026 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | April 3, 2026 |
| February 18, 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 | No | Deficient, Provider has date of correction | April 3, 2026 |
| February 18, 2026 | 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 | April 3, 2026 |
| February 18, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 3, 2026 |
| February 18, 2026 | Health | F 0917 | Environmental Deficiencies | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | E | No | Deficient, Provider has date of correction | April 3, 2026 |
| February 18, 2026 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | April 3, 2026 |
| October 9, 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | December 10, 2025 |
| October 9, 2025 | Health | F 0568 | Resident Rights Deficiencies | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Yes | Deficient, Provider has date of correction | December 10, 2025 |
| October 9, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | December 10, 2025 |
| October 9, 2025 | 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 | Yes | Deficient, Provider has date of correction | December 10, 2025 |
| October 9, 2025 | 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 | Yes | Deficient, Provider has date of correction | December 10, 2025 |
| October 9, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Past Non-Compliance | September 6, 2025 |
| October 9, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | December 10, 2025 |
| October 9, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | December 10, 2025 |
| October 9, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | December 10, 2025 |
| October 9, 2025 | Health | F 0711 | Nursing and Physician Services Deficiencies | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Yes | Deficient, Provider has date of correction | December 10, 2025 |
| October 9, 2025 | 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. | E | Yes | Deficient, Provider has date of correction | December 10, 2025 |
| September 23, 2024 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 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 | January 15, 2025 |
| September 23, 2024 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Yes | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | January 15, 2025 |
| September 23, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | 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 | November 18, 2024 |
| September 23, 2024 | 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 | November 18, 2024 |
| September 23, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | F | Yes | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | January 15, 2025 |
| September 23, 2024 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Yes | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | K | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Yes | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | F | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | January 15, 2025 |
| September 23, 2024 | Health | F 0800 | Nutrition and Dietary Deficiencies | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | No | Deficient, Provider has date of correction | January 15, 2025 |
| September 23, 2024 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 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. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | 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 | November 18, 2024 |
| September 23, 2024 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0909 | Environmental Deficiencies | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | No | Deficient, Provider has date of correction | November 18, 2024 |
| September 23, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | January 15, 2025 |
| September 23, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | January 15, 2025 |
| September 23, 2024 | Health | F 0941 | Administration Deficiencies | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | No | Deficient, Provider has date of correction | November 18, 2024 |
| June 18, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | G | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0711 | Nursing and Physician Services Deficiencies | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | 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 | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| June 18, 2024 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| September 27, 2019 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | November 10, 2019 |
| September 27, 2019 | Health | F 0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | No | Deficient, Provider has date of correction | November 10, 2019 |
| September 27, 2019 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | November 10, 2019 |
| September 27, 2019 | 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 | No | Deficient, Provider has date of correction | November 10, 2019 |
| September 27, 2019 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | November 10, 2019 |
| September 27, 2019 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | November 10, 2019 |
| September 27, 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | November 10, 2019 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| September 23, 2024 | Fine | $100,523 | 10133 | ||
| September 23, 2024 | Payment Denial | January 1, 2025 | 20 | ||
| June 18, 2024 | Fine | $53,073 | 10118 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | LAYHILL SNF LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1987-11-02 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Montgomery |
| Telephone Number | 3018712000 |
| Chain Name | LIFEWORKS REHAB |
| Chain ID | 768 |
| Special Focus Status | SFF Candidate |
| 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 | 129 |
| Average Number of Residents per Day | 132.8 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on LAYHILL NURSING AND REHABILITATION CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 1, 2026: special_focus_status: SFF Candidate (blank in the earlier file). That is one line of the alert.
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The citable document for LAYHILL NURSING AND REHABILITATION CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Maryland 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 215168.