Skilled nursing facility · CMS certification number 215199
AUTUMN LAKE HEALTHCARE AT BRADDOCK HEIGHTS
FREDERICK, Maryland · Medicare and Medicaid
Certified beds, as filed in Care Compare: 65
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 10, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,845,052 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $405,537 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,439,515 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,635,490 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $804,025 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $891 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $804,916 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $804,916 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 23,790 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,789 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,349 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,623 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,761 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 68 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 40 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 57 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 165 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 333.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450295, 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 December 19, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,556,577 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $491,770 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,064,807 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,331,361 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$266,554 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,787 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$209,767 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$209,767 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,566 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 202 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 238.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 86.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445095, 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 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,611,723 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,611,723 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,978,337 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$366,614 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $149,209 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$217,405 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$217,405 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,911 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 385.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396914, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,603,715 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $250,079 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,353,636 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,302,405 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $51,231 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,014,285 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,065,516 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,065,516 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,980 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 295 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364722, 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 February 6, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,209,079 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,151,448 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,057,631 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,109,722 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$52,091 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $120,587 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $68,496 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $68,496 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,894 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 464.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341810, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended May 31, 2019
Cost report for January 1, 2019 to May 31, 2019 — a reporting period of 150 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 15, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,988,057 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $568,086 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,419,971 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,391,268 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $28,703 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,811 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $39,514 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $39,514 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,048 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 111 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 3,787 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278143, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 27, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,373,807 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,217,477 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,156,330 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,473,322 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$316,992 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $94,542 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$222,450 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$222,450 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,970 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 136 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 441.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1233345, 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 September 23, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,563,898 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,345,195 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,218,703 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,540,935 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$322,232 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $84,810 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$237,422 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$237,422 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,580 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 503.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243726, 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 September 25, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,623,462 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,460,276 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,163,186 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,539,496 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$376,310 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,379 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$362,931 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$362,931 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,009 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 164 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 299.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1212209, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,948,445 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,609,763 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,338,682 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,609,239 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$270,557 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,550 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$257,007 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$257,007 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,685 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 173 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 372.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156623, 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 March 16, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,350,029 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,541,140 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,808,889 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,114,766 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$305,877 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $39,650 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$266,227 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$266,227 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,543 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 157 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 284.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1120639, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for March 1, 2013 to December 31, 2013 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on November 12, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,143,480 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,188,779 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,954,701 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,307,320 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$352,619 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,873 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$345,746 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$345,746 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,773 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 587.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1112560, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended August 31, 2012
Cost report for September 1, 2011 to August 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 5, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,972,977 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,089,237 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,883,740 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,072,487 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$188,747 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $48,604 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$140,143 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$143,291 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,062 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 587.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1059240, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended August 31, 2011
Cost report for September 1, 2010 to August 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on April 18, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,308,508 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,173,815 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $134,693 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,763 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $189,456 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,462 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 163 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 362.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 113.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435531, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended August 31, 2010
Cost report for September 1, 2009 to August 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 25, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,174,357 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,043,084 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $131,273 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,441 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $159,714 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,714 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 182 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 286.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 113.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423912, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended August 31, 2009
Cost report for September 1, 2008 to August 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 12, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,942,841 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,868,780 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $74,061 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,872 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $121,933 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,415 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 725.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 167.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367002, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended August 31, 2008
Cost report for September 1, 2007 to August 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 5, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,490,228 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,769,499 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$279,271 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,833 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$229,438 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,572 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 114 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 650.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 171.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363602, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended August 31, 2007
Cost report for September 1, 2006 to August 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 28, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,487,862 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,684,121 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$196,259 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,108 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$154,151 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,891 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 86 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,055.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 242.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305637, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended August 31, 2006
Cost report for September 1, 2005 to August 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 3, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,107,505 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,085,635 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $21,870 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,226 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $54,096 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,978 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 132 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 536.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 143.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 277936, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended August 31, 2005
Cost report for September 1, 2004 to August 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 11, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,697,438 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,828,588 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$131,150 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,592 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$89,558 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,348 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 115 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 438 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 159.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 246951, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended August 31, 2004
Cost report for September 1, 2003 to August 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 23, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,465,160 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,473,574 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$8,414 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,954 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $29,540 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,956 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 593.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 199.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 211966, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended August 31, 2003
Cost report for September 1, 2002 to August 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 20, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,522,700 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,618,652 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$95,952 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,140 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$69,812 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,328 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,325.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 484 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 217536, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended August 31, 2002
Cost report for September 1, 2001 to August 31, 2002 — 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 | $3,353,927 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,420,120 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$66,193 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $31,761 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$34,432 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,400 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 536.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 275.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194284, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended August 31, 2001
Cost report for September 1, 2000 to August 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,224,689 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,210,753 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $13,936 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,500 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $50,436 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,103 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 38 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 85.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,137.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 581.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 139197, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended August 31, 2000
Cost report for September 1, 1999 to August 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 28, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,716,594 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,785,821 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$69,227 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $33,471 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$35,756 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,678 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 125.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 584.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 516.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 88318, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended August 31, 1999
Cost report for September 1, 1998 to August 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 16, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,800,054 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,709,053 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $91,001 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,435 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $132,436 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,497 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 542.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 282.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 88317, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended August 31, 1998
Cost report for September 1, 1997 to August 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on March 11, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,717,492 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,609,680 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $107,812 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $96,199 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $204,011 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,727 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 67 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 761.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 339.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 88316, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended August 31, 1997
Cost report for September 1, 1996 to August 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 15, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,537,767 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,440,861 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $96,906 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,338 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $135,244 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,850 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 797.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 357.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 88314, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended August 31, 1996
Cost report for September 1, 1995 to August 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on March 26, 1997.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,407,383 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,342,365 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $65,018 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,114 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $104,132 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,424 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 679.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 361.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 88313, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| 6012 JEFFERSON BOULEVARD HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| AS FAMILY VB HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| M MEISELS FAMILY HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| 6012 JEFFERSON BOULEVARD HOLDCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| ACCURATE STAFFING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| AS FAMILY VB HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| BRAND SONNENSCHINE LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| M MEISELS FAMILY HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| MCLAURIN, LISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2023 |
| R MEISELS FAMILY TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| WAH, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2021 |
| SCHWARTZ, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2023 |
| STERN, ARYEH | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| STERN, ROCHEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| MCLAURIN, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
| SCHWARTZ, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
| WAH, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2021 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of 6012 JEFFERSON BOULEVARD OPCO LLC (enrollment ID O20230227000440).
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 |
|---|---|---|---|---|---|
| 6012 JEFFERSON BOULEVARD HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| AS FAMILY VB HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 70 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| M MEISELS FAMILY HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| 6012 JEFFERSON BOULEVARD HOLDCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ACCURATE STAFFING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| AS FAMILY VB HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRAND SONNENSCHINE LLP | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN A WAH | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA MCLAURIN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| M MEISELS FAMILY HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| R MEISELS FAMILY TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARK SCHWARTZ | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN A WAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA MCLAURIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK SCHWARTZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2025: ARYEH STERN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SAM STERN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LISA MCLAURIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: 6012 JEFFERSON BOULEVARD HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARK SCHWARTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARK SCHWARTZ (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN A WAH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN A WAH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AS FAMILY VB HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ACCURATE STAFFING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LISA MCLAURIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LISA MCLAURIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: R MEISELS FAMILY TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: 6012 JEFFERSON BOULEVARD HOLDCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: 6012 JEFFERSON BOULEVARD HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BRAND SONNENSCHINE LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: M MEISELS FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- July 17, 2023: DEBORAH PHILIPSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: MENASHE EISEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: VNB NEW YORK LLC no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: PHILPSON FAMILY LIMITED LIABILITY COMPANY, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ANSHEL NIEDERMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ANSHEL NIEDERMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: SHIYA LABIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: THERESA MARIE HERSHEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ECM HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BENT PHILIPSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: MFI HEALTHCARE MD LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BENJAMIN NEUMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ARYEH STERN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: AS FAMILY VB HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: SHMUEL STERN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: LISA MCLAURIN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: 6012 JEFFERSON BOULEVARD HOLDCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: M MEISELS FAMILY HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Recent changes on this record
- June 10, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- December 19, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 1, 2025: ARYEH STERN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SAM STERN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LISA MCLAURIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: 6012 JEFFERSON BOULEVARD HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARK SCHWARTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARK SCHWARTZ (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN A WAH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN A WAH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AS FAMILY VB HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ACCURATE STAFFING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LISA MCLAURIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LISA MCLAURIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: R MEISELS FAMILY TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: 6012 JEFFERSON BOULEVARD HOLDCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: 6012 JEFFERSON BOULEVARD HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BRAND SONNENSCHINE LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: M MEISELS FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- October 16, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 14, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 17, 2023: DEBORAH PHILIPSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: MENASHE EISEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: VNB NEW YORK LLC no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: PHILPSON FAMILY LIMITED LIABILITY COMPANY, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ANSHEL NIEDERMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ANSHEL NIEDERMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: SHIYA LABIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: THERESA MARIE HERSHEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ECM HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BENT PHILIPSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: MFI HEALTHCARE MD LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BENJAMIN NEUMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ARYEH STERN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: AS FAMILY VB HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: SHMUEL STERN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: LISA MCLAURIN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: 6012 JEFFERSON BOULEVARD HOLDCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: M MEISELS FAMILY HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- February 6, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 23, 2026 | January 23, 2026 | 17 | 8 |
| 2 | August 16, 2024 | August 16, 2024 | 5 | 5 |
| 3 | June 27, 2019 | June 27, 2019 | 18 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
40 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 23, 2026 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | February 27, 2026 |
| January 23, 2026 | 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 | February 27, 2026 |
| January 23, 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | February 27, 2026 |
| January 23, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | February 27, 2026 |
| January 23, 2026 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | February 27, 2026 |
| January 23, 2026 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | February 27, 2026 |
| January 23, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | February 27, 2026 |
| January 23, 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 | February 27, 2026 |
| January 23, 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 | February 27, 2026 |
| January 23, 2026 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | February 27, 2026 |
| January 23, 2026 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | February 27, 2026 |
| January 23, 2026 | Health | F 0728 | Nursing and Physician Services Deficiencies | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | No | Deficient, Provider has date of correction | February 27, 2026 |
| January 23, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | February 27, 2026 |
| January 23, 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. | D | No | Deficient, Provider has date of correction | February 27, 2026 |
| January 23, 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 | February 27, 2026 |
| January 23, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | February 27, 2026 |
| January 23, 2026 | Health | F 0914 | Environmental Deficiencies | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | No | Deficient, Provider has date of correction | February 27, 2026 |
| August 16, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Yes | Deficient, Provider has date of correction | October 4, 2024 |
| August 16, 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. | E | No | Deficient, Provider has date of correction | October 4, 2024 |
| August 16, 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 | October 4, 2024 |
| August 16, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | October 4, 2024 |
| August 16, 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 | No | Deficient, Provider has date of correction | October 4, 2024 |
| August 16, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | October 4, 2024 |
| August 16, 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | October 4, 2024 |
| June 27, 2019 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | August 7, 2019 |
| June 27, 2019 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | No | Deficient, Provider has date of correction | August 7, 2019 |
| June 27, 2019 | 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 | August 7, 2019 |
| June 27, 2019 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | August 7, 2019 |
| June 27, 2019 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | August 7, 2019 |
| June 27, 2019 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | August 7, 2019 |
| June 27, 2019 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | August 7, 2019 |
| June 27, 2019 | 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 | August 7, 2019 |
| June 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. | D | No | Deficient, Provider has date of correction | August 7, 2019 |
| June 27, 2019 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | August 7, 2019 |
| June 27, 2019 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | August 7, 2019 |
| June 27, 2019 | 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 | August 7, 2019 |
| June 27, 2019 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | August 7, 2019 |
| June 27, 2019 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | August 7, 2019 |
| June 27, 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | August 7, 2019 |
| June 27, 2019 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | August 7, 2019 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Individual |
| Legal Business Name | 6012 JEFFERSON BOULEVARD OPCO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1989-06-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Frederick |
| Telephone Number | 3013717160 |
| Chain Name | AUTUMN LAKE HEALTHCARE |
| Chain ID | 56 |
| 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 | 65 |
| Average Number of Residents per Day | 57.1 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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On June 10, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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