Skilled nursing facility · CMS certification number 215325
AUTUMN LAKE HEALTHCARE AT SOUTH HAVE
ANNAPOLIS, Maryland
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.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026. Its Medicare enrollment, 2700 SOUTH HAVEN ROAD OPCO LLC (enrollment ID O20220707003313), is not listed in the CMS enrollment file dated August 1, 2026.
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, 2023 to August 5, 2023 — a reporting period of 216 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 9, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,063,401 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $600,560 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,462,841 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,309,320 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $153,521 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $174,555 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $328,076 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $328,076 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 33,418 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,206 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 15,773 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,229 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,208 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 100 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 123 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 82 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 305 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 128.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448383, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for June 1, 2022 to December 31, 2022 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 29, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,825,060 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $514,736 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,310,324 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,727,569 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $582,755 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $582,755 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $582,755 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,195 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 230 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 379.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398286, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $39,322,694 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $25,089,650 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,233,044 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,751,686 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,518,642 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $333,965 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,184,677 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,184,677 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,876 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 506 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,009.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 82.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343481, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 23, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $39,784,376 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $25,669,957 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,114,419 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,688,819 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,574,400 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $765,034 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$809,366 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$809,366 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,127 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 541 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,020.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1316631, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 26, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $38,294,833 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $22,957,827 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,337,006 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,202,214 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$865,208 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,756 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$858,452 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$858,452 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,586 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 703 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 493.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281735, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 26, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $40,133,317 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $23,804,399 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,328,918 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,465,001 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$136,083 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,599 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$133,484 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$133,484 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,391 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 607 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 491.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1232430, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 8, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $40,935,691 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $24,483,723 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,451,968 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,356,118 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $95,850 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,816 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $100,666 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $100,666 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,885 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 725 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 800.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220816, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 28, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $33,450,073 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $17,456,098 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,993,975 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,965,182 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,028,793 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,055 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,029,848 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,029,848 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,407 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 686 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 562.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181511, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 21, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,238,850 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $12,852,562 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,386,288 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,078,669 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $307,619 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,060 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $308,679 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $308,679 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,444 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 701 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 366.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153188, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,284,865 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,936,647 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,348,218 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,308,933 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,039,285 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $793 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,040,078 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,040,078 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,174 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 743 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 438.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143574, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,444,462 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,045,683 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,398,779 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,952,941 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $445,838 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,326 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $449,164 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $449,164 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,821 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 749 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 285.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1099857, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 29, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,400,767 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,195,694 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,205,073 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,182,248 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,022,825 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,055 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,026,880 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,026,880 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,643 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 740 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 651.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074052, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on November 26, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,619,331 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,021,591 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,597,740 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,798 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,602,538 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,430 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 702 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 766.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 71.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435446, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on June 1, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,053,523 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,413,029 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $640,494 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,509 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $645,003 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,098 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 633 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 854.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 77.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429952, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 25, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,548,082 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,566,536 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $981,546 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,273 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $984,819 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,790 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 771 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 920.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 61.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 396297, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 23, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,824,241 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,793,890 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,030,351 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,108 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,040,459 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,137 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 796 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 619.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 64.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361567, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,732,687 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,243,003 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $489,684 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$28,248 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $461,436 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,265 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 677 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 457.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 71.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 328749, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 9, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,467,684 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,921,626 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $546,058 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,719 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $550,777 (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 | 147 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,235 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 681 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 733.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 312063, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for January 1, 2005 to September 30, 2005 — a reporting period of 272 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on March 3, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,095,159 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,624,863 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $470,296 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,048 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $475,344 (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 | 147 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,896 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 544 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 504.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 67.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 334537, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for July 1, 2004 to December 31, 2004 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 24, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,412,344 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,663,350 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $748,994 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$567 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $748,427 (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 | 147 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,686 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 314 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 835.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 78.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 250134, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 21, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,607,795 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,127,092 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $480,703 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$376,362 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $104,341 (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 | 137 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,876 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 645 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 728.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 74.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 211739, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 20, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,463,953 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,754,049 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$290,096 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,953 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$257,143 (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 | 137 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,843 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 660 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 470.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 67.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 214663, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 20, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,033,050 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,724,492 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $308,558 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,434 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $312,992 (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 | 137 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,955 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 587 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 411.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 59.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 214659, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for October 6, 1999 to June 30, 2000 — a reporting period of 268 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 20, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,553,088 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,842,899 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$289,811 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $56,039 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$233,772 (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 | 137 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,079 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 270 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 899.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 44.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 214654, read from the public cost report file SNFFY2000.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
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
- April 1, 2025: 2700 SOUTH HAVEN ROAD OPCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: ARYEH STERN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: STELLAH KURZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: SAM STERN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
Recent changes on this record
- March 9, 2026: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- April 1, 2025: 2700 SOUTH HAVEN ROAD OPCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: ARYEH STERN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: STELLAH KURZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: SAM STERN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- October 29, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- October 31, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- February 28, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- May 23, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- March 26, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- June 26, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- March 8, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- December 28, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- February 21, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- September 30, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- June 24, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 29, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- November 26, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- June 1, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- March 25, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- December 23, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- March 3, 2009: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- November 24, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- June 9, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- May 24, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- November 22, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- April 20, 2005: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- April 20, 2005: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- April 20, 2005: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- March 21, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
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On March 9, 2026: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.
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The citable document for AUTUMN LAKE HEALTHCARE AT SOUTH HAVE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Maryland at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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- CLEAN HARBORS OF BALTIMORE, BALTIMORE Water discharge permit
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- PIKE BALTIMORE TERMINALS LLC - BALTIMORE TERMINAL, BALTIMORE Air emission source
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- CONTINENTAL BROADBAND DBA DATA POINT, BALTIMORE Air emission source
- CITY OF BALTIMORE EASTERN AVE PUMP STA, BALTIMORE Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 215325.