Velarion Records

Skilled nursing facility · CMS certification number 215330

AUTUMN LAKE HEALTHCARE POST-ACUTE CARE CENTER

BALTIMORE, Maryland · Medicare and Medicaid

Certified beds, as filed in Care Compare: 225

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 May 7, 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$37,860,569CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,383,869CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$36,476,700CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$32,142,064CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$4,334,636CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$405,035CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$4,739,671CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,739,671 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components82,350CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days6,705CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days59,029CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days8,998CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components74,732CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges112CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges233CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges164CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components509CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.87CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days253.34CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days146.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1449302, 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 12, 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$35,392,857CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,885,413CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$33,507,444CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$32,382,313CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,125,131CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$414,805CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,539,936CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,539,936 (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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components75,929CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components513CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days63.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days278.84CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days148.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1444440, 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, as submitted, processed by CMS on June 28, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$36,915,199CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,180,425CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$34,734,774CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$31,063,667CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$3,671,107CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$415,284CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$4,086,391CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,086,391 (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%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components75,794CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components584CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days255.52CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days129.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1355224, 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 with audit, processed by CMS on August 29, 2025.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$35,274,007CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,911,816CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$33,362,191CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$26,405,853CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$6,956,338CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$818,735CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$7,775,073CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $7,775,073 (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%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components73,964CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components555CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days67.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days286.41CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days133.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436989, 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 with audit, processed by CMS on June 6, 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$33,513,840CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,047,255CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$30,466,585CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$26,775,291CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$3,691,294CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,571,311CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$5,262,605CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $5,262,605 (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%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components73,365CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components520CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days58.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days330.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days141.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1349797, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for February 1, 2019 to December 31, 2019 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on June 29, 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$28,738,666CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,979,179CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$25,759,487CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$23,375,179CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,384,308CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,469CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,402,777CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,402,777 (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%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components68,700CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components551CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days245.51CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days124.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1287792, read from the public cost report file SNF10FY2019.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 June 10, 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$27,825,282CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$27,825,282CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$26,272,015CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,553,267CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$74,685CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,627,952CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,627,952 (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%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components77,552CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components562CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days271.16CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days137.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1227347, 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 November 28, 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$25,786,858CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$25,786,858CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$24,826,326CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$960,532CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$39,839CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,000,371CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,000,371 (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%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components76,008CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components552CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days289.17CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days137.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1214341, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended December 31, 2015

Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 27, 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$25,460,030CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$25,460,030CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$24,111,507CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,348,523CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$52,224CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,400,747CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,400,747 (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%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components76,856CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components594CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.71CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days297.05CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days129.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1178840, 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 February 22, 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$24,161,119CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$24,161,119CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$22,707,660CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,453,459CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$26,955CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,480,414CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,480,414 (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%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components77,075CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components606CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.28CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days294.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days127.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1119366, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 18, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$21,208,915CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$21,208,915CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,029,114CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$179,801CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$34,246CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$214,047CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $214,047 (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%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components71,832CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components602CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days211.72CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days119.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1112976, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 4, 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$22,108,744CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$22,108,744CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,591,334CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$517,410CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$37,346CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$554,756CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $554,756 (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%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components73,869CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components667CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.42CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days201.17CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days110.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1055169, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended December 31, 2011

Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 17, 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$21,127,033CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$21,127,033CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,116,064CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$10,969CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$43,624CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$54,593CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $54,593 (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%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components232CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components73,507CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components429CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.99CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days779.64CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days171.34CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1029662, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 12, 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$20,303,720CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$20,148,472CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$155,248CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$36,282CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $191,530 (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.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components232CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components78,761CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components409CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.28CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days192.57CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 430317, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 23, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$19,048,239CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$19,294,576CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$246,337CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$41,446CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$204,891 (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.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components232CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components74,836CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components421CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days28.45CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days177.76CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 389975, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended December 31, 2008

Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 28, 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$19,773,158CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$19,615,019CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$158,139CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$41,789CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $199,928 (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.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components232CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components75,999CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components786CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days28.17CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days96.69CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 368325, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for May 1, 2007 to December 31, 2007 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on January 20, 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$12,454,074CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$12,764,211CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$310,137CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$31,955CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$278,182 (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.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components49,685CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components248CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days200.34CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 331823, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended December 31, 2006

Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 26, 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$20,058,614CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$20,620,006CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$561,392CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$297,569CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$263,823 (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.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components238CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components75,587CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components685CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days423.34CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days110.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 296827, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended December 31, 2005

Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 2, 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$19,470,241CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$19,367,803CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$102,438CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$155,632CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $258,070 (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.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components238CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components74,271CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components755CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.11CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days356.69CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days98.37CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 277812, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 31, 2004

Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 25, 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$18,290,940CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$18,006,543CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$284,397CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$48,344CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $332,741 (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.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components238CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components78,475CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components572CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.19CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days137.19CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 231670, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 21, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$17,613,124CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$17,739,584CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$126,460CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$52,174CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$74,286 (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.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components238CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components77,500CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components591CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.79CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days131.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 214765, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended December 31, 2002

Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 20, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$16,634,609CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$17,440,462CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$805,853CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$28,630CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$777,223 (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.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components238CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components80,176CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components464CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.08CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days172.79CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 197688, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended December 31, 2001

Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 24, 2004.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$15,592,349CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$16,549,932CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$957,583CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$54,673CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$902,910 (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.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components238CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components82,654CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components496CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days41.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days166.64CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 171688, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended December 31, 2000

Cost report for March 17, 2000 to December 31, 2000 — a reporting period of 289 days, not a full year, on form CMS-2540-96, settled, processed by CMS on January 2, 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$9,366,485CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$13,204,121CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$3,837,636CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$56,930CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$3,780,706 (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.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components238CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components53,410CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components251CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.51CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days212.79CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 88741, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
PACC HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 06/18/2019
SIYATA DSHMAYA LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization8%since 06/18/2019
PACC REALTY HOLDCO LLC5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 06/18/2019
A&R STERN FAMILY PA HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/18/2019
FENELON, JASONADP OF THE SNFIndividualNOT APPLICABLEsince 11/11/2022
MEISELS, MORRISADP OF THE SNFIndividualNOT APPLICABLEsince 06/18/2019
PACC REALTY HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/18/2019
SALAZAR, ANDRESADP OF THE SNFIndividualNOT APPLICABLEsince 02/18/2019
SIYATA DSHMAYA LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/18/2019
SCHWARTZ, MARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2025
GLUCK, RIVKAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 05/23/2025
HANDLER, SAMUELINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 05/08/2025
SAHAR, OPHIRINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 05/08/2025
FENELON, JASONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/11/2022
SALAZAR, ANDRESOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/18/2019
SCHWARTZ, MARKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of POST-ACUTE CARE CENTER OPCO LLC (enrollment ID O20190321002728).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
PACC HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/18/2019
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ARYEH STERNIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST506/18/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MORRIS MEISELSIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST426/18/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SIYATA DSHMAYA LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST86/18/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
PACC REALTY HOLDCO LLCOrganization5% OR GREATER MORTGAGE INTEREST1006/18/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
A&R STERN FAMILY PA HOLDINGS LLCOrganizationADP OF THE SNFNot stated in the filing6/18/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
ANDRES EDUARDO SALAZARIndividualADP OF THE SNFNot stated in the filing2/18/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JASON FENELONIndividualADP OF THE SNFNot stated in the filing11/11/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MORRIS MEISELSIndividualADP OF THE SNFNot stated in the filing6/18/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PACC REALTY HOLDCO LLCOrganizationADP OF THE SNFNot stated in the filing6/18/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
SIYATA DSHMAYA LLCOrganizationADP OF THE SNFNot stated in the filing6/18/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing6/16/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing6/16/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
MARK SCHWARTZIndividualCORPORATE OFFICERNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANDRES EDUARDO SALAZARIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing2/18/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JASON FENELONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing11/11/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK SCHWARTZIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

  • May 7, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • December 12, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • August 29, 2025: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • August 1, 2025: WALTER KOWEL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: SAM STERN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: MORRIS MEISELS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: MARK SCHWARTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: MARK SCHWARTZ (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: PACC REALTY HOLDCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: PACC REALTY HOLDCO LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: SIYATA DSHMAYA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: ANDRES EDUARDO SALAZAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: ANDRES EDUARDO SALAZAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: JASON FENELON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: JASON FENELON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: A&R STERN FAMILY PA HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • June 28, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • June 6, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • June 29, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • December 9, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
  • June 10, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • November 28, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • November 27, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • February 22, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • November 18, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • February 4, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • May 17, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
  • June 12, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • November 23, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • April 28, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • January 20, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • November 26, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • November 21, 2007: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • May 2, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
  • August 25, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
  • April 21, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
  • October 20, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
  • March 24, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
  • January 2, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1November 24, 2025November 24, 20251611
2March 21, 2023March 21, 20232120
3April 9, 2019April 9, 201994

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

46 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
May 4, 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionJune 1, 2026
January 20, 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionFebruary 26, 2026
November 24, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correctionDecember 23, 2025
November 24, 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DNoDeficient, Provider has date of correctionDecember 23, 2025
November 24, 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correctionDecember 23, 2025
November 24, 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.EYesDeficient, Provider has date of correctionDecember 23, 2025
November 24, 2025HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correctionDecember 23, 2025
November 24, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionDecember 23, 2025
November 24, 2025HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correctionDecember 23, 2025
November 24, 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionDecember 23, 2025
November 24, 2025HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DYesDeficient, Provider has date of correctionDecember 23, 2025
November 24, 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correctionDecember 23, 2025
November 24, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correctionDecember 23, 2025
November 24, 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionDecember 23, 2025
November 24, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionDecember 23, 2025
November 24, 2025HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EYesDeficient, Provider has date of correctionDecember 23, 2025
October 10, 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correctionNovember 6, 2024
March 21, 2023HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DNoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.ENoDeficient, Provider has date of correctionJuly 5, 2023
March 21, 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JNoPast Non-ComplianceJune 22, 2022
March 21, 2023HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.ENoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DNoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0625Resident Rights DeficienciesNotify 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.DNoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionJuly 5, 2023
March 21, 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correctionJuly 5, 2023
March 21, 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.FNoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.ENoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionMay 22, 2023
March 21, 2023HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.DNoDeficient, Provider has date of correctionJuly 5, 2023
April 9, 2019HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correctionJune 13, 2019
April 9, 2019HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.ENoDeficient, Provider has date of correctionJune 13, 2019
April 9, 2019HealthF 0625Resident Rights DeficienciesNotify 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.ENoDeficient, Provider has date of correctionJune 13, 2019
April 9, 2019HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DNoDeficient, Provider has date of correctionJune 13, 2019
April 9, 2019HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionJune 13, 2019
April 9, 2019HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correctionJune 13, 2019
April 9, 2019HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionJune 13, 2019
April 9, 2019HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.ENoDeficient, Provider has date of correctionJune 13, 2019
April 9, 2019HealthF 0744Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DNoDeficient, Provider has date of correctionJune 13, 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

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NamePOST-ACUTE CARE CENTER OPCO LLC
Date First Approved to Provide Medicare and Medicaid Services2000-05-17
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishBaltimore City
Telephone Number4103254000
Chain NameAUTUMN LAKE HEALTHCARE
Chain ID56
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilNone
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds225
Average Number of Residents per Day204.0
Overall Rating3
Health Inspection Rating2
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating5
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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