Skilled nursing facility · CMS certification number 225376
Penacook Place, Inc
HAVERHILL, Massachusetts · Medicare and Medicaid
Certified beds, as filed in Care Compare: 160
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: 1 · Fines: 1 · Fines, total amount: $10,868.00 · Payment denials: 0. The most recent penalty on file: April 29, 2025, Fine, $10,868. 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 August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,356,557 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,904,483 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,452,074 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,548,710 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,096,636 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $92,458 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,004,178 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,004,178 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 58,560 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,021 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 35,064 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,785 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 42,870 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 24 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 50 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 56 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 701.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 329.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1434144, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 13, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,999,726 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,188,194 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,811,532 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,652,446 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,840,914 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $254,817 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,586,097 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,586,097 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,646 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 274 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 644.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 181.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391924, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 4, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,033,439 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,272,605 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,760,834 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,310,527 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,549,693 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,718,944 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,830,749 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,830,749 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,391 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 376 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,900.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361008, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,800,602 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,243,476 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,557,126 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,365,430 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,808,304 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,698,854 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$109,450 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$109,450 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,381 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 304 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,652.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331062, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 11, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,947,618 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,545,357 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,402,261 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,713,481 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,311,220 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,572,212 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $260,992 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $260,992 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,660 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 220 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,382.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304254, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 13, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,040,108 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,515,040 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,525,068 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,585,878 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,060,810 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,133,325 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $72,515 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $72,515 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,972 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 476 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,195.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1273716, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 10, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,675,976 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $360,812 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,315,164 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,948,863 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$633,699 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $268,582 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$365,117 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$365,117 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,435 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 279 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,379.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236286, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,605,146 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $12,605,146 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,325,542 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $279,604 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $876,694 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,156,298 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,034,298 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,489 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 251 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 806.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 189.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200453, 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 August 8, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,144,368 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,620,613 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,523,755 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,187,051 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$663,296 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $117,522 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$545,774 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$561,011 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,614 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 192 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,005.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 211.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172381, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,184,096 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,684,002 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,500,094 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,673,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$173,778 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $197,553 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $23,775 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$18,579 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,484 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 283 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 587.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1134654, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,612,470 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,474,077 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,138,393 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,707,350 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$568,957 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $377,081 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$191,876 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$351,578 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,362 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 217 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 731.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 213.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1101707, 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 July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,297,914 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,525,097 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,772,817 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,557,092 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$784,275 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $174,455 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$609,820 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$609,820 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,471 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 194 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 820.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 260.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1071618, 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 July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,377,741 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,705,905 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,671,836 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,976,632 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$304,796 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $158,643 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$146,153 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$146,153 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,830 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 195 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,208.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 270.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042307, 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 October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,631,619 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,563,555 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,068,064 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,250,921 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$182,857 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $174,893 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$7,964 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$7,964 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,765 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 184 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 663.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 281.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1016432, 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 July 27, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,081,610 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,128,691 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$47,081 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $166,122 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $119,041 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,622 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 575.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 297.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 413219, 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 May 26, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,238,591 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,183,962 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $54,629 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $188,315 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $242,944 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,890 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.99 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 360.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 276.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 370665, 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 August 21, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,747,262 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,136,514 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$389,252 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $265,565 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $112,937 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$236,624 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,605 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 254 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 291.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 203.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355134, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 12, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,794,759 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,358,284 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$563,525 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $337,434 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$226,091 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,943 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 238 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 263.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 214.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323587, 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 27, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,075,539 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,518,760 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$443,221 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $371,972 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$71,249 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,974 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 88.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 389.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 368.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 296940, 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 September 22, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,613,931 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,928,247 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$314,316 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $304,706 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $58,837 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$68,447 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,613 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 543 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 135.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 95.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 263790, 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 May 27, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,049,743 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,903,573 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $146,170 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $159,189 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$76,668 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $382,027 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,592 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 557 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 142.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 98.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 218358, 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 March 24, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,832,271 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,836,534 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$4,263 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $189,361 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$152,019 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $337,117 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,406 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 373 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 246.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 143.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 212217, 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 February 22, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,388,608 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,361,556 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $27,052 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $206,581 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $61,532 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $172,101 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,945 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 459 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 171.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 208393, 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 26, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,037,736 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,122,165 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$84,429 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $233,436 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,820 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $138,187 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 55,768 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 463 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 185.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 120.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 172078, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 26, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,195,842 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,197,404 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,562 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $179,897 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $161,478 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $16,857 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,839 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 442 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 196.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 89086, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 16, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,904,649 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,772,737 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $131,912 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $364,346 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,375 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $493,883 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,094 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 296 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 312.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 182.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 89084, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 7, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,242,806 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,019,949 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $222,857 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $146,171 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,142 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $365,886 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,182 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 254 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 412.99 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 221.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 89082, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 18, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,873,213 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,318,664 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $554,549 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $140,869 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $695,418 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,677 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 318 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 284.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 168.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 89080, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on October 2, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,950,746 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,287,737 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$336,991 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $78,922 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$100,840 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$157,229 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,135 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 339 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 242.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 156.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 89079, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BELL, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/20/2020 |
| DELANEY, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/01/2020 |
| MASYS, CAITLIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2017 |
| MORTIMER, THOMAS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2012 |
| RIOPELLE, JUDITHANN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2020 |
| SARRO, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2017 |
| SHAW, GREGORY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2019 |
| CASTILLO, NICOLE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 05/18/2018 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of PENACOOK PLACE, INC. (enrollment ID O20111201000394).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| COVENANT HEALTH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHAEL BELL | Individual | CORPORATE DIRECTOR | 100 | 10/20/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAITLIN MASYS | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY SHAW | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN DELANEY | Individual | CORPORATE OFFICER | Not stated in the filing | 9/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN J SARRO | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUDITHANN RIOPELLE | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS MORTIMER | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICOLE L CASTILLO | Individual | W-2 MANAGING EMPLOYEE | 0 | 5/18/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2024: WILLIAM KLUEBLER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- March 15, 2023: SCOTT WHEELER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: BRIDGET BRIAND no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JUDITHANN RIOPELLE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: NICOLE L CASTILLO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since May 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: THOMAS MORTIMER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MICHAEL BELL (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since October 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JOHN DELANEY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JOHN J SARRO (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: CAITLIN MASYS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: GREGORY SHAW (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: WILLIAM KLUEBLER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2003. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 1, 2024: WILLIAM KLUEBLER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- August 13, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 4, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- March 15, 2023: SCOTT WHEELER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: BRIDGET BRIAND no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JUDITHANN RIOPELLE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: NICOLE L CASTILLO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since May 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: THOMAS MORTIMER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MICHAEL BELL (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since October 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JOHN DELANEY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since September 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JOHN J SARRO (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: CAITLIN MASYS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: GREGORY SHAW (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: WILLIAM KLUEBLER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2003. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- September 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 11, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- November 13, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 10, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 19, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 8, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 25, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 24, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- July 23, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 23, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- July 27, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- May 26, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 21, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 12, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- November 27, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- September 22, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- May 27, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- March 24, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- February 22, 2005: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- March 26, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 26, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- January 16, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- September 7, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 4, 2025 | June 4, 2025 | 2 | 17 |
| 2 | May 8, 2024 | May 8, 2024 | 6 | 0 |
| 3 | March 20, 2023 | March 20, 2023 | 18 | 8 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
26 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 20, 2026 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | February 14, 2026 |
| January 20, 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | February 6, 2026 |
| April 29, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | Yes | Past Non-Compliance | March 20, 2025 |
| May 8, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | May 24, 2024 |
| May 8, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | May 24, 2024 |
| May 8, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | May 24, 2024 |
| May 8, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | May 24, 2024 |
| May 8, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | May 24, 2024 |
| December 12, 2023 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Yes | Past Non-Compliance | December 11, 2023 |
| March 20, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | May 12, 2023 |
| March 20, 2023 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | April 30, 2023 |
| March 20, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | April 30, 2023 |
| March 20, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | B | No | Deficient, Provider has date of correction | April 30, 2023 |
| March 20, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | April 30, 2023 |
| March 20, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | May 12, 2023 |
| March 20, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | April 30, 2023 |
| March 20, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | April 30, 2023 |
| March 20, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | April 30, 2023 |
| March 20, 2023 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | April 30, 2023 |
| March 20, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | May 12, 2023 |
| March 20, 2023 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | No | Deficient, Provider has date of correction | April 30, 2023 |
| March 20, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | May 12, 2023 |
| March 20, 2023 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | D | No | Deficient, Provider has date of correction | April 30, 2023 |
| March 20, 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | April 30, 2023 |
| March 20, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 30, 2023 |
| March 20, 2023 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | No | Deficient, Provider has date of correction | April 30, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 29, 2025 | Fine | $10,868 | 3912 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Church related |
| Legal Business Name | PENACOOK PLACE, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1990-07-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Essex |
| Telephone Number | 9783740707 |
| Chain Name | COVENANT HEALTH |
| Chain ID | 167 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 160 |
| Average Number of Residents per Day | 101.8 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Penacook Place, Inc
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 Massachusetts at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 225376.