Skilled nursing facility · CMS certification number 235526
Boulder Park Terrace
Charlevoix, Michigan · Medicare and Medicaid
Certified beds, as filed in Care Compare: 72
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: 2 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 2. The most recent penalty on file: November 21, 2025, Payment Denial. 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 October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 12, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,975,293 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,738,445 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,236,848 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,417,378 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,180,530 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $744,998 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$435,532 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$435,532 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 26,352 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,934 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,237 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,405 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,576 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 52 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 31 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 142 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 225 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 394.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405101, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 12, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,581,252 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,622,314 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,958,938 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,495,799 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$536,861 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,133,947 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $597,086 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $597,086 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,917 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 661 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374779, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,533,494 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,316,422 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,217,072 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,887,166 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$670,094 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $389,083 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$281,011 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$281,011 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,781 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 136 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 720.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344282, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,270,496 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,322,299 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,948,197 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,403,298 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$455,101 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,291,445 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $836,344 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $836,344 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,649 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 137 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 425.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313664, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 24, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,908,100 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,122,678 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,785,422 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,612,676 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $172,746 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $229,501 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $402,247 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $263,247 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,302 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 209 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 319.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281637, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 26, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,639,910 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,963,280 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,676,630 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,536,084 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $140,546 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $429,027 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $569,573 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $449,573 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,558 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 266.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253274, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 20, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,313,785 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,621,046 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,692,739 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,210,015 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $482,724 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $73,691 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $556,415 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $456,415 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,958 | 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 | 27.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221505, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,897,428 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,494,641 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,402,787 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,875,833 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $526,954 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $51,991 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $578,945 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $323,981 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,702 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 230 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 721.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188196, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 25, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,757,234 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,053,839 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,703,395 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,414,849 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $288,546 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $144,789 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $433,335 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $325,184 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,233 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 297 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 687.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156344, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 28, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,088,989 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,467,930 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,621,059 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,324,200 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $296,859 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $166,428 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $463,287 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $463,287 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,594 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 315 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 339.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1122882, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,669,675 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,707,550 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,962,125 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,830,820 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $131,305 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $429,783 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $561,088 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $553,549 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,708 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 315 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 62.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088111, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,810,876 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,915,693 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,895,183 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,796,167 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $99,016 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $440,403 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $539,419 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $531,526 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,564 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 241 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 85.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088447, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for January 1, 2012 to September 30, 2012 — a reporting period of 273 days, not a full year, on form CMS-2540-10, settled, processed by CMS on April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,964,940 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,364,698 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,600,242 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,258,765 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $341,477 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,019,352 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,360,829 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,360,828 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,401 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 124.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1027391, 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 31, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,058,940 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,382,237 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,676,703 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,326,900 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $349,803 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $45,877 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $395,680 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $387,025 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,881 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 223 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 538.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1017725, 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 September 8, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,509,891 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,213,942 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $295,949 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $66,231 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,737 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $360,443 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,749 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 235 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 632.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417293, 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 July 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,332,893 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,017,006 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $315,887 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $91,554 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,077 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $404,364 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,458 | 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 | 16.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 418.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 76.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 380649, 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 4, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,384,476 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,199,776 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $184,700 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $93,652 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,979 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $266,373 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,358 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 250 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 687.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 81.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353792, 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 November 13, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,119,257 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,016,039 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $103,218 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,987 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $171,205 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,463 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 287 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 401.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 67.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 328395, 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 April 29, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,021,804 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,876,579 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $145,225 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $76,366 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,746 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $218,845 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,283 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 192 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 666.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 105.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 307849, 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 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,868,302 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,838,002 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $30,300 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,098 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $66,398 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,734 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 227 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 716.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 91.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 276633, 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 September 30, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,967,871 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,800,961 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $166,910 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,775 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $203,685 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,903 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 233 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 354.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 234014, 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 September 14, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,730,971 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,025,250 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$294,279 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,194 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,321 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$239,406 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,603 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 289 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 402.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 71.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 232955, 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, as submitted, processed by CMS on August 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,786,807 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,728,207 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $58,600 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $45,141 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $17,923 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $85,818 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,883 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 264 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 385.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 79.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156656, 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 July 8, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,651,573 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,411,297 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $240,276 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $72,050 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,168 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $309,158 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,291 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 221 | 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 | 461.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 96.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 152840, 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 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,443,399 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,146,251 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $297,148 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $69,444 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,916 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $363,676 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,704 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 292 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 235 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 70.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 125959, 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 August 31, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,060,883 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,637,567 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$576,684 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $307,391 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,652 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$271,945 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,722 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 307 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 299.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 67.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 69496, 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 July 24, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,879,970 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,162,372 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$282,402 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $157,316 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,171 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$128,257 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,586 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 288 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 446.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 71.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 69495, 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, reopened, processed by CMS on August 7, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,767,860 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,730,024 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $2,037,836 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $159,587 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,197,423 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,456 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 309 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 293.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 66.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 77207, 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, reopened, processed by CMS on January 13, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,592,903 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,420,313 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $172,590 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $75,469 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $248,059 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,219 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 261 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 323.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 77204, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| MCLAREN NORTHERN MICHIGAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 75% | since 01/01/2013 |
| MUNSON HEALTHCARE CHARLEVOIX HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 25% | since 06/10/1992 |
| ATCHISON, GARFIELD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/27/2023 |
| MCCLELLAN, ELIZABETH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2025 |
| MCLAREN HEALTH CARE CORPORATION | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/16/2025 |
| PRUSAITIS, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/29/2021 |
| WONSKI, CATHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/16/2025 |
| MCCLELLAN, ELIZABETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/01/2025 |
| WONSKI, CATHY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/01/2025 |
| ATCHISON, GARFIELD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/27/2023 |
| INCARNATI, PHILIP | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/16/2025 |
| PRUSAITIS, MICHAEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/29/2021 |
| SCHROEDER, JOANNE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/19/2017 |
| MCLAREN HEALTH CARE CORPORATION | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2013 |
| ATCHISON, GARFIELD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/27/2023 |
| MCCLELLAN, ELIZABETH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2025 |
| PRUSAITIS, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/29/2021 |
| WONSKI, CATHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2025 |
| ATCHISON, GARFIELD | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 11/27/2023 |
| INCARNATI, PHILIP | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 09/16/2025 |
| MCCLELLAN, ELIZABETH | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2025 |
| PRUSAITIS, MICHAEL | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 03/29/2021 |
| SCHROEDER, JOANNE | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 06/19/2017 |
| WONSKI, CATHY | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CHARLEVOIX NURSING HOME CORPORATION (enrollment ID O20120518000435).
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 |
|---|---|---|---|---|---|
| MCLAREN NORTHERN MICHIGAN | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 75 | 1/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| MUNSON HEALTHCARE CHARLEVOIX HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25 | 6/10/1992 | Private equity company: No Real estate investment trust: No Holding company: No |
| CATHY A WONSKI | Individual | ADP OF THE SNF | Not stated in the filing | 9/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELIZABETH MCCLELLAN | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARFIELD H ATCHISON | Individual | ADP OF THE SNF | Not stated in the filing | 11/27/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MCLAREN HEALTH CARE CORPORATION | Organization | ADP OF THE SNF | Not stated in the filing | 9/16/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHAEL PRUSAITIS | Individual | ADP OF THE SNF | Not stated in the filing | 3/29/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CATHY A WONSKI | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELIZABETH MCCLELLAN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARFIELD H ATCHISON | Individual | CORPORATE OFFICER | Not stated in the filing | 11/27/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOANNE SCHROEDER | Individual | CORPORATE OFFICER | Not stated in the filing | 6/19/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL PRUSAITIS | Individual | CORPORATE OFFICER | Not stated in the filing | 3/29/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PHILIP A INCARNATI | Individual | CORPORATE OFFICER | 0 | 9/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MCLAREN HEALTH CARE CORPORATION | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 1/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| CATHY A WONSKI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELIZABETH MCCLELLAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARFIELD H ATCHISON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/27/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL PRUSAITIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/29/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CATHY A WONSKI | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 8/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELIZABETH MCCLELLAN | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 8/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARFIELD H ATCHISON | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 11/27/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOANNE SCHROEDER | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 6/19/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL PRUSAITIS | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 3/29/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PHILIP A INCARNATI | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 9/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 1, 2026: ANDREA H NAYLOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DEBORAH SAUR-MACKENZIE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DEBORAH SAUR-MACKENZIE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TODD BURCH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DOUGLAS S PETERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELIZABETH MCCLELLAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELIZABETH MCCLELLAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELIZABETH MCCLELLAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELIZABETH MCCLELLAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL PRUSAITIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL PRUSAITIS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL PRUSAITIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL PRUSAITIS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CATHY A WONSKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CATHY A WONSKI (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CATHY A WONSKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CATHY A WONSKI (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MCLAREN HEALTH CARE CORPORATION (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MCLAREN HEALTH CARE CORPORATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GARFIELD H ATCHISON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GARFIELD H ATCHISON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GARFIELD H ATCHISON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GARFIELD H ATCHISON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PHILIP A INCARNATI (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PHILIP A INCARNATI (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOANNE SCHROEDER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 19, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- September 1, 2025: RICHARD L FISH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2024: RICHARD SEGUIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- November 30, 2022: DAVID M ZECHMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: TODD BURCH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since June 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Recent changes on this record
- July 9, 2026: A deficiency was cited under tag F 0628, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- April 1, 2026: ANDREA H NAYLOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DEBORAH SAUR-MACKENZIE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DEBORAH SAUR-MACKENZIE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TODD BURCH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DOUGLAS S PETERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELIZABETH MCCLELLAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELIZABETH MCCLELLAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELIZABETH MCCLELLAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ELIZABETH MCCLELLAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL PRUSAITIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL PRUSAITIS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL PRUSAITIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MICHAEL PRUSAITIS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 29, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CATHY A WONSKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CATHY A WONSKI (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CATHY A WONSKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CATHY A WONSKI (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MCLAREN HEALTH CARE CORPORATION (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MCLAREN HEALTH CARE CORPORATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GARFIELD H ATCHISON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GARFIELD H ATCHISON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GARFIELD H ATCHISON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: GARFIELD H ATCHISON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PHILIP A INCARNATI (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PHILIP A INCARNATI (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOANNE SCHROEDER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 19, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- September 1, 2025: RICHARD L FISH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- March 12, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 1, 2024: RICHARD SEGUIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- March 12, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 14, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- November 30, 2022: DAVID M ZECHMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: TODD BURCH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since June 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- April 21, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- March 24, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- March 26, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- March 20, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 2, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- April 25, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 5, 2025 | June 5, 2025 | 29 | 13 |
| 2 | May 15, 2024 | May 15, 2024 | 20 | 7 |
| 3 | June 8, 2023 | June 8, 2023 | 10 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
59 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 9, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Yes | Deficient, Provider has plan of correction | August 6, 2026 |
| March 25, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | May 1, 2026 |
| March 25, 2026 | Health | F 0691 | Quality of Life and Care Deficiencies | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | May 1, 2026 |
| March 25, 2026 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Yes | Deficient, Provider has date of correction | May 1, 2026 |
| March 25, 2026 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Yes | Deficient, Provider has date of correction | May 1, 2026 |
| November 21, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | February 6, 2026 |
| November 21, 2025 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | G | Yes | Deficient, Provider has date of correction | February 6, 2026 |
| November 21, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | December 19, 2025 |
| November 21, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | December 19, 2025 |
| November 21, 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | Yes | Deficient, Provider has date of correction | December 19, 2025 |
| August 14, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | September 12, 2025 |
| August 14, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Yes | Deficient, Provider has date of correction | September 12, 2025 |
| August 14, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | September 12, 2025 |
| July 17, 2025 | Health | F 0635 | Resident Assessment and Care Planning Deficiencies | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Yes | Deficient, Provider has date of correction | September 9, 2025 |
| June 5, 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | September 3, 2025 |
| June 5, 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | September 3, 2025 |
| June 5, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | 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 | July 7, 2025 |
| June 5, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | July 7, 2025 |
| June 5, 2025 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | No | Deficient, Provider has date of correction | July 7, 2025 |
| March 13, 2025 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Yes | Deficient, Provider has date of correction | March 29, 2025 |
| November 13, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Yes | Deficient, Provider has date of correction | December 13, 2024 |
| November 13, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | December 13, 2024 |
| November 13, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | December 13, 2024 |
| November 13, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Yes | Deficient, Provider has date of correction | December 13, 2024 |
| November 13, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | Yes | Deficient, Provider has date of correction | December 13, 2024 |
| June 20, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | July 9, 2024 |
| May 15, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | June 11, 2024 |
| May 15, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | June 11, 2024 |
| May 15, 2024 | Health | F 0572 | Resident Rights Deficiencies | Give residents a notice of rights, rules, services and charges. | E | No | Deficient, Provider has date of correction | June 11, 2024 |
| May 15, 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 | June 11, 2024 |
| May 15, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | June 11, 2024 |
| May 15, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | June 11, 2024 |
| May 15, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | June 11, 2024 |
| May 15, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | June 11, 2024 |
| May 15, 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | June 11, 2024 |
| May 15, 2024 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | June 11, 2024 |
| May 15, 2024 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | June 11, 2024 |
| February 1, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | February 22, 2024 |
| February 1, 2024 | Health | F 0711 | Nursing and Physician Services Deficiencies | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | G | Yes | Deficient, Provider has date of correction | February 22, 2024 |
| June 8, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | June 15, 2023 |
| June 8, 2023 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | June 15, 2023 |
| June 8, 2023 | 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 | June 15, 2023 |
| June 8, 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 | June 15, 2023 |
| June 8, 2023 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | No | Deficient, Provider has date of correction | June 15, 2023 |
| June 8, 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. | F | No | Deficient, Provider has date of correction | June 15, 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 |
|---|---|---|---|---|---|
| November 21, 2025 | Payment Denial | December 24, 2025 | 44 | ||
| June 5, 2025 | Payment Denial | September 5, 2025 | 7 |
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 - Corporation |
| Legal Business Name | CHARLEVOIX NURSING HOME CORPORATION |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-08-14 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Charlevoix |
| Telephone Number | 2315471005 |
| 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 | 72 |
| Average Number of Residents per Day | 48.7 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| 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.
Get an email when this record changes
One email a day naming what moved on Boulder Park Terrace: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 9, 2026: A deficiency was cited under tag F 0628, scope and severity D. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Boulder Park Terrace
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 Michigan 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.
Other public records in Michigan
- BRUINSMA FARMS, FREEPORT Water discharge permit
- HARTLAND FARMS, INC, CLAYTON Water discharge permit
- HENKE DAIRY, COOPERSVILLE Water discharge permit
- WALNUTDALE FARMS INC., WAYLAND Water discharge permit
- RIVER RIDGE FARMS, INC, COOPERSVILLE Water discharge permit
- WHITE ACRES, LLC, COOPERSVILLE Water discharge permit
- VREBA - HOFF DAIRY I, HUDSON Water discharge permit
- VREBA - HOFF DAIRY II, HUDSON Water discharge permit
- ENERVEST OPERATING LLC - NMAG3 BOOSTER, OTSEGO LAKE TOWNSHIP Air emission source
- DARCO CORP, RIVER ROUGE Air emission source
- LURIA BROTHERS, ECORSE Air emission source
- E ROBINSON, DETROIT Air emission source
- COSTCO WHOLESALE - LIVONIA II, LIVONIA Air emission source
- COSTCO WHOLESALE - LIVONIA I, LIVONIA Air emission source
- EQUIPMENT ASSETS INC., TROY Air emission source
- AJAX MATERIALS CORP, ROCKWOOD Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 235526.