Skilled nursing facility · CMS certification number 235559
Pine Creek Manor Skilled Nursing & Rehab Center
Wayne, Michigan · Medicare and Medicaid
Certified beds, as filed in Care Compare: 49
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,145,381 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $381,613 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,763,768 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,769,959 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,191 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $267,817 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $261,626 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $261,626 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 17,934 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 744 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,148 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,872 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 13,764 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 110 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 65 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 185 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 74.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1434342, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,064,686 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $109,797 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,954,889 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,330,945 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$376,056 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $271,190 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$104,866 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$104,866 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,614 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 88.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 202.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392990, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,434,580 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,051,601 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,382,979 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,418,431 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,035,452 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $106,083 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$929,369 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$929,369 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,042 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 206.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358466, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 27, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,344,973 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $927,645 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,417,328 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,235,213 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$817,885 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $537,793 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$280,092 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$280,092 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,213 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 101.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334228, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 17, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,275,035 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $323,167 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,951,868 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,764,091 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $187,777 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $485,784 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $673,561 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $673,561 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,433 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 120.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304771, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 9, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,409,369 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $383,824 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,025,545 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,372,983 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $652,562 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,398 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $676,960 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $676,960 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,804 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 411.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275497, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for August 1, 2018 to December 31, 2018 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 23, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,821,858 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $234,210 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,587,648 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,332,501 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $255,147 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $124 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $255,271 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $224,650 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,486 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 93.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237946, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,034,654 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,422,594 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,612,060 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,281,774 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$669,714 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,926 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$665,788 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$665,788 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,317 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 155 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 121.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1202692, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 22, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,530,092 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,659,946 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,870,146 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,433,339 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$563,193 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,964 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$561,229 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$561,229 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,379 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 86.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 158.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 137.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1165110, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,302,866 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,549,313 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,753,553 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,494,640 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$741,087 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,192 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$738,895 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$738,895 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,231 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 259.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 150.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1135252, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,513,343 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,636,211 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,877,132 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,420,771 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$543,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,597 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$542,042 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$542,042 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,157 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 219.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104528, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,487,335 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,492,615 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,994,720 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,281,204 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$286,484 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,217 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$285,267 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$285,268 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,892 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 193.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1072239, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,952,842 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,138,679 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,814,163 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,211,457 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$397,294 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $785 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$396,509 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$396,509 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,525 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 167.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043663, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,362,322 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $693,076 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,669,246 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,005,976 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$336,730 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,201 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$335,529 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$335,529 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,865 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 342.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 214.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1016824, 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 January 20, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,389,144 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,929,431 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$540,287 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $543 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$2 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$539,742 (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 | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,774 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 236.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 169.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423650, 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 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,511,246 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,141,268 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$630,022 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,148 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$607,874 (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 | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,679 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 219.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 131.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384113, 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 | $3,273,807 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,895,956 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$622,149 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,041 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$620,108 (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 | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,349 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 81.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 237.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353663, 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 July 30, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,016,948 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,509,177 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$492,229 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,368 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$453,861 (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 | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,137 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 317.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 192.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322075, 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 September 19, 2007.
None of these figures is carried on this report.
CMS report record 294045, 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 October 16, 2006.
None of these figures is carried on this report.
CMS report record 264574, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for August 1, 2004 to December 31, 2004 — a reporting period of 152 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 9, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,082,816 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,146,172 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$63,356 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$63,356 (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 | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 6,039 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 191.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242615, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,079,545 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,195,359 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$115,814 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $319 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$115,495 (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 | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,993 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 104 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 242.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 134.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 211633, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 28, 2003.
None of these figures is carried on this report.
CMS report record 161632, 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 February 26, 2003.
None of these figures is carried on this report.
CMS report record 132347, 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 November 13, 2001.
Net income: $18,967 (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.
CMS report record 15427, 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 October 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,900,313 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,859,690 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $40,623 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $174,888 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $215,511 (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 | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,828 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 68 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 75.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 247.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15425, 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, reopened, processed by CMS on March 24, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,991,568 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,990,639 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $929 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,073 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $3,002 (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 | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,091 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 59 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 289.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 171603, 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 February 3, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,769,118 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,744,335 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $24,783 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$2,218 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $22,565 (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 | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,390 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 43 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 119.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 381.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 206288, 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 September 9, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,566,726 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,738,682 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$171,956 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $338 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$171,618 (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 | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,048 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 100.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 456 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15419, 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 |
|---|---|---|---|---|
| UDDIN, FAHIM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 100% | since 05/23/2018 |
| HENDERSON, DARYL | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 08/01/2018 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PINE CREEK MANOR SKILLED NURSING & REHAB CENTER LLC (enrollment ID O20181018001823).
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 |
|---|---|---|---|---|---|
| FAHIM UDDIN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/23/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARYL HENDERSON | Individual | W-2 MANAGING EMPLOYEE | 100 | 8/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 23, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 14, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 27, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 17, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 9, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 23, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- February 5, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 25, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- June 22, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 25, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 25, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- July 23, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 24, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- January 20, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- July 27, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 4, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- July 30, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- September 19, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- October 16, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- February 9, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- November 3, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- March 18, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- February 3, 2005: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- March 24, 2004: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- October 28, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- February 26, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- November 13, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- October 2, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- September 9, 1999: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 30, 2026 | April 30, 2026 | 6 | 8 |
| 2 | March 13, 2025 | March 13, 2025 | 5 | 8 |
| 3 | January 9, 2024 | January 9, 2024 | 7 | 16 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
19 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 30, 2026 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | June 12, 2026 |
| April 30, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | June 12, 2026 |
| April 30, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | June 12, 2026 |
| April 30, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | June 12, 2026 |
| April 30, 2026 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | No revisit needed | |
| April 30, 2026 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | No | Deficient, Provider has date of correction | June 12, 2026 |
| March 13, 2025 | 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 | No | Deficient, Provider has date of correction | April 18, 2025 |
| March 13, 2025 | 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 | No | Deficient, Provider has date of correction | April 18, 2025 |
| March 13, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | April 18, 2025 |
| March 13, 2025 | 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 | April 18, 2025 |
| March 13, 2025 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Waiver has been granted | |
| January 9, 2024 | 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 | March 27, 2024 |
| January 9, 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 | March 27, 2024 |
| January 9, 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. | D | No | Deficient, Provider has date of correction | March 27, 2024 |
| January 9, 2024 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | No | Deficient, Provider has date of correction | March 27, 2024 |
| January 9, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | March 27, 2024 |
| January 9, 2024 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Waiver has been granted | February 19, 2024 |
| January 9, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Yes | Deficient, Provider has date of correction | March 27, 2024 |
| August 24, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Yes | Deficient, Provider has date of correction | September 28, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | PINE CREEK MANOR SKILLED NURSING & REHAB CENTER LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1994-08-24 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Wayne |
| Telephone Number | 7347210740 |
| Chain Name | PIONEER HEALTHCARE MANAGEMENT |
| Chain ID | 403 |
| 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 | 49 |
| Average Number of Residents per Day | 43.2 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The citable document for Pine Creek Manor Skilled Nursing & Rehab Center
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.
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