Skilled nursing facility · CMS certification number 255287

PASS CHRISTIAN HEALTH AND REHABILIATION CENTER

PASS CHRISTIAN, Mississippi · Medicare and Medicaid

Certified beds, as filed in Care Compare: 60

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,018.00 · Payment denials: 0. The most recent penalty on file: April 24, 2024, Fine, $8,018. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 7, 2026.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$7,449,849	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$722,495	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,727,354	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,360,995	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$366,359	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$5,993	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$360,366	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $360,366 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	21,960	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,200	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	12,191	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	5,668	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	20,059	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	47	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	36	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	153	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	236	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.81	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	338.64	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1449671, 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 June 6, 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,918,062	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$709,409	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,208,653	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,241,476	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$32,823	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$346,486	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$313,663	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $313,663 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,870	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	162	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.95	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	541.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	128.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1428039, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for April 1, 2022 to December 31, 2022 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 28, 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,908,095	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$275,961	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,632,134	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,187,668	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$444,466	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$444,466	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $444,466 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,278	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	117	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	538.72	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	130.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393332, 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 March 9, 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,643,746	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$72,899	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,716,645	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,668,938	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$47,707	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$45,239	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$92,946	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $92,946 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,201	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	143	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	895.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	134.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344112, 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 February 6, 2023.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$5,746,992	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$110,646	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,857,638	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,795,939	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$61,699	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$634,845	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$696,544	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $696,544 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,571	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	120	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	449	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	163.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1341818, 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 March 17, 2022.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$6,175,193	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$145,641	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,029,552	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,849,817	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$179,735	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,900	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$181,635	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $181,635 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,556	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	58.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,235.9	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	190.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1312401, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 1, 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$6,130,056	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$374,800	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,755,256	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,834,064	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$78,808	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$2,665	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$81,473	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$81,473 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,996	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	113	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	700.84	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	176.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274610, 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 June 19, 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$6,243,461	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$480,640	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,762,821	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,064,741	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$301,920	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,696	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$296,224	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$296,224 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,058	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	78	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	72.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,197.62	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	269.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1230195, 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 May 2, 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$7,187,486	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,515,016	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,672,470	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,080,413	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$407,943	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$651	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$407,292	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$407,292 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,115	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	80	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,001.38	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	263.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188021, 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 April 18, 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$6,864,574	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,327,681	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,536,893	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,837,707	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$300,814	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$242	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$301,056	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$301,056 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,537	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	96	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,166.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	213.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1155962, 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 December 9, 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$6,967,657	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,256,859	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,710,798	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,736,633	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$25,835	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,042	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$24,793	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$24,793 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,135	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	67	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	67.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,808.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	315.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1148057, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 6, 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$7,079,068	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,201,536	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,877,532	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,676,899	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$200,633	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,269	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$201,902	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $201,902 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,956	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	76	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	76.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,014.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	275.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1112398, 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 December 4, 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$7,678,281	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,697,465	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,980,816	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,826,583	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$154,233	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,232	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$155,465	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $155,465 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,647	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	157	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	192.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	131.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1081729, 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 February 6, 2014.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$8,183,920	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,036,041	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,147,879	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,923,263	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$224,616	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,065	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$225,681	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $225,681 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,406	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	189	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	152.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	107.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1055269, 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 May 24, 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$5,856,970	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,720,277	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$136,693	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,121	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $140,814 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,940	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	79	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.95	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	15,023	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	265.06	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 429415, 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 June 20, 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$5,471,989	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,269,528	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$202,461	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,229	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $208,690 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,222	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	71	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	143.77	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	910.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	284.82	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 405745, 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 January 13, 2010.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$4,983,667	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,988,329	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$4,662	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,657	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $2,995 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,702	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	164	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	186.32	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	115.78	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	126.23	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 362367, 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.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$4,294,569	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,651,197	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$356,628	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$9,839	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$346,789 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,080	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	165	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	185.47	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	116.14	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	127.76	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 322289, 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 May 29, 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$4,505,004	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,320,475	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$184,529	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,918	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $192,447 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,196	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	137	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	184.75	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	156.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	154.72	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 310549, 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, as submitted, processed by CMS on June 27, 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,909,410	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,824,139	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$85,271	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,872	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $93,143 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,369	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	161	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	264.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	116.3	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	132.73	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 255959, 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, as submitted, processed by CMS on June 23, 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,614,870	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,442,207	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$172,663	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,675	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $177,338 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,384	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	155	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	201.92	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	140.88	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	137.96	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 225095, 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 July 12, 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$3,053,097	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,057,562	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$4,465	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$22,222	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $17,757 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,528	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	70.58	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	838.61	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	301.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 227347, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended December 31, 2002

Cost report for August 1, 2002 to December 31, 2002 — a reporting period of 152 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 17, 2005.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$1,161,097	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,170,194	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$9,097	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,169	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$130	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$8,058 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	8,567	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	90	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.28	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	106.97	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	95.19	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 223745, read from the public cost report file SNFFY2002.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
GRADY, JOHN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2022
HOBACK, TIFFANY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2025
SNF MGR LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/03/2026
WILLIAMS, BENNETT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/24/2025
WINKLE, ASHLEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2023
FGLFC HOLDCO, LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 04/01/2022
FC INVESTORS XXI LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 04/01/2022
LAVIE HOLDCO LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 04/01/2022
LV INVESTMENT LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 04/01/2022
NSPR CARE CENTERS, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 04/01/2022
NSPR OPERATIONS I, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 04/01/2022
NSPR OPERATIONS II, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 04/01/2022
HOBACK, TIFFANY	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 06/01/2025
GRADY, JOHN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2022
SNF MGR LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 06/01/2025
WILLIAMS, BENNETT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/24/2025
WINKLE, ASHLEY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/10/2024

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of 538 MENGE AVENUE OPERATIONS, LLC (enrollment ID O20220427002815).

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
ASHLEY WINKLE	Individual	ADP OF THE SNF	Not stated in the filing	12/1/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BENNETT WILLIAMS	Individual	ADP OF THE SNF	Not stated in the filing	3/24/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JOHN N GRADY	Individual	ADP OF THE SNF	Not stated in the filing	7/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
SNF MGR LLC	Organization	ADP OF THE SNF	Not stated in the filing	3/3/2026	Private equity company: No Real estate investment trust: No Holding company: No
TIFFANY HOBACK	Individual	ADP OF THE SNF	Not stated in the filing	6/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
FGLFC HOLDCO, LLC	Organization	DIRECT OWNERSHIP INTEREST	100	4/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
FC INVESTORS XXI LLC	Organization	INDIRECT OWNERSHIP INTEREST	100	4/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
LAVIE HOLDCO LLC	Organization	INDIRECT OWNERSHIP INTEREST	100	4/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
LV INVESTMENT LLC	Organization	INDIRECT OWNERSHIP INTEREST	100	4/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
NSPR CARE CENTERS, LLC	Organization	INDIRECT OWNERSHIP INTEREST	100	4/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
NSPR OPERATIONS I, LLC	Organization	INDIRECT OWNERSHIP INTEREST	100	4/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
NSPR OPERATIONS II, LLC	Organization	INDIRECT OWNERSHIP INTEREST	100	4/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
TIFFANY HOBACK	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	6/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ASHLEY WINKLE	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	12/10/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BENNETT WILLIAMS	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	3/24/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JOHN N GRADY	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	7/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
SNF MGR LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	6/1/2025	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

July 1, 2026: TIMOTHY H LEHNER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: TIMOTHY H LEHNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LAVIE HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NSPR OPERATIONS I, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NSPR CARE CENTERS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JAMES WILLIAMS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CONSULATE MANAGEMENT COMPANY III LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: FC INVESTORS XXI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: FGLFC HOLDCO, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NSPR OPERATIONS II, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JOHN N GRADY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LV INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LAVIE HOLDCO LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NSPR OPERATIONS I, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: TIFFANY HOBACK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: TIFFANY HOBACK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NSPR CARE CENTERS, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ASHLEY WINKLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ASHLEY WINKLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: SNF MGR LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 3, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: SNF MGR LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: FC INVESTORS XXI LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NSPR OPERATIONS II, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: BENNETT WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: BENNETT WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JOHN N GRADY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JOHN N GRADY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LV INVESTMENT LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: FGLFC HOLDCO, LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
October 1, 2024: TYLER BEALL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
October 1, 2024: JAMES WILLIAMS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since August 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
August 1, 2024: FALLON DEFFES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: JERON WALKER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: JERON WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: TIMOTHY H LEHNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since May 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: TIMOTHY H LEHNER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since May 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: TYLER BEALL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since May 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: JOHN N GRADY (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
July 1, 2024: MCP LAVIE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
July 1, 2024: ALG LAVIE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
July 1, 2024: COLUMBIA PACIFIC OPPORTUNITY FUND, L.P. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
July 1, 2024: MARY MILLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
July 1, 2024: SAY LA VIE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
July 1, 2024: SHAWN CARPENTER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
July 1, 2024: LAVIE MORNING, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
July 1, 2024: FALLON DEFFES (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since March 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
January 5, 2024: RHONDA NETTLES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
January 5, 2024: MARY MILLER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since November 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
January 5, 2024: SHAWN CARPENTER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 5, 2024; associated with this enrollment since October 20, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
October 2, 2023: DENNIS FORSYTHE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: RHONDA NETTLES (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since August 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv

Recent changes on this record

July 1, 2026: TIMOTHY H LEHNER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: TIMOTHY H LEHNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LAVIE HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NSPR OPERATIONS I, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NSPR CARE CENTERS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JAMES WILLIAMS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: CONSULATE MANAGEMENT COMPANY III LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: FC INVESTORS XXI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: FGLFC HOLDCO, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NSPR OPERATIONS II, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JOHN N GRADY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LV INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LAVIE HOLDCO LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NSPR OPERATIONS I, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: TIFFANY HOBACK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: TIFFANY HOBACK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NSPR CARE CENTERS, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ASHLEY WINKLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: ASHLEY WINKLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: SNF MGR LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 3, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: SNF MGR LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: FC INVESTORS XXI LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NSPR OPERATIONS II, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: BENNETT WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: BENNETT WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JOHN N GRADY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JOHN N GRADY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: LV INVESTMENT LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: FGLFC HOLDCO, LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
May 7, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
June 6, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
October 1, 2024: TYLER BEALL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
October 1, 2024: JAMES WILLIAMS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since August 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
August 28, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
August 1, 2024: FALLON DEFFES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: JERON WALKER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: JERON WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: TIMOTHY H LEHNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since May 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: TIMOTHY H LEHNER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since May 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
August 1, 2024: TYLER BEALL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since May 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies
1	September 4, 2025	September 4, 2025	5
2	April 24, 2024	April 24, 2024	10
3	August 10, 2022	August 10, 2022	3

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
June 30, 2026	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	August 5, 2026
April 15, 2026	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Deficient, Provider has date of correction	May 22, 2026
April 15, 2026	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	May 22, 2026
September 4, 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	No	Deficient, Provider has date of correction	October 1, 2025
September 4, 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.	E	No	Deficient, Provider has date of correction	October 1, 2025
May 1, 2025	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 22, 2025
March 6, 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	March 21, 2025
March 6, 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	March 21, 2025
February 7, 2025	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	D	Yes	Deficient, Provider has date of correction	March 21, 2025
February 7, 2025	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.	D	Yes	Deficient, Provider has date of correction	March 21, 2025
February 7, 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	March 21, 2025
April 24, 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	May 21, 2024
April 24, 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	No	Deficient, Provider has date of correction	May 21, 2024
April 24, 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	May 21, 2024
April 24, 2024	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.	D	No	Deficient, Provider has date of correction	May 21, 2024
August 1, 2023	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	Yes	Deficient, Provider has date of correction	August 31, 2023
August 10, 2022	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	September 20, 2022
August 10, 2022	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	September 20, 2022
August 10, 2022	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	September 20, 2022

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
April 24, 2024	Fine	$8,018			25938

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	For profit - Corporation
Legal Business Name	538 MENGE AVENUE OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid Services	2002-08-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Harrison
Telephone Number	2284524344
Chain Name	CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE
Chain ID	158
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	60
Average Number of Residents per Day	51.0
Overall Rating	2
Health Inspection Rating	3
QM Rating	1
Long-Stay QM Rating	1
Short-Stay QM Rating	1
Processing Date	2026-09-01

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

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On May 7, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

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