Velarion Records

Skilled nursing facility · CMS certification number 265632

HICKORY MANOR

LICKING, Missouri · Medicare and Medicaid

Certified beds, as filed in Care Compare: 60

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.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$4,241,757CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,134,033CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,107,724CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,308,700CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$200,976CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,948CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$182,028CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$182,028 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,960CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,098CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days9,640CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days3,288CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components14,026CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges20CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges71CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges109CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components200CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.9CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days135.77CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days70.13CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434574, 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 September 19, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$3,618,008CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$664,726CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,953,282CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,954,008CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$726CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$16,943CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$16,217CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $16,217 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,027CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components97CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days424.36CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days134.3CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395186, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 3, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$3,217,428CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$645,395CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,572,033CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,640,745CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$68,712CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$30,109CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$38,603CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$38,603 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,934CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components77CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days72.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days409.36CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days167.97CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360846, 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 August 15, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$2,753,306CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$486,863CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,266,443CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,437,934CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$171,491CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$147,094CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$24,397CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$24,397 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,002CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components90CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days404.42CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329747, 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 September 17, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$2,429,953CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$106,733CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,323,220CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,586,589CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$263,369CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$729,064CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$465,695CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $465,697 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,808CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components99CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days230.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days119.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1300481, 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 August 7, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$2,580,021CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$331,002CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,249,019CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,544,942CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$295,923CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,668CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$293,255CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$293,257 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,122CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components111CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days61.65CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days119.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days109.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1262924, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 26, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$2,775,091CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$381,304CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,393,787CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,715,645CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$321,858CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,602CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$314,256CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$314,257 (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
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,675CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components103CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.03CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days156.27CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days123.06CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1238465, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for August 1, 2017 to December 31, 2017 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$1,280,378CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$165,421CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,114,957CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,154,876CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$39,919CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,123CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$38,796CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$38,797 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components5,836CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components43CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days190.47CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days135.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200465, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended November 30, 2016

Cost report for December 1, 2015 to November 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 17, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$11,572,454CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$9,406,428CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,166,026CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,623,388CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$457,362CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,951CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$454,411CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$454,411 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,074CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components76CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.58CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days462.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days172.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1157429, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended November 30, 2015

Cost report for December 1, 2014 to November 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 8, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$11,945,027CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$9,663,604CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,281,423CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,659,258CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$377,835CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,215CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$370,620CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$370,620 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,451CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components89CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days272.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days151.13CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1126514, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended November 30, 2014

Cost report for December 1, 2013 to November 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 11, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$13,637,966CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$11,054,129CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,583,837CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,713,607CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$129,770CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,625CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$127,145CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$127,145 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,350CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components77CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.12CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days474.91CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days199.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1090162, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended November 30, 2013

Cost report for December 1, 2012 to November 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 12, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$15,579,541CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$12,747,106CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,832,435CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,980,044CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$147,609CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11,556CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$136,053CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$136,053 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,508CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components89CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days501.91CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days196.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1059742, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended November 30, 2012

Cost report for December 1, 2011 to November 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 13, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$17,074,325CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$14,043,718CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,030,607CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,917,936CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$112,671CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$15,906CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$128,577CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $128,577 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,305CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components74CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days529CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days260.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1029073, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended November 30, 2011

Cost report for December 1, 2010 to November 30, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$17,359,416CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$14,332,523CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,026,893CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,735,980CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$290,913CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$21,260CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$312,173CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $312,173 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,670CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components74CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days549.05CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days265.81CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013989, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended November 30, 2010

Cost report for December 1, 2009 to November 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 29, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$2,539,516CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,451,391CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$88,125CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$28,304CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $116,429 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components17,008CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components76CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.77CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days912.45CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days223.79CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 398219, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended November 30, 2009

Cost report for December 1, 2008 to November 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 29, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$2,210,503CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,529,952CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$319,449CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$17,864CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$301,585 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components15,683CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components93CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.28CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days398.15CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days168.63CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 368466, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended November 30, 2008

Cost report for December 1, 2007 to November 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 29, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$2,700,672CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,650,245CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$50,427CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,381CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $55,808 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,495CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components120CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days41.38CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days245.94CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days154.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 337895, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended November 30, 2007

Cost report for June 1, 2007 to November 30, 2007 — a reporting period of 182 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 18, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$1,394,156CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,379,509CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$14,647CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$33CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $14,680 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components9,911CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components67CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.6CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days305.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days147.93CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 315578, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended May 31, 2006

Cost report for June 1, 2005 to May 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 13, 2006.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$2,592,171CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,570,657CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$21,514CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,539CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $28,053 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,824CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components127CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days79.39CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days291.64CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days163.97CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 268639, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended May 31, 2005

Cost report for June 1, 2004 to May 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 9, 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$2,466,241CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,521,427CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$55,186CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$11,332CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$43,854 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,627CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components147CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days56.69CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days291.83CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days140.32CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 242663, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended May 31, 2004

Cost report for June 1, 2003 to May 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 8, 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$2,380,013CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,355,469CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$24,544CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$9,619CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $34,163 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,575CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components124CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days80.29CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days274.79CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days165.93CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 238494, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended May 31, 2003

Cost report for June 1, 2002 to May 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 15, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$2,195,790CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,200,133CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$4,343CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,770CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $4,427 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,626CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components127CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days87.16CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days233.9CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days154.54CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 236889, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended May 31, 2002

Cost report for June 1, 2001 to May 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 17, 2005.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$2,200,774CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,133,287CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$67,487CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$22,389CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $89,876 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,031CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components89CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days323.36CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days225.07CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 237048, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended May 31, 2000

Cost report for June 1, 1999 to May 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 16, 2004.

None of these figures is carried on this report.

CMS report record 182463, read from the public cost report file SNFFY1999.zip.

Fiscal year 1999, ended May 31, 1999

Cost report for June 1, 1998 to May 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on March 24, 2000.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$1,970,536CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,837,853CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$132,683CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,773CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $138,456 (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 1999
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,785CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components206CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.39CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days112.54CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days96.04CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 31937, read from the public cost report file SNFFY1998.zip.

Fiscal year 1998, ended May 31, 1998

Cost report for June 1, 1997 to May 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 8, 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$1,818,776CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,913,479CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$94,703CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,256CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$89,447 (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 1998
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,939CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components94CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days65.96CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days236.7CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days201.48CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 31935, read from the public cost report file SNFFY1997.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
AGH1 LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/14/2025
BEAIRD, TODDADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2022
BEERS, JONATHANADP OF THE SNFIndividualNOT APPLICABLEsince 09/01/2024
CAUDILL, TINAADP OF THE SNFIndividualNOT APPLICABLEsince 01/15/2026
FG LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/01/2017
FORVIS MAZARS LLPADP OF THE SNFOrganizationNOT APPLICABLEsince 08/16/2021
MID STATES INCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/01/2017
SCHMITT, LINDIADP OF THE SNFIndividualNOT APPLICABLEsince 11/27/2023
SOVEREIGN HEALTHCARE GROUP LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/06/2025
THE CITY OF LICKINGADP OF THE SNFOrganizationNOT APPLICABLEsince 08/01/2017
VAN DE VEN LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/01/2017
WARNER, ANGIEADP OF THE SNFIndividualNOT APPLICABLEsince 06/16/2023
THE LICKING EXEMPT TRUSTDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 05/24/2017
BEDELL, BRYANINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 05/12/2025
AGH1 LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/01/2017
BEAIRD, TODDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2022
BEDELL, DONALDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/24/2017
BEERS, JONATHANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2024
CAUDILL, TINAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/15/2026
SCHMITT, LINDIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/27/2023
SOVEREIGN HEALTHCARE GROUP LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/23/2021
WARNER, ANGIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/16/2023
THE LICKING EXEMPT TRUSTTRUSTEE OF THE SNFOrganizationNOT APPLICABLEsince 05/24/2017

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LICKING NO 1 LLC (enrollment ID O20171122002453).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
AGH1 LLCOrganizationADP OF THE SNFNot stated in the filing4/14/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
ANGIE WARNERIndividualADP OF THE SNFNot stated in the filing6/16/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
FG LLCOrganizationADP OF THE SNFNot stated in the filing8/1/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
FORVIS MAZARS LLPOrganizationADP OF THE SNFNot stated in the filing8/16/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
JONATHAN R BEERSIndividualADP OF THE SNFNot stated in the filing9/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LINDI DIANA SCHMITTIndividualADP OF THE SNFNot stated in the filing11/27/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MID STATES INCOrganizationADP OF THE SNFNot stated in the filing8/1/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
SOVEREIGN HEALTHCARE GROUP LLCOrganizationADP OF THE SNFNot stated in the filing4/6/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
THE CITY OF LICKINGOrganizationADP OF THE SNFNot stated in the filing8/1/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
TINA CAUDILLIndividualADP OF THE SNFNot stated in the filing1/15/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TODD BEAIRDIndividualADP OF THE SNFNot stated in the filing1/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
VAN DE VEN LLCOrganizationADP OF THE SNFNot stated in the filing8/1/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing1/1/2000
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing1/1/2000
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THE LICKING EXEMPT TRUSTOrganizationDIRECT OWNERSHIP INTEREST1005/24/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
AGH1 LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/1/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
ANGIE WARNERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/16/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DONALD B BEDELLIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing5/24/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JONATHAN R BEERSIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing9/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LINDI DIANA SCHMITTIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing11/27/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SOVEREIGN HEALTHCARE GROUP LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/23/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
TINA CAUDILLIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/15/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TODD BEAIRDIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THE LICKING EXEMPT TRUSTOrganizationTRUSTEE OF THE SNFNot stated in the filing5/24/2017
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1April 30, 2026April 30, 2026143
2January 23, 2025January 23, 2025102
3January 11, 2024January 11, 2024142

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

Deficiencies cited

38 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
April 30, 2026HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correctionJune 14, 2026
April 30, 2026HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DNoDeficient, Provider has date of correctionJune 14, 2026
April 30, 2026HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DNoDeficient, Provider has date of correctionJune 14, 2026
April 30, 2026HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DNoDeficient, Provider has date of correctionJune 14, 2026
April 30, 2026HealthF 0637Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionDNoDeficient, Provider has date of correctionJune 14, 2026
April 30, 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionJune 14, 2026
April 30, 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionJune 14, 2026
April 30, 2026HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionJune 14, 2026
April 30, 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correctionJune 14, 2026
April 30, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionJune 14, 2026
April 30, 2026HealthF 0699Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.DNoDeficient, Provider has date of correctionJune 14, 2026
April 30, 2026HealthF 0741Quality of Life and Care DeficienciesEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.DNoDeficient, Provider has date of correctionJune 14, 2026
April 30, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionJune 14, 2026
April 30, 2026HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.DNoDeficient, Provider has date of correctionJune 14, 2026
May 28, 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correctionJune 16, 2025
January 23, 2025HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.ENoDeficient, Provider has date of correctionMarch 9, 2025
January 23, 2025HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correctionMarch 9, 2025
January 23, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionMarch 9, 2025
January 23, 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correctionMarch 9, 2025
January 23, 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionMarch 9, 2025
January 23, 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correctionMarch 9, 2025
January 23, 2025HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correctionMarch 9, 2025
January 23, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionMarch 9, 2025
September 24, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionOctober 18, 2024
June 4, 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionJuly 19, 2024
January 11, 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionFebruary 25, 2024
January 11, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionFebruary 25, 2024
January 11, 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correctionFebruary 25, 2024
January 11, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionFebruary 25, 2024
January 11, 2024HealthF 0700Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DNoDeficient, Provider has date of correctionFebruary 25, 2024
January 11, 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.DNoDeficient, Provider has date of correctionFebruary 25, 2024
January 11, 2024HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correctionFebruary 25, 2024
January 11, 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correctionFebruary 25, 2024
January 11, 2024HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.FNoDeficient, Provider has date of correctionFebruary 25, 2024
January 11, 2024HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correctionFebruary 25, 2024
January 11, 2024HealthF 0887Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DNoDeficient, Provider has date of correctionFebruary 25, 2024
January 11, 2024HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DNoDeficient, Provider has date of correctionFebruary 25, 2024
October 30, 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correctionNovember 30, 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

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Individual
Legal Business NameLICKING NO 1 LLC
Date First Approved to Provide Medicare and Medicaid Services1996-04-03
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishTexas
Telephone Number5736742111
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasData Not Available
Number of Certified Beds60
Average Number of Residents per Day37.1
Overall Rating2
Health Inspection Rating3
QM Rating1
Long-Stay QM Rating1
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

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