Skilled nursing facility · CMS certification number 265740
AVENIR AT MAPLE GROVE
LOUISIANA, Missouri · Medicare and Medicaid
Certified beds, as filed in Care Compare: 90
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 October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 26, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,381,945 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$25,635 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,407,580 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,425,348 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$17,768 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $172 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$17,596 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$17,596 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 32,940 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 658 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,954 | 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 | 20,280 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 11 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 70 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 63 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 199.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405819, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 10, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,238,935 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,263,588 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,975,347 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,177,008 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$201,661 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,007 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$200,654 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$200,654 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,737 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 201.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1377516, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 3, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,820,731 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $608,625 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,212,106 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,128,680 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$916,574 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $198,668 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$717,906 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$717,906 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,948 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 287.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 284.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1346658, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,396,889 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $655,576 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,741,313 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,272,175 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,530,862 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $981,581 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$549,281 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$549,281 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,162 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 501.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 244.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314246, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 7, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,331,072 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,033,447 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,297,625 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,709,697 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$412,072 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $90,239 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$321,833 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$321,833 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,697 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 111 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 294.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1285579, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 1, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,640,964 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,323,184 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,317,780 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,599,600 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$281,820 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,385 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$265,435 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$265,435 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,835 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 246.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 170.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254848, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 3, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,236,932 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $15,009,074 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,227,858 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,352,864 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$125,006 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,091 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$110,915 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$110,915 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,685 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 177 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 201.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223706, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 3, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,490,434 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,348,479 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,141,955 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,466,870 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$324,915 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,062 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$305,853 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$305,853 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,849 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 298.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189284, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 10, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,911,979 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,693,449 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,218,530 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,483,135 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$264,605 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,741 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$246,864 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$246,864 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,255 | 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 | 21.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 208.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156963, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 15, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,397,747 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $15,041,703 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,356,044 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,391,527 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$35,483 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,644 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$21,839 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$21,839 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,815 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 228 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 148.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1120545, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 26, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,054,913 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,744,048 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,310,865 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,230,434 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $80,431 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,811 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $87,242 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $87,242 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,317 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 212 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 196.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1087796, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 13, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,158,003 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,087,523 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,070,480 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,523,579 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$453,099 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,465 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$430,634 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$430,634 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,357 | 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 | 24.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 136.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056803, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 22, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,926,785 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,784,722 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,142,063 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,737,162 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$595,099 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,762 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$582,337 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$582,337 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,110 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 167 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026315, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 17, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $3,651,518 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,086 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 183 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 203.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 115.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 427621, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,635,880 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,135,412 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$499,532 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,777 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$475,755 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,912 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 132.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 90.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397270, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 1, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,787,893 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,020,414 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$232,521 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,108 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$217,413 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,092 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 226.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 114.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364621, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,837,305 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,162,927 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$325,622 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,812 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$318,810 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,731 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 174 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 250.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 113.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337078, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 28, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,498,424 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,971,606 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$473,182 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,658 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$454,524 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,957 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 173 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 266.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 109.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305709, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 17, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,483,138 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,774,475 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$291,337 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$158,758 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$450,095 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,603 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 205 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 185.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 298780, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,450,328 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,656,652 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$206,324 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,099 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$192,225 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,733 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 167 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 334.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 130.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 248115, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 9, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,651,443 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,960,126 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$308,683 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,370 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$294,313 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,970 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 193 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 209.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242668, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 15, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,847,088 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,916,099 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$69,011 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,752 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$21,259 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,585 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 199 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 268.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 138.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242999, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 10, 2004.
None of these figures is carried on this report.
CMS report record 180824, 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.
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 |
|---|---|---|---|---|
| MAPLE GROVE HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 10/01/2025 |
| BY FAMILY 2012 IRREVOCABLE TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2025 |
| DELTA EDGE STRATEGIC ADVISORS | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2025 |
| FELHEIM, YITCHOK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| HHHH VENTURES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2025 |
| JACOBOVITCH, YOSSI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| KRPSS PARTNERS | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2025 |
| LAPCIUC, AVRAHAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| MG REALTY HOLDCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2025 |
| NBH2 MGPROPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2025 |
| SAN, MANUEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| WAGNER, BEZALEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| WAGNER, YITZCHOK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| WEID, AMELITA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| YOWELL, DAKOTA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| BY FAMILY 2012 IRREVOCABLE TRUST | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 10/01/2025 |
| WAGNER, BEZALEL | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 10/01/2025 |
| WAGNER, YITZCHOK | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 10/01/2025 |
| JACOBOVITCH, YOSSI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2025 |
| LAPCIUC, AVRAHAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2025 |
| SAN, MANUEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2025 |
| WEID, AMELITA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2025 |
| YOWELL, DAKOTA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of NBH2 MGOPCO LLC (enrollment ID O20251120003765).
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 |
|---|---|---|---|---|---|
| MAPLE GROVE HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| AVRAHAM LAPCIUC | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17.21 | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DELTA EDGE STRATEGIC ADVISORS | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25.81 | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| HHHH VENTURES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 26.34 | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| KRPSS PARTNERS | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 57.35 | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| YITCHOK FELHEIM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 28.65 | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YOSSI JACOBOVITCH | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25.81 | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMELITA WEID | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AVRAHAM LAPCIUC | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BEZALEL WAGNER | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BY FAMILY 2012 IRREVOCABLE TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAKOTA YOWELL | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DELTA EDGE STRATEGIC ADVISORS | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| HHHH VENTURES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| KRPSS PARTNERS | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MANUEL L SAN | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MG REALTY HOLDCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| NBH2 MGPROPCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| YITCHOK FELHEIM | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YITZCHOK WAGNER | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YOSSI JACOBOVITCH | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 9/26/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 11/17/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BEZALEL WAGNER | Individual | INDIRECT OWNERSHIP INTEREST | 2.63 | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BY FAMILY 2012 IRREVOCABLE TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 21.07 | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| YITZCHOK WAGNER | Individual | INDIRECT OWNERSHIP INTEREST | 2.63 | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | INDIRECT OWNERSHIP INTEREST | 1 | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | INDIRECT OWNERSHIP INTEREST | 1 | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMELITA WEID | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AVRAHAM LAPCIUC | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAKOTA YOWELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MANUEL L SAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YOSSI JACOBOVITCH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2026: JENNIFER GIARDINA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JENNIFER GIARDINA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MELISSA PHELAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MELISSA PHELAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAKOTA YOWELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GINA WEINER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GINA WEINER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: COMMUNITY CARE CENTERS, INC. no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: COMMUNITY CARE CENTERS, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JAMES J GIARDINA RVOC LIVING TR RESTATED 07-20-09 no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JAMES J GIARDINA RVOC LIVING TR RESTATED 07-20-09 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MANUEL L SAN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MARY SCHAPER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CHRISTINA GIARDINA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CHRISTINA GIARDINA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AVRAHAM LAPCIUC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AVRAHAM LAPCIUC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AVRAHAM LAPCIUC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NBH2 MGPROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK WAGNER (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK WAGNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAKOTA YOWELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAKOTA YOWELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITCHOK FELHEIM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITCHOK FELHEIM (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DELTA EDGE STRATEGIC ADVISORS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DELTA EDGE STRATEGIC ADVISORS (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MG REALTY HOLDCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YOSSI JACOBOVITCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YOSSI JACOBOVITCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YOSSI JACOBOVITCH (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MAPLE GROVE HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KRPSS PARTNERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KRPSS PARTNERS (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BY FAMILY 2012 IRREVOCABLE TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BY FAMILY 2012 IRREVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HHHH VENTURES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HHHH VENTURES LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MANUEL L SAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MANUEL L SAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AMELITA WEID (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AMELITA WEID (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BEZALEL WAGNER (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BEZALEL WAGNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- February 1, 2025: AMBER JAMES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: WALNUT CREEK MANAGEMENT COMPANY LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KILEY A BROOKS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOSEPH CHARLES TUTERA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: COMMUNITY CARE CENTERS, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAKOTA YOWELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAKOTA YOWELL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 11, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: COMMUNITY CARE CENTERS, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMES J GIARDINA RVOC LIVING TR RESTATED 07-20-09 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MANUEL L SAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MANUEL L SAN (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 11, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- November 30, 2022: JOSEPH CHARLES TUTERA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: JOSEPH CHARLES TUTERA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since December 28, 2021. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Recent changes on this record
- March 1, 2026: JENNIFER GIARDINA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JENNIFER GIARDINA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MELISSA PHELAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MELISSA PHELAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAKOTA YOWELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GINA WEINER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GINA WEINER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: COMMUNITY CARE CENTERS, INC. no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: COMMUNITY CARE CENTERS, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JAMES J GIARDINA RVOC LIVING TR RESTATED 07-20-09 no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JAMES J GIARDINA RVOC LIVING TR RESTATED 07-20-09 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MANUEL L SAN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MARY SCHAPER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CHRISTINA GIARDINA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CHRISTINA GIARDINA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AVRAHAM LAPCIUC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AVRAHAM LAPCIUC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AVRAHAM LAPCIUC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NBH2 MGPROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK WAGNER (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK WAGNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAKOTA YOWELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAKOTA YOWELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITCHOK FELHEIM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITCHOK FELHEIM (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DELTA EDGE STRATEGIC ADVISORS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DELTA EDGE STRATEGIC ADVISORS (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MG REALTY HOLDCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YOSSI JACOBOVITCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YOSSI JACOBOVITCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YOSSI JACOBOVITCH (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MAPLE GROVE HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KRPSS PARTNERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KRPSS PARTNERS (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BY FAMILY 2012 IRREVOCABLE TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BY FAMILY 2012 IRREVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HHHH VENTURES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HHHH VENTURES LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MANUEL L SAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 30, 2025 | April 30, 2025 | 16 | 10 |
| 2 | August 10, 2023 | August 10, 2023 | 7 | 13 |
| 3 | December 20, 2019 | December 20, 2019 | 9 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
32 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 5, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | March 27, 2026 |
| November 13, 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | November 28, 2025 |
| April 30, 2025 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | June 13, 2025 |
| April 30, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | June 13, 2025 |
| April 30, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | June 13, 2025 |
| April 30, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | June 13, 2025 |
| April 30, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | June 13, 2025 |
| April 30, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | June 13, 2025 |
| April 30, 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | June 13, 2025 |
| April 30, 2025 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | June 13, 2025 |
| April 30, 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | June 13, 2025 |
| April 30, 2025 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | June 13, 2025 |
| April 30, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | June 13, 2025 |
| April 30, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | June 13, 2025 |
| April 30, 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | June 13, 2025 |
| April 30, 2025 | Health | F 0887 | Infection Control Deficiencies | Educate 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. | F | No | Deficient, Provider has date of correction | June 13, 2025 |
| October 10, 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | October 24, 2023 |
| August 10, 2023 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | F | No | Deficient, Provider has date of correction | September 20, 2023 |
| August 10, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | September 20, 2023 |
| August 10, 2023 | 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, 2023 |
| August 10, 2023 | 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 | No | Deficient, Provider has date of correction | September 20, 2023 |
| August 10, 2023 | Health | F 0728 | Nursing and Physician Services Deficiencies | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | E | No | Deficient, Provider has date of correction | September 20, 2023 |
| August 10, 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | October 24, 2023 |
| August 10, 2023 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | September 20, 2023 |
| December 20, 2019 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | February 3, 2020 |
| December 20, 2019 | 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 | February 3, 2020 |
| December 20, 2019 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | February 3, 2020 |
| December 20, 2019 | Health | F 0741 | Quality of Life and Care Deficiencies | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | No | Deficient, Provider has date of correction | February 3, 2020 |
| December 20, 2019 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | February 3, 2020 |
| December 20, 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | February 3, 2020 |
| December 20, 2019 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | No | Deficient, Provider has date of correction | February 3, 2020 |
| December 20, 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | February 3, 2020 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | NBH2 MGOPCO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2002-08-26 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Pike |
| Telephone Number | 5737545456 |
| Provider Changed Ownership in Last 12 Months | Y |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 90 |
| Average Number of Residents per Day | 53.2 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On March 1, 2026: JENNIFER GIARDINA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for AVENIR AT MAPLE GROVE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Missouri at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 265740.