Skilled nursing facility · CMS certification number 265782
BEAUTIFUL SAVIOR HOME
BELTON, Missouri · Medicare and Medicaid
Certified beds, as filed in Care Compare: 126
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 August 30, 2024 to December 31, 2024 — a reporting period of 123 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 17, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,851,024 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $142,091 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,708,933 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,487,172 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $221,761 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,799 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $241,560 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $241,560 (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 | 181 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 22,444 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 326 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 7,281 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,510 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 12,117 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 7 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 57 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 50 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 127.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439725, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,870,050 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,298,859 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,571,191 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,544,723 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,973,532 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,569,514 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$404,018 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$404,018 (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 | 181 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,383 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 262.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 206.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395188, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,473,953 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $491,965 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,981,988 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,805,233 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,823,245 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $47,181 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,776,064 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,776,064 (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 | 181 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,223 | 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 | 62.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 224.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 255.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360297, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 20, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,578,570 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $326,196 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,252,374 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,619,590 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,367,216 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,088,866 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,721,650 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,721,650 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 181 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,518 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 178 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 357.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 233.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333081, 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 August 3, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,251,987 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,144,995 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,106,992 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,596,739 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$489,747 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $72,775 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$416,972 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$416,972 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,213 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 169 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 439.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 267.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1291545, 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 November 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,861,425 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,499,022 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,362,403 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,063,109 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$700,706 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $72,185 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$628,521 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$628,521 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,768 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 425.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 222.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1273764, 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 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,144,683 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,048,900 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,095,783 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,284,829 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$189,046 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $111,330 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$77,716 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$77,716 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,088 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 409.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237287, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,156,287 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,824,669 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,331,618 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,169,892 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $161,726 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $96,413 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $258,139 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $258,139 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,999 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 408.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 214.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1202159, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 3, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,925,759 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,124,629 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,801,130 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,048,710 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $752,420 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,012 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $772,432 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $772,432 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,335 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 334 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 204.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171776, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,172,615 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $587,485 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,585,130 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,141,860 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $443,270 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,722 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $470,992 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $470,992 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,189 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 263 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 280.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 187.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1136238, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 18, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,185,900 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $644,975 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,540,925 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,842,127 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $698,798 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,016 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $732,814 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $732,814 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,357 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 273 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 254.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 184.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108173, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 15, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,210,619 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $453,442 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,757,177 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,630,755 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $126,422 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,112 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $134,534 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $134,534 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,933 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 208 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 290.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 220.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076226, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 16, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,405,822 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $573,328 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,832,494 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,406,250 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $426,244 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,197 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $429,441 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $429,441 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,255 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 268 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 285.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046732, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 6, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,106,809 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $446,975 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,659,834 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,400,370 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $259,464 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,176 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $281,640 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $281,640 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,304 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 489.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 268.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1018726, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 26, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,191,955 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,997,163 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $194,792 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,890 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $203,682 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,346 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 113 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 366.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 330.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 412881, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 4, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,023,364 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,081,685 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$58,321 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $112,490 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $54,169 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,158 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 343.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 257.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384765, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 12, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,742,776 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,956,121 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$213,345 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $115,804 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$97,541 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,735 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 185 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 492.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 225.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354444, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 30, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,483,778 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,201,078 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $282,700 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $183,962 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $466,662 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,072 | 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 | 19.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 804.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 243.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322131, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,515,771 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,822,151 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $693,620 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $126,540 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $820,160 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,310 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 203 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 690.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 218.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306209, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 22, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,529,569 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,962,232 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $567,337 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $127,805 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $695,142 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,637 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 753.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 263847, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for April 26, 2004 to December 31, 2004 — a reporting period of 249 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 20, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,438,168 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,369,118 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $69,050 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $153,761 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $222,811 (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 | 252 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,750 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,135.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 421.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 254890, read from the public cost report file SNFFY2004.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 |
|---|---|---|---|---|
| BLEAURIDGE NURSING AND REHAB LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 08/30/2024 |
| BLEAURIDGE NURSING AND REHAB LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/30/2024 |
| FORVIS MAZARS LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/30/2024 |
| HAAS, BRIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/02/2025 |
| MALIK, OMER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/18/2024 |
| MALIK, SHAFIQ | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/30/2024 |
| SMITH, JENNIFER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/30/2024 |
| HAAS, BRIAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/30/2024 |
| BLEAURIDGE NURSING AND REHAB LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/30/2024 |
| FORVIS MAZARS LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/30/2024 |
| MALIK, OMER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/18/2024 |
| MALIK, SHAFIQ | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/30/2024 |
| SMITH, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/30/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BLEAURIDGE NURSING AND REHAB LLC (enrollment ID O20241104002199).
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 |
|---|---|---|---|---|---|
| BLEAURIDGE NURSING AND REHAB LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Not stated in the filing | 8/30/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| OMER MALIK | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 8/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHAFIQ MALIK | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 8/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BLEAURIDGE NURSING AND REHAB LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/30/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRIAN HAAS | Individual | ADP OF THE SNF | Not stated in the filing | 4/2/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FORVIS MAZARS LLP | Organization | ADP OF THE SNF | Not stated in the filing | 8/30/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| JENNIFER SMITH | Individual | ADP OF THE SNF | Not stated in the filing | 8/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OMER MALIK | Individual | ADP OF THE SNF | Not stated in the filing | 12/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHAFIQ MALIK | Individual | ADP OF THE SNF | Not stated in the filing | 8/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIAN HAAS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BLEAURIDGE NURSING AND REHAB LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/30/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| FORVIS MAZARS LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/30/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| JENNIFER SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OMER MALIK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHAFIQ MALIK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- August 1, 2025: DAVID ROLF no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BEAUTIFUL SAVIOR HOME no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BEAUTIFUL SAVIOR HOME no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BEAUTIFUL SAVIOR HOME no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ARDITH FISHER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER DELUCA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DEBBY INEZ FREEMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PEGGY NOAH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: VIC COOK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: STEVE STREUFERT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOHANNA SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BLEAURIDGE NURSING AND REHAB LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BLEAURIDGE NURSING AND REHAB LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BLEAURIDGE NURSING AND REHAB LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHAFIQ MALIK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHAFIQ MALIK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHAFIQ MALIK (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BRIAN HAAS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BRIAN HAAS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FORVIS MAZARS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FORVIS MAZARS LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: OMER MALIK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: OMER MALIK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: OMER MALIK (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- June 3, 2024: BEAUTIFUL SAVIOR HOME (OTHER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since May 28, 1976. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BEAUTIFUL SAVIOR HOME (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 6, 1978. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BEAUTIFUL SAVIOR HOME (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 6, 1978. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: DEBBY INEZ FREEMAN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since February 14, 1994. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: DAVID ROLF (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JENNIFER SMITH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since November 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JENNIFER SMITH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since November 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: ARDITH FISHER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JENNIFER DELUCA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: PEGGY NOAH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: VIC COOK (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: STEVE STREUFERT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JOHANNA SMITH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- May 1, 2024: IDA EMILIN WILLIAMS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: THOMAS LUTHER HELMS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BEAUTIFUL SAVIOR HOME no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BEAUTIFUL SAVIOR HOME no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BEAUTIFUL SAVIOR HOME no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: RICHARD E NOLTE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: GAYLORD NELSON BENTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: DEBBY INEZ FREEMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BRENDA L BUFORD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BRENDA L BUFORD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BRENDA L BUFORD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: ROBERT HENRY MUELLER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: LORAINE LULU MORSE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: DONNA L OWENS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: HELYN M AGEE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- January 5, 2024: CAROL BEHM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
Recent changes on this record
- September 17, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2025: DAVID ROLF no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BEAUTIFUL SAVIOR HOME no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BEAUTIFUL SAVIOR HOME no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BEAUTIFUL SAVIOR HOME no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ARDITH FISHER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER DELUCA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DEBBY INEZ FREEMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PEGGY NOAH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: VIC COOK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: STEVE STREUFERT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOHANNA SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BLEAURIDGE NURSING AND REHAB LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BLEAURIDGE NURSING AND REHAB LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BLEAURIDGE NURSING AND REHAB LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHAFIQ MALIK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHAFIQ MALIK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHAFIQ MALIK (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BRIAN HAAS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BRIAN HAAS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FORVIS MAZARS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FORVIS MAZARS LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: OMER MALIK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: OMER MALIK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: OMER MALIK (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: enrollment_id: O20040402000824 → O20241104002199. Skilled_Nursing_Facility_Enrollments_:_2025-08-01.csv
- September 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 3, 2024: BEAUTIFUL SAVIOR HOME (OTHER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since May 28, 1976. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BEAUTIFUL SAVIOR HOME (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 6, 1978. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BEAUTIFUL SAVIOR HOME (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 6, 1978. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: DEBBY INEZ FREEMAN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since February 14, 1994. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: DAVID ROLF (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JENNIFER SMITH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since November 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JENNIFER SMITH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since November 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: ARDITH FISHER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 13, 2024 | December 13, 2024 | 11 | 1 |
| 2 | May 5, 2023 | May 5, 2023 | 10 | 10 |
| 3 | June 21, 2021 | June 21, 2021 | 1 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
22 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 15, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | |
| May 6, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | |
| December 13, 2024 | 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 | No | Deficient, Provider has date of correction | January 27, 2025 |
| December 13, 2024 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | No | Deficient, Provider has date of correction | January 27, 2025 |
| December 13, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | January 27, 2025 |
| December 13, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | January 27, 2025 |
| December 13, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | January 27, 2025 |
| December 13, 2024 | 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 | January 27, 2025 |
| December 13, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | January 27, 2025 |
| December 13, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | January 27, 2025 |
| December 13, 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | Yes | Deficient, Provider has date of correction | January 27, 2025 |
| May 5, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | May 25, 2023 |
| May 5, 2023 | 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 | No | Deficient, Provider has date of correction | May 25, 2023 |
| May 5, 2023 | 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 | May 25, 2023 |
| May 5, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | May 25, 2023 |
| May 5, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | May 25, 2023 |
| May 5, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | May 25, 2023 |
| May 5, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | May 25, 2023 |
| May 5, 2023 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | May 25, 2023 |
| May 5, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | May 25, 2023 |
| May 5, 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | F | No | Deficient, Provider has date of correction | May 25, 2023 |
| June 21, 2021 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | July 17, 2021 |
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 | BLEAURIDGE NURSING AND REHAB LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2004-04-26 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Cass |
| Telephone Number | 8163310781 |
| Chain Name | SHAFIQ MALIK |
| Chain ID | 794 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 126 |
| Average Number of Residents per Day | 79.3 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 1 |
| 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
One email a day naming what moved on BEAUTIFUL SAVIOR HOME: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 17, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for BEAUTIFUL SAVIOR HOME
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 265782.