Skilled nursing facility · CMS certification number 265828
PINE GROVE MANOR
SAINT LOUIS, Missouri · Medicare and Medicaid
Certified beds, as filed in Care Compare: 77
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: 3 · Fines: 2 · Fines, total amount: $31,665.00 · Payment denials: 1. The most recent penalty on file: December 22, 2025, Fine, $6,182. 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 May 1, 2025 to August 31, 2025 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on February 20, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,767,384 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $71,600 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,695,784 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,216,809 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$521,025 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,148 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$518,877 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$518,877 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 9,471 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 316 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,098 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Total patient days, all components | 6,414 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 5 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 32 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Total discharges, all components | 37 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 173.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1447993, read from the public cost report file SNF10FY2025.zip.
Fiscal year 2024, ended December 31, 2024
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 19, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,158,953 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,195,324 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,963,629 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,424,676 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$461,047 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,853 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$456,194 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$456,194 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,981 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 64 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 312.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439853, 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 27, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,134,264 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,024,166 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,110,098 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,796,677 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$686,579 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,666 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$679,913 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$679,913 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,063 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 283.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396163, 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 September 27, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,344,046 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,247,890 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,096,156 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,478,259 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$382,103 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $144,903 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$237,200 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$237,200 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,250 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 106 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 213.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365635, 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 December 12, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,873,558 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,971,926 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,901,632 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,101,660 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$200,028 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $914,934 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $714,906 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $714,906 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,083 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 193.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1337999, 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 July 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,863,188 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,236,895 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,626,293 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,454,054 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$827,761 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,945 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$817,816 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$821,132 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,703 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 123 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 168.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327238, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 30, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,814,983 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,406,956 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,408,027 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,065,761 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $342,266 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,160 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $362,426 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $362,426 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,259 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 220.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1277822, 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 August 29, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,255,993 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,041,990 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,214,003 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,964,811 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $249,192 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,782 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $256,974 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $256,974 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,109 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 264.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242814, 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 August 23, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,933,503 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,864,225 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,069,278 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,746,296 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $322,982 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,040 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $325,022 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $325,022 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,557 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 463.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1210273, 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 | $5,612,939 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,884,529 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,728,410 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,526,498 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $201,912 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,267 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $209,179 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $209,179 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,346 | 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 | 33.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 392.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171779, 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 September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,986,355 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,954,974 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,031,381 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,596,750 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $434,631 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,365 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $436,996 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $436,996 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,228 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 229.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143207, 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 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,588,682 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,751,110 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,837,572 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,550,266 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $287,306 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,159 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $290,465 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $290,465 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,814 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 39 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 661.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108660, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 30, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,869,475 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,742,950 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,126,525 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,402,819 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $723,706 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,576 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $725,282 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $725,282 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,723 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 378.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074193, 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 26, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,565,456 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,664,487 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,900,969 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,182,118 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $718,851 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,637 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $721,488 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $715,249 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,249 | 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 | 99.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 423.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047371, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,291,968 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,636,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,655,656 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,192,108 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $463,548 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,308 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $465,856 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $465,856 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,861 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 365.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1013908, 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 August 4, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $2,849,655 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,131 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 605.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 473.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 414575, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 19, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,769,379 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,066,394 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $702,985 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,734 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $704,719 (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 | 77 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,820 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 647.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 433.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 382286, read from the public cost report file SNFFY2009.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 |
|---|---|---|---|---|
| BANKWELL BANK | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 05/01/2025 |
| 4359 TAFT AVE MO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2025 |
| BRENCICK, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/11/2025 |
| ESDOV INVESTMENTS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/11/2025 |
| FORVIS MAZARS LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/01/2023 |
| GAO, SHAWN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/11/2025 |
| HERALD ADVISORS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/11/2025 |
| LINZ TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/11/2025 |
| MIZZOU REALTY INVESTORS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/11/2025 |
| OPCO CA SKILLED MGMT INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2024 |
| PEASE BELL CPAS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/14/2018 |
| TUSCANY HC TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/11/2025 |
| ARCHES HEALTHCARE LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 05/01/2025 |
| GURWITZ, SOLOMON | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 03/01/2024 |
| AMBER HC TRUST | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 05/01/2025 |
| FIRST SWEETZER HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 05/01/2025 |
| GARETZ, DAVID | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2025 |
| KAPLAN, ESTHER | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2025 |
| LUCENT ADVISORS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 05/01/2025 |
| RIMPAU HOLDINGS TRUST | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 05/01/2025 |
| SASEM INVESTMENTS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 05/01/2025 |
| HAGINS, ELIZABETH | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/11/2025 |
| MINDLE, ADAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/11/2025 |
| BRENCICK, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| FORVIS MAZARS LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/01/2023 |
| GAO, SHAWN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| GARETZ, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| KAPLAN, ESTHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| LITTLEFIELD-LEA, MELANIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| OPCO CA SKILLED MGMT INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/01/2024 |
| PEASE BELL CPAS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/14/2018 |
| UNGER, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| DAVIDOVICH, NIV | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| STERNSHEIN, JENNIFER | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PINE GROVE MANOR LLC (enrollment ID O20250604001377).
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 |
|---|---|---|---|---|---|
| BANKWELL BANK | Organization | 5% OR GREATER SECURITY INTEREST | 80 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| 4359 TAFT AVE MO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ESDOV INVESTMENTS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/11/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| FORVIS MAZARS LLP | Organization | ADP OF THE SNF | Not stated in the filing | 6/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| HERALD ADVISORS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/11/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| LINZ TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 8/11/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARK BRENCICK | Individual | ADP OF THE SNF | Not stated in the filing | 8/11/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIZZOU REALTY INVESTORS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/11/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| OPCO CA SKILLED MGMT INC. | Organization | ADP OF THE SNF | Not stated in the filing | 3/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PEASE BELL CPAS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/14/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHAWN MICHAEL GAO | Individual | ADP OF THE SNF | Not stated in the filing | 8/11/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TUSCANY HC TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 8/11/2025 | 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 | 7/1/2023 | 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 | 6/14/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ARCHES HEALTHCARE LLC | Organization | DIRECT OWNERSHIP INTEREST | 100 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SOLOMON L GURWITZ | Individual | DIRECT OWNERSHIP INTEREST | 100 | 3/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMBER HC TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 61.31 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID GARETZ | Individual | INDIRECT OWNERSHIP INTEREST | 1 | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ESTHER KAPLAN | Individual | INDIRECT OWNERSHIP INTEREST | 3.2 | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FIRST SWEETZER HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 1 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| LUCENT ADVISORS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 99 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| RIMPAU HOLDINGS TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 34.49 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SASEM INVESTMENTS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 3.2 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| DAVID GARETZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ESTHER KAPLAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FORVIS MAZARS LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JEFFREY UNGER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK BRENCICK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MELANIE LITTLEFIELD-LEA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OPCO CA SKILLED MGMT INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PEASE BELL CPAS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/14/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHAWN MICHAEL GAO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER STERNSHEIN | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NIV DAVIDOVICH | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- December 1, 2025: JOHN BRENCICK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JOHN BRENCICK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JOHN BRENCICK no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MIZZOU REALTY INVESTORS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DAVID GARETZ (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DAVID GARETZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JENNIFER STERNSHEIN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PEASE BELL CPAS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since June 14, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PEASE BELL CPAS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since June 14, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LINZ TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: FORVIS MAZARS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: FORVIS MAZARS LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ESTHER KAPLAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ESTHER KAPLAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: 4359 TAFT AVE MO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: TUSCANY HC TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SHAWN MICHAEL GAO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SHAWN MICHAEL GAO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MELANIE LITTLEFIELD-LEA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NIV DAVIDOVICH (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ARCHES HEALTHCARE LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: AMBER HC TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: RIMPAU HOLDINGS TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LUCENT ADVISORS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARK BRENCICK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARK BRENCICK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JEFFREY UNGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SASEM INVESTMENTS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: OPCO CA SKILLED MGMT INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: OPCO CA SKILLED MGMT INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HERALD ADVISORS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOLOMON L GURWITZ (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: BANKWELL BANK (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: FIRST SWEETZER HOLDINGS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ESDOV INVESTMENTS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since June 14, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- January 1, 2025: JPAM MANAGEMENT & CONSULTING INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
Recent changes on this record
- February 20, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
- January 13, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
- December 1, 2025: JOHN BRENCICK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JOHN BRENCICK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JOHN BRENCICK no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MIZZOU REALTY INVESTORS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DAVID GARETZ (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: DAVID GARETZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JENNIFER STERNSHEIN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PEASE BELL CPAS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since June 14, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: PEASE BELL CPAS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since June 14, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LINZ TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: FORVIS MAZARS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: FORVIS MAZARS LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ESTHER KAPLAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ESTHER KAPLAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: 4359 TAFT AVE MO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: TUSCANY HC TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SHAWN MICHAEL GAO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SHAWN MICHAEL GAO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MELANIE LITTLEFIELD-LEA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NIV DAVIDOVICH (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ARCHES HEALTHCARE LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: AMBER HC TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: RIMPAU HOLDINGS TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: LUCENT ADVISORS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARK BRENCICK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARK BRENCICK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: JEFFREY UNGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SASEM INVESTMENTS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: OPCO CA SKILLED MGMT INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: OPCO CA SKILLED MGMT INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: HERALD ADVISORS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: SOLOMON L GURWITZ (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: BANKWELL BANK (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: FIRST SWEETZER HOLDINGS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: ESDOV INVESTMENTS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since June 14, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: enrollment_id: O20090316000677 → O20250604001377. Skilled_Nursing_Facility_Enrollments_:_2025-12-01.csv
- September 19, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 13, 2026 | March 13, 2026 | 21 | 0 |
| 2 | April 3, 2024 | April 3, 2024 | 6 | 1 |
| 3 | June 10, 2022 | June 10, 2022 | 8 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
35 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 1, 2026 | 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. | G | Yes | Past Non-Compliance | |
| March 13, 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | March 28, 2026 |
| March 13, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | March 28, 2026 |
| March 13, 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. | E | Yes | Deficient, Provider has date of correction | March 28, 2026 |
| March 13, 2026 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | Yes | Deficient, Provider has date of correction | March 28, 2026 |
| March 13, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | March 28, 2026 |
| March 13, 2026 | 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 | March 28, 2026 |
| March 13, 2026 | 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 | March 28, 2026 |
| March 13, 2026 | 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 | March 28, 2026 |
| March 13, 2026 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | March 28, 2026 |
| March 13, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | March 28, 2026 |
| March 13, 2026 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | March 28, 2026 |
| March 13, 2026 | 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 | April 29, 2026 |
| March 13, 2026 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | March 28, 2026 |
| March 13, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | March 28, 2026 |
| March 13, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | March 28, 2026 |
| March 13, 2026 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Yes | Deficient, Provider has date of correction | March 28, 2026 |
| December 22, 2025 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Yes | Deficient, Provider has date of correction | December 23, 2025 |
| December 22, 2025 | 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. | J | Yes | Deficient, Provider has date of correction | December 23, 2025 |
| December 22, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | December 23, 2025 |
| December 22, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | Yes | Deficient, Provider has date of correction | December 23, 2025 |
| April 3, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | May 7, 2024 |
| April 3, 2024 | Health | F 0680 | Quality of Life and Care Deficiencies | Ensure the activities program is directed by a qualified professional. | E | No | Deficient, Provider has date of correction | May 7, 2024 |
| April 3, 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. | K | No | Deficient, Provider has date of correction | May 7, 2024 |
| April 3, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | May 7, 2024 |
| April 3, 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. | E | No | Deficient, Provider has date of correction | May 28, 2024 |
| April 3, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | May 7, 2024 |
| November 29, 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. | D | Yes | Deficient, Provider has date of correction | December 6, 2023 |
| October 13, 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. | G | Yes | Past Non-Compliance | October 3, 2023 |
| June 10, 2022 | Health | F 0570 | Resident Rights Deficiencies | Assure the security of all personal funds of residents deposited with the facility. | C | No | Deficient, Provider has date of correction | July 29, 2022 |
| June 10, 2022 | 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 | July 20, 2022 |
| June 10, 2022 | 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 | July 20, 2022 |
| June 10, 2022 | 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 | July 20, 2022 |
| June 10, 2022 | 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 | July 20, 2022 |
| June 10, 2022 | Health | F 0909 | Environmental Deficiencies | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | No | Deficient, Provider has date of correction | July 20, 2022 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| December 22, 2025 | Fine | $6,182 | 138088 | ||
| April 3, 2024 | Fine | $22,155 | 90555 | ||
| April 3, 2024 | Payment Denial | May 15, 2024 | 13 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | PINE GROVE MANOR LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2009-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | St. Louis City |
| Telephone Number | 3147522022 |
| Chain Name | OPCO SKILLED MANAGEMENT |
| Chain ID | 773 |
| 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 | 77 |
| Average Number of Residents per Day | 51.9 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| 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 PINE GROVE MANOR: 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 February 20, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for PINE GROVE MANOR
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 265828.