Velarion Records

Skilled nursing facility · CMS certification number 265882

THE GRAND ROYALE

GLADSTONE, Missouri

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.

This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026. Its Medicare enrollment, GGCC LLC (enrollment ID O20210323001498), is not listed in the CMS enrollment file dated August 1, 2026.

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

Finances, as filed

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

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 19, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$7,222,346CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$25,270CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,247,616CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,158,572CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$89,044CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$54,100CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$143,144CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $143,144 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components105CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components38,325CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days5,120CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days501CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days22,242CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components27,863CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges171CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges1CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges199CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components371CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days501CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days75.1CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395189, 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 October 11, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$4,887,169CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$39,274CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,926,443CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,886,229CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$959,786CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$43,977CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$915,809CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$915,809 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components71CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,302CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components312CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days55.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366009, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for July 9, 2021 to December 31, 2021 — a reporting period of 175 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 27, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$1,237,694CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$123,134CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,114,560CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,435,969CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,321,409CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$82CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,321,327CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,321,327 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components71CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components3,112CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components96CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.02CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days32.42CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334233, read from the public cost report file SNF10FY2021.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

Not listed in CMS’s Care Compare data.

Medicare enrollment

No owner listed for this facility in CMS’s Medicare enrollment ownership data.

Changes in ownership

Recent changes on this record

Inspections

Not listed in CMS’s Care Compare data.

Deficiencies cited

Not listed in CMS’s Care Compare data.

Penalties

Not listed in CMS’s Care Compare data.

Care Compare provider information

Not listed in CMS’s Care Compare data.

Get an email when this record changes

One email a day naming what moved on THE GRAND ROYALE: 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 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.

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The citable document for THE GRAND ROYALE

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.

The citable document with full history — $295

Other public records in Missouri

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 265882.

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