Skilled nursing facility · CMS certification number 295081
NEVADA STATE VETERANS HOME - BOULDER CITY
BOULDER CITY, Nevada · Medicare and Medicaid
Certified beds, as filed in Care Compare: 180
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: 1 · Fines: 1 · Fines, total amount: $10,358.00 · Payment denials: 0. The most recent penalty on file: December 6, 2024, Fine, $10,358. 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 July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on December 16, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $30,940,678 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $30,940,678 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,777,306 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $5,163,372 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$4,299,534 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $863,838 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $863,838 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 65,700 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,708 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,766 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 44,524 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 58,998 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 19 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 209 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 263 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 671.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 224.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1444822, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,852,475 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $31,852,475 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,565,386 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $6,287,089 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$6,571,108 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$284,019 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$284,019 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,198 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 243 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 200.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 522.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 239.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439353, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 8, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,458,670 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $24,458,670 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,037,365 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $421,305 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$208,604 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $212,701 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $212,701 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,782 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 241 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 352.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 223.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374690, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 6, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,091,992 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $23,091,992 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,409,878 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,317,886 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,817,448 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$500,438 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$500,438 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,568 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 264 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 114.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 327.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 214.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343850, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 28, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,089,919 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $11,089,919 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,244,004 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,154,085 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,737,178 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$416,907 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$416,907 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,482 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 236 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 383.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 218.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313107, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,666,503 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $11,666,503 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,132,897 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,466,394 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,798,067 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$668,327 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$668,327 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,132 | 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 | 99.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 315.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 224.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283620, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 3, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,135,133 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $13,135,133 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,147,059 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$11,011,926 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,943,533 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$68,393 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$68,393 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 61,706 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 265 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 85.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 512 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 232.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1285269, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 10, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,870,711 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $9,870,711 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,582,212 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,711,501 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,101,713 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$609,788 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$609,788 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,165 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 166 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 770.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 362.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1215264, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,239,659 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $11,239,659 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,946,360 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,706,701 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,371,105 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$335,596 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$335,596 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 63,623 | 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 | 107.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 528.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 305.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1180616, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 3, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,723,400 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,723,400 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,106,140 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,382,740 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,778,131 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$604,609 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$604,609 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 61,221 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 307 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 534.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 199.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152415, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,632,269 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $12,632,269 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,459,524 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,827,255 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,945,791 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$881,464 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$881,464 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,203 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 218 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,105.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 285.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117211, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,329,562 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $12,329,562 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,174,405 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,844,843 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,031,105 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$813,738 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$813,738 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,975 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 219.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 977.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 473.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085316, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 3, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,288,684 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $12,288,684 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,606,447 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,317,763 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,447,803 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$869,960 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$869,960 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,755 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 288 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 110.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 629.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 217.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056248, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,589,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $11,589,152 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,654,724 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,065,572 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,569,465 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,496,107 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,496,107 (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 | 180 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,850 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 261 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 539.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 233.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023616, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,349,751 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,548,764 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,199,013 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,769,837 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $570,824 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,269 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 207 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 887.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 295.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422900, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 29, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,681,159 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,720,949 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,039,790 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,540,698 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,499,092 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,365 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 230 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 561.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 266.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 391936, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 13, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,304,235 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,108,054 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,803,819 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,705,227 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,098,592 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,273 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 235 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 362.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 260.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362275, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 29, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,987,179 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,382,270 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,395,091 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,173,500 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,221,591 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,549 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 229 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 415.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 268.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 340861, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,581,286 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,549,427 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,968,141 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,297,383 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,670,758 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,409 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 219 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 435.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 280.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300638, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 26, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,331,805 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,644,662 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,312,857 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,728,396 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,584,461 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,903 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 81.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 632.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 460.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271172, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 30, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,590,347 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,686,904 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,096,557 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,786,163 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,310,394 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,748 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 136 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 91.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 471.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 373.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241737, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 29, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,433,739 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,489,607 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,055,868 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,898,725 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,157,143 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,113 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 166 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 239.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 217.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 203622, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for September 24, 2002 to June 30, 2003 — a reporting period of 279 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 28, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $810,478 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,920,204 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$4,109,726 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,927,011 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$182,715 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,153 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 19 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,277 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 534.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 198380, read from the public cost report file SNFFY2002.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| STATE OF NEVADA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 09/24/2002 |
| BALTAZAR-DODGE, KATE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/11/2024 |
| DORAN, SUSAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/08/2012 |
| FULLER, JENNIFER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/13/2024 |
| JORGENSON, CRAIG | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2004 |
| STATE OF NEVADA | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/24/2002 |
| BALTAZAR-DODGE, KATE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/11/2024 |
| DORAN, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/08/2012 |
| FULLER, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/13/2024 |
| JORGENSON, CRAIG | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2004 |
| STATE OF NEVADA | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/24/2002 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of STATE OF NEVADA (enrollment ID O20040804000518).
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 |
|---|---|---|---|---|---|
| STATE OF NEVADA | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/24/2002 | Private equity company: No Real estate investment trust: No Holding company: No |
| CRAIG M JORGENSON | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER M FULLER | Individual | ADP OF THE SNF | Not stated in the filing | 5/13/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATE BALTAZAR-DODGE | Individual | ADP OF THE SNF | Not stated in the filing | 3/11/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STATE OF NEVADA | Organization | ADP OF THE SNF | Not stated in the filing | 9/24/2002 | Private equity company: No Real estate investment trust: No Holding company: No |
| SUSAN DORAN | Individual | ADP OF THE SNF | Not stated in the filing | 5/8/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CRAIG M JORGENSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER M FULLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/13/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATE BALTAZAR-DODGE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/11/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STATE OF NEVADA | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/24/2002 | Private equity company: No Real estate investment trust: No Holding company: No |
| SUSAN DORAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/8/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: FRANK BELLINGER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: FRANK BELLINGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CRAIG M JORGENSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CRAIG M JORGENSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STATE OF NEVADA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 24, 2002. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STATE OF NEVADA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 24, 2002. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STATE OF NEVADA (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 24, 2002. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JENNIFER M FULLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JENNIFER M FULLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KATE BALTAZAR-DODGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 11, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KATE BALTAZAR-DODGE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 11, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SUSAN DORAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 8, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SUSAN DORAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 8, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- July 1, 2026: FRANK BELLINGER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: FRANK BELLINGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CRAIG M JORGENSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CRAIG M JORGENSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STATE OF NEVADA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 24, 2002. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STATE OF NEVADA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 24, 2002. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STATE OF NEVADA (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 24, 2002. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JENNIFER M FULLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JENNIFER M FULLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KATE BALTAZAR-DODGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 11, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KATE BALTAZAR-DODGE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 11, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SUSAN DORAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 8, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SUSAN DORAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 8, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- December 16, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- March 8, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- March 6, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- March 28, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- June 3, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- May 10, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- December 10, 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- December 18, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- February 3, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- January 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- February 2, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- March 3, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- January 24, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- January 18, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- December 29, 2010: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- January 13, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- May 29, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- January 24, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- January 26, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- January 30, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- December 29, 2004: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- October 28, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 13, 2026 | February 13, 2026 | 3 | 10 |
| 2 | December 6, 2024 | December 6, 2024 | 11 | 5 |
| 3 | January 30, 2024 | January 30, 2024 | 10 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
24 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 13, 2026 | 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 | March 30, 2026 |
| February 13, 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | March 30, 2026 |
| February 13, 2026 | Health | F 0773 | Administration Deficiencies | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | No | Deficient, Provider has date of correction | March 30, 2026 |
| May 1, 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 | May 22, 2025 |
| December 6, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | January 20, 2025 |
| December 6, 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | January 20, 2025 |
| December 6, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | January 20, 2025 |
| December 6, 2024 | 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 | January 20, 2025 |
| December 6, 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 20, 2025 |
| December 6, 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | G | Yes | Deficient, Provider has date of correction | January 20, 2025 |
| December 6, 2024 | 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. | D | No | Deficient, Provider has date of correction | January 20, 2025 |
| December 6, 2024 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | No | Deficient, Provider has date of correction | January 20, 2025 |
| December 6, 2024 | Health | F 0848 | Administration Deficiencies | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | D | No | Deficient, Provider has date of correction | January 20, 2025 |
| December 6, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | January 20, 2025 |
| January 30, 2024 | 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 | Deficient, Provider has date of correction | March 8, 2024 |
| January 30, 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | March 21, 2024 |
| January 30, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | March 21, 2024 |
| January 30, 2024 | 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 21, 2024 |
| January 30, 2024 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | No | Deficient, Provider has date of correction | March 21, 2024 |
| January 30, 2024 | 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. | D | No | Deficient, Provider has date of correction | March 21, 2024 |
| January 30, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | March 21, 2024 |
| January 30, 2024 | 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 | March 21, 2024 |
| January 30, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 21, 2024 |
| October 20, 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 | November 15, 2023 |
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 6, 2024 | Fine | $10,358 | 133785 |
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 | Government - State |
| Legal Business Name | STATE OF NEVADA |
| Date First Approved to Provide Medicare and Medicaid Services | 2002-09-24 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Clark |
| Telephone Number | 7023326711 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 180 |
| Average Number of Residents per Day | 167.7 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On December 16, 2025: 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 NEVADA STATE VETERANS HOME - BOULDER CITY
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 Nevada 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 295081.