Skilled nursing facility · CMS certification number 305084
MINERAL SPRINGS
NORTH CONWAY, New Hampshire · Medicare and Medicaid
Certified beds, as filed in Care Compare: 87
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: 2 · Fines: 2 · Fines, total amount: $32,148.00 · Payment denials: 0. The most recent penalty on file: May 30, 2024, Fine, $16,801. 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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 16, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,143,055 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,402,232 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,740,823 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,701,097 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$960,274 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,636 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$947,638 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$947,638 (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 | 103 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 37,698 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 938 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,910 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,622 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 12,470 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 27 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 31 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 30 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 319.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1431107, 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 August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,476,121 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,658,463 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,817,658 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,900,462 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,082,804 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,237 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,065,567 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,065,567 (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 | 103 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,281 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1434714, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,421,586 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,329,649 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,091,937 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,300,717 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,208,780 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,020 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,186,760 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,186,760 (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 | 103 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,408 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 406.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 173.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358950, 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 June 30, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,751,012 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,550,697 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,200,315 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,785,827 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,585,512 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $73,877 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,511,635 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,511,635 (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 | 103 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,157 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 161 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 546.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1324451, 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 November 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,293,977 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,093,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,200,665 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,415,151 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,214,486 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $502,894 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$711,592 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$711,592 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,042 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 424.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1336454, 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 September 9, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,454,478 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,158,284 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,296,194 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,689,366 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$393,172 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $601,364 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $208,192 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $208,192 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,924 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 216 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 509.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1266182, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 10, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,504,730 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,263,221 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,241,509 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,780,352 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $461,157 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $558,947 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,020,104 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,020,104 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,190 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 230 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 389.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1235690, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,554,034 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,976,169 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,577,865 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,669,480 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $908,385 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $657,006 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,565,391 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,565,391 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,954 | 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 | 27.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 489.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200468, 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 7, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,405,758 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,816,201 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,589,557 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,503,159 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,086,398 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $673,056 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,759,454 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,759,454 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,736 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 192 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 429 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 154.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172203, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 27, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,100,861 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,793,511 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,307,350 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,559,454 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $747,896 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $632,339 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,380,235 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,380,235 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,273 | 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 | 38.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 379.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138247, 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 July 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,495,093 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,156,553 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,338,540 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,933,317 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $405,223 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $647,753 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,052,976 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,052,976 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,688 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 225 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 454.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105178, 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 November 17, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,697,453 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,436,000 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,261,453 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,906,143 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $355,310 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $648,048 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,003,358 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,003,358 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,298 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 198 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 509.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 153.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1112818, 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 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,507,215 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,557,978 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,949,237 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,525,149 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $424,088 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,565 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $437,653 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $437,653 (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 | 203 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,371 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 193 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 718.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1045319, 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 April 18, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,954,793 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,367,964 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,586,829 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,637,271 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $949,558 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,725 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $963,283 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $963,283 (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 | 103 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,249 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 224 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 478.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058398, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 26, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,728,224 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,029,023 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,699,201 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,635 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,707,836 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,098 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 183 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 788.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 412996, 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 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,631,519 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,883,598 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,747,921 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,668 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,752,589 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,652 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 218 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 719.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 145.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 381068, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 15, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,026,229 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,694,749 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,331,480 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,870 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,352,350 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,778 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 223 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 477.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 142.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 350650, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on June 16, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,703,311 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,385,676 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,317,635 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,473 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,334,108 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,394 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 193 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 511.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 167.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 314443, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 25, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,637,717 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,503,949 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,133,768 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,351 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,146,119 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,898 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 182 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 719.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 180.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 288313, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 29, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,486,610 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,253,205 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,233,405 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,059 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,240,464 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,525 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 212.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 262112, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 19, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,645,510 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,575,362 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,070,148 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,579 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,073,727 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,826 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 279.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 231212, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on June 29, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,930,478 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,090,979 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $839,499 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,720 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $850,219 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,860 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 215.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 185197, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 16, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,566,450 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,694,680 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $871,770 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $659 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $872,429 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,918 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.99 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 245.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159779, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,433,579 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,048,681 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $384,898 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,951 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $386,849 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,157 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 129 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 264.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 128617, read from the public cost report file SNFFY2001.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on February 15, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,685,682 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,631,613 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $54,069 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,494 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $66,563 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,505 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 181 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 185.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 64623, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for February 12, 1997 to December 31, 1997 — a reporting period of 322 days, on form CMS-2540-96, as submitted, processed by CMS on August 31, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,510,412 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,041,887 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$531,475 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,336 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$519,139 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,610 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 104 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 275.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 64622, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| BLACK MOUNTAIN PEAK HEALTHCARE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/25/2024 |
| PR NH HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 48% | since 02/19/2024 |
| RR NH HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 48% | since 02/19/2024 |
| 603 HEALTHCARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/28/2024 |
| HERNANDEZ, AMANDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2024 |
| MARTIN, CHRIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/04/2024 |
| 603 HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/28/2024 |
| HERNANDEZ, AMANDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2024 |
| MARTIN, CHRIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/04/2024 |
| STEVENSON, SEAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/29/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of NORTH CONWAY SNF OPCO LLC (enrollment ID O20250203000960).
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 |
|---|---|---|---|---|---|
| BLACK MOUNTAIN PEAK HEALTHCARE, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/25/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PHILIP RAUSMAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 2/19/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PR NH HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 2/19/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ROBERT RAUSMAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 2/19/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RR NH HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 2/19/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SEAN STEVENSON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 2/19/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| 603 HEALTHCARE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/28/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMANDA HERNANDEZ | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRIS MARTIN | Individual | ADP OF THE SNF | Not stated in the filing | 11/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| 603 HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/28/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMANDA HERNANDEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRIS MARTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SEAN STEVENSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/29/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2025: GENESIS HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUNBRIDGE HEALTHCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WELLTOWER INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JAMIE L ZURN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MICHAEL T BERG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MICHAEL T BERG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: STEVEN E FISHMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ZAC PROPERTIES XI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GENESIS HEALTHCARE INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ARNOLD M WHITMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: STEPHEN S YOUNG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUN HEALTHCARE GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MICHAEL S SHERMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GENESIS HEALTHCARE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GENESIS HEALTHCARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SEAN STEVENSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUNDANCE REHABILITATION HOLDCO, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FC-GEN OPERATIONS INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DIANE LOUISE MORRIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GEN OPERATIONS II LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KEN CULLEROT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GEN OPERATIONS I LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HCCF MANAGEMENT GROUP XI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: 603 HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: 603 HEALTHCARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PHILIP RAUSMAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BLACK MOUNTAIN PEAK HEALTHCARE, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SEAN STEVENSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 29, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SEAN STEVENSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRIS MARTIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRIS MARTIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RR NH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AMANDA HERNANDEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AMANDA HERNANDEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PR NH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ROBERT RAUSMAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Recent changes on this record
- September 1, 2025: GENESIS HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUNBRIDGE HEALTHCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WELLTOWER INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JAMIE L ZURN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MICHAEL T BERG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MICHAEL T BERG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: STEVEN E FISHMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ZAC PROPERTIES XI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GENESIS HEALTHCARE INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ARNOLD M WHITMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: STEPHEN S YOUNG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUN HEALTHCARE GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MICHAEL S SHERMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GENESIS HEALTHCARE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GENESIS HEALTHCARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SEAN STEVENSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SUNDANCE REHABILITATION HOLDCO, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FC-GEN OPERATIONS INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DIANE LOUISE MORRIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GEN OPERATIONS II LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KEN CULLEROT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GEN OPERATIONS I LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HCCF MANAGEMENT GROUP XI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: 603 HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: 603 HEALTHCARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PHILIP RAUSMAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BLACK MOUNTAIN PEAK HEALTHCARE, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SEAN STEVENSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 29, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SEAN STEVENSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRIS MARTIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRIS MARTIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RR NH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AMANDA HERNANDEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: AMANDA HERNANDEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PR NH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ROBERT RAUSMAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: enrollment_id: O20070404000603 → O20250203000960. Skilled_Nursing_Facility_Enrollments_:_2025-09-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 16, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 17, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 7, 2025 | August 7, 2025 | 1 | 0 |
| 2 | February 21, 2025 | February 21, 2025 | 6 | 2 |
| 3 | September 12, 2024 | September 12, 2024 | 20 | 10 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
27 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| August 7, 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | September 16, 2025 |
| February 21, 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | April 5, 2025 |
| February 21, 2025 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 21, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | April 3, 2025 |
| February 21, 2025 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | No | Deficient, Provider has date of correction | March 18, 2025 |
| February 21, 2025 | 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, 2025 |
| February 21, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | March 27, 2025 |
| September 12, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | October 29, 2024 |
| September 12, 2024 | 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 | No | Deficient, Provider has date of correction | November 1, 2024 |
| September 12, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | October 12, 2024 |
| September 12, 2024 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | November 7, 2024 |
| September 12, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | November 5, 2024 |
| September 12, 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 | October 5, 2024 |
| September 12, 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 | November 1, 2024 |
| September 12, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Yes | Deficient, Provider has date of correction | November 5, 2024 |
| September 12, 2024 | 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 | November 5, 2024 |
| September 12, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | October 12, 2024 |
| September 12, 2024 | 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 | October 25, 2024 |
| September 12, 2024 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | C | No | Deficient, Provider has date of correction | October 23, 2024 |
| September 12, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | October 4, 2024 |
| September 12, 2024 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | No | Deficient, Provider has date of correction | November 4, 2024 |
| May 30, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Past Non-Compliance | May 2, 2024 |
| February 1, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Yes | Deficient, Provider has date of correction | February 28, 2024 |
| November 8, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | December 4, 2023 |
| November 8, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | December 4, 2023 |
| November 8, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | November 9, 2023 |
| November 8, 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | December 16, 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 |
|---|---|---|---|---|---|
| May 30, 2024 | Fine | $16,801 | 560 | ||
| September 13, 2023 | Fine | $15,347 | 516 |
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 - Limited Liability company |
| Legal Business Name | NORTH CONWAY SNF OPCO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1997-02-12 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Carroll |
| Telephone Number | 6033567294 |
| Chain Name | 603 HEALTHCARE |
| Chain ID | 826 |
| 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 | 87 |
| Average Number of Residents per Day | 72.5 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on MINERAL SPRINGS: 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 1, 2025: enrollment_id: O20070404000603 → O20250203000960. That is one line of the alert.
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The citable document for MINERAL SPRINGS
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 New Hampshire 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 305084.