Skilled nursing facility · CMS certification number 335047
CMS certification number 335047
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026.
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, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 18, 2010.
None of these figures is carried on this report.
CMS report record 389879, read from the public cost report file SNFFY2009.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 May 6, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,117,898 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,315,094 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $15,802,804 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $15,802,871 (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 | 31 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,312 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 13 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicaid, in days | 847.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 870.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308320, 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 November 22, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,184,522 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,376,988 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$192,466 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $564 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$193,021 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,671 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 35 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 123.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 368.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 333.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266928, 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 November 30, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,110,357 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,289,828 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$179,471 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$179,471 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,052 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 9 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,457.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,339.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 237606, 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, settled, processed by CMS on December 14, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,922,833 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,095,416 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$172,583 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$172,583 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,852 | CMS-2540-96 worksheet S300001 line 900 column 700 |
CMS report record 239186, 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 October 28, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,068,870 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,058,180 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $10,690 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $10,062 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $628 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,558 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 6 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,114.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 2,093 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 161421, 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 July 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,931,152 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,804,055 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $127,097 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $161 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,589 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $113,669 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,773 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 6 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 131 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,528.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 2,128.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 151508, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 7, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,817,883 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,700,206 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $117,677 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,677 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $16,677 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $117,677 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,305 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 15 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,076.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 820.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 36043, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 22, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,964,615 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,785,727 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $178,888 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $178,888 (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 | 35 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,205 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 15 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,890.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 813.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 36042, read from the public cost report file SNFFY1999.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, settled, processed by CMS on August 23, 2000.
None of these figures is carried on this report.
CMS report record 36041, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 9, 1999.
None of these figures is carried on this report.
CMS report record 77450, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 9, 1998.
None of these figures is carried on this report.
CMS report record 77448, read from the public cost report file SNFFY1996.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
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
No change in ownership appears in CMS’s ownership data for this facility.
Recent changes on this record
- November 18, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- May 6, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- November 22, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- December 14, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- November 30, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- October 28, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- July 7, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 7, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- June 22, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- August 23, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- September 9, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- June 9, 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
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The citable document for CMS certification number 335047
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 the same state 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.
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 335047.