Skilled nursing facility · CMS certification number 335791
Queens Boulevard Extended Care Facility
Woodside, New York · Medicare and Medicaid
Certified beds, as filed in Care Compare: 280
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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on November 18, 2025.
- Net patient revenue rose from $40.2M in fiscal year 2023 to $46.2M in fiscal year 2024.
- Its result from service to patients: $2.7M (2022), $217K (2023), $5.8M (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $46.2M ranks 77th of the 539 nursing facilities in New York whose latest cost report on file is fiscal year 2024.
- 2 of the 5 nursing facilities in New York closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.
Every line is computed from figures on this page; nothing is estimated.
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 November 18, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $46,221,936 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $46,221,936 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $40,455,166 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $5,766,770 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $5,766,770 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,766,770 (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 204,151 of the 204,151 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 | 280 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 102,480 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 12,666 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 49,155 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 34,900 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 96,721 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 267 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 568 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 384 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 1,219 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 86.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442599, 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 November 5, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $40,205,395 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $40,205,395 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $39,988,853 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $216,542 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $648,035 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $864,577 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $864,577 (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 204,151 of the 204,151 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 | 280 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 92,859 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,209 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 87.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398629, 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 February 8, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $40,081,323 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $40,081,323 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $37,333,350 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,747,973 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $664,823 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,412,796 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,412,796 (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 204,151 of the 204,151 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 | 280 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 93,217 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 177.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373169, 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 April 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $36,646,806 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $36,646,806 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $36,375,325 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $271,481 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $823,743 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,095,224 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,095,224 (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 204,151 of the 204,151 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 | 280 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 77,306 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,030 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 420.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345623, 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 March 31, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $34,046,719 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $34,046,719 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $33,446,926 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $599,793 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,281,818 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,881,611 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,881,611 (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 204,151 of the 204,151 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 | 280 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 77,725 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 982 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 786.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313408, 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 February 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $38,340,254 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $38,340,254 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $36,509,151 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,831,103 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $637,844 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,468,947 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,468,947 (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 204,151 of the 204,151 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 | 280 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 98,080 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,227 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 660.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280698, 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 April 15, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $38,324,329 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $38,324,329 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $35,733,641 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,590,688 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $565,953 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,156,641 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,156,641 (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 204,151 of the 204,151 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 | 280 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 94,058 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,167 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,109.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253569, 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 November 28, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $39,302,452 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $39,302,452 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $35,626,177 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,676,275 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $3,676,275 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,676,275 (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 204,151 of the 204,151 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 | 280 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 94,624 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,303 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 828.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214366, 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 May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $39,008,702 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $39,008,702 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $35,673,166 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,335,536 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $175,587 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,511,123 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,511,123 (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 204,151 of the 204,151 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 | 280 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 94,946 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,392 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 850.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188936, 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, as submitted, processed by CMS on June 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $37,716,805 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $37,716,805 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $34,734,083 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,982,722 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $351,601 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,334,323 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,334,323 (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 204,151 of the 204,151 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 | 280 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 93,786 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,459 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 738.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1133592, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 14, 2014 to December 31, 2014 — a reporting period of 351 days, on form CMS-2540-10, settled, processed by CMS on June 15, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $36,707,531 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $36,707,531 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $35,243,688 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,463,843 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $229,041 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,692,884 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,692,884 (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 204,151 of the 204,151 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 | 280 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 96,696 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,402 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 855.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1096505, read from the public cost report file SNF10FY2014.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 July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $44,483,502 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,506,296 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $35,977,206 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $34,186,388 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,790,818 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $293,661 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,084,479 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,084,479 (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 204,151 of the 204,151 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 | 280 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 97,468 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,270 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 447.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1041917, 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 September 27, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $37,498,023 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $37,498,022 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $33,981,046 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,516,976 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $3,516,976 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,516,976 (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 204,151 of the 204,151 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 | 280 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 97,486 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,063 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 91.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1012606, 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 21, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $34,404,913 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $32,815,926 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,588,987 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $318,610 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,907,597 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 100,078 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,030 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 782.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 97.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 412194, 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 August 12, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $33,780,822 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,287,590 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,493,232 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $338,052 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,831,284 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 97,774 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 894 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 518.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 109.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385316, 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 August 25, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $33,487,091 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,010,844 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,476,247 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $392,794 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $301,633 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $2,567,408 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 99,250 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 831 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 765.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355356, 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, settled, processed by CMS on December 1, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $32,955,491 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,744,373 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,211,118 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $393,509 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,604,627 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 98,633 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 814 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,024.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 329236, 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 May 21, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $33,027,117 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,383,363 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,643,754 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $529,310 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,173,064 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 98,745 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 890 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 365.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 110.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 309635, 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 May 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $32,408,167 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,990,397 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,417,770 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $566,464 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,984,234 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 99,401 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 780 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 667.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 277386, 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 9, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $32,368,961 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,085,894 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,283,067 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $1,283,067 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 99,614 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 802 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 136.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 124.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 236423, 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 10, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $30,804,889 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,876,578 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$71,689 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$71,689 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 99,774 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 811 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 124.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 123.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 181116, 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 March 2, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $30,017,115 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,440,676 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,576,439 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $1,576,439 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 100,447 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 760 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 155.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 132.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169769, 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 | $28,162,685 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,125,902 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $36,783 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $36,783 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 100,829 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 759 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 152.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 132.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 125382, 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 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $25,592,030 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,392,653 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$800,623 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $187,833 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$612,790 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 101,419 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 674 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 166.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 113644, 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 August 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $26,195,322 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,929,410 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,265,912 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $1,265,912 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 101,400 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 488 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 140.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 205.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 207.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39399, 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 May 4, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $28,357,617 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,130,023 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $4,227,594 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $195,914 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $4,423,508 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 98,817 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 756 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 206.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 130.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 78709, 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 with audit, processed by CMS on July 21, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $41,030,855 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,357,030 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $17,673,825 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $94,091 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $17,767,916 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 97,620 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 428 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,658.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 228.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 78707, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for December 29, 1995 to December 31, 1996 — a reporting period of 368 days, on form CMS-2540-96, settled with audit, processed by CMS on June 17, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,858,763 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,192,491 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$4,333,728 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $74,365 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$4,259,363 (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 | 280 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,953 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 479 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,430.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 131.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 78705, 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
As filed in the CMS file dated October 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CLEMENZA, ANTHONY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 50% | since 01/15/2014 |
| CLEMENZA, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 50% | since 01/14/2015 |
| ABBATE, ANTHONY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/15/2014 |
| CLEMENZA, ANTHONY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/23/2024 |
| CLEMENZA, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/23/2024 |
| HALLETT, WILLIAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/15/2014 |
| HOWE, KEVIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2023 |
| KALPESH AMIN | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/26/2024 |
| MAWERE, JONATHAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/15/2014 |
| MAWERE, JONATHAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/15/2014 |
| AL-EBBINNI, EMMA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/05/2022 |
| APUHIN, NAOMI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/12/2023 |
| BUFANO, PAUL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/12/2024 |
| CASTRO, AL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/30/2011 |
| CAVANAGH, CAROL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/17/2023 |
| CHODKOWSKI, STEFANIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/30/2023 |
| CLEMENZA, AMANDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/10/2022 |
| CLEMENZA, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/05/2023 |
| GARCIA, NICCOLO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/07/2020 |
| KALPESH AMIN | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/26/2024 |
| KUI, KAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/30/2016 |
| MATTHIAS, DIANA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/09/2022 |
| MAWERE, JONATHAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/15/2014 |
| MURRAY, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/06/2023 |
| PEZULICH, PAUL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/17/2021 |
| ROCHE, CHARLES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/26/2021 |
| SAMMON, MAUREEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/27/2025 |
| SILVERO, NORRELE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/21/2022 |
| SINGH, KATHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2022 |
| TORRES, JASON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/12/2023 |
| VELEZ, VANESSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/17/2021 |
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of QUEENS BOULEVARD EXTENDED CARE FACILITY MANAGEMENT LLC (enrollment ID O20140228000146).
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 |
|---|---|---|---|---|---|
| ANTHONY CLEMENZA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50.00 | 01/15/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES CLEMENZA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50.00 | 01/14/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY ABBATE | Individual | ADP OF THE SNF | Not stated in the filing | 01/15/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY CLEMENZA | Individual | ADP OF THE SNF | Not stated in the filing | 12/23/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES CLEMENZA | Individual | ADP OF THE SNF | Not stated in the filing | 12/23/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONATHAN MAWERE | Individual | ADP OF THE SNF | Not stated in the filing | 01/15/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KALPESH AMIN | Organization | ADP OF THE SNF | Not stated in the filing | 11/26/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| KEVIN HOWE | Individual | ADP OF THE SNF | Not stated in the filing | 09/01/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM HALLETT | Individual | ADP OF THE SNF | Not stated in the filing | 01/15/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/23/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONATHAN MAWERE | Individual | CORPORATE OFFICER | 100.00 | 01/15/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AL CASTRO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/30/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMANDA CLEMENZA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 03/10/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY JAMES CLEMENZA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 06/05/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROL CAVANAGH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 09/17/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES ROCHE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 07/26/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIANA MATTHIAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 01/09/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EMMA AL-EBBINNI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/05/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON TORRES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/12/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONATHAN MAWERE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 01/15/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KALPESH AMIN | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/26/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| KAM KUI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 09/30/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHY SINGH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 05/01/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY ELIZABETH MURRAY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/06/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MAUREEN SAMMON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/27/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NAOMI APUHIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 02/12/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICCOLO GARCIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/07/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NORRELE SILVERO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/21/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL BUFANO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 08/12/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL PEZULICH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/17/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEFANIE CHODKOWSKI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/30/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VANESSA VELEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/17/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- August 1, 2025: JONATHAN MAWERE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JAMES CLEMENZA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CAROL CAVANAGH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 17, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MAUREEN SAMMON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KEVIN HOWE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: NORRELE SILVERO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: VANESSA VELEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ANTHONY ABBATE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 15, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: AMANDA CLEMENZA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 10, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PAUL PEZULICH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KAM KUI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 30, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JONATHAN MAWERE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 15, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JONATHAN MAWERE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 15, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WILLIAM HALLETT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 15, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: AL CASTRO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 30, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: EMMA AL-EBBINNI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KATHY SINGH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DIANA MATTHIAS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 9, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PAUL BUFANO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ANTHONY JAMES CLEMENZA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ANTHONY CLEMENZA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: NICCOLO GARCIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 7, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: STEFANIE CHODKOWSKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KALPESH AMIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KALPESH AMIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JAMES CLEMENZA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CHARLES ROCHE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 26, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MARY ELIZABETH MURRAY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: NAOMI APUHIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 12, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JASON TORRES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 12, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- November 18, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2025: JONATHAN MAWERE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JAMES CLEMENZA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CAROL CAVANAGH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 17, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MAUREEN SAMMON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KEVIN HOWE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: NORRELE SILVERO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: VANESSA VELEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ANTHONY ABBATE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 15, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: AMANDA CLEMENZA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 10, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PAUL PEZULICH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KAM KUI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 30, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JONATHAN MAWERE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 15, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JONATHAN MAWERE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 15, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WILLIAM HALLETT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 15, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: AL CASTRO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 30, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: EMMA AL-EBBINNI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KATHY SINGH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DIANA MATTHIAS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 9, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PAUL BUFANO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ANTHONY JAMES CLEMENZA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ANTHONY CLEMENZA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: NICCOLO GARCIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 7, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: STEFANIE CHODKOWSKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KALPESH AMIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KALPESH AMIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 26, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JAMES CLEMENZA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 23, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CHARLES ROCHE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 26, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MARY ELIZABETH MURRAY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: NAOMI APUHIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 12, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JASON TORRES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 12, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- November 5, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- February 8, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 18, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- March 31, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- February 28, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- April 15, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- November 28, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- May 2, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 21, 2024 | June 21, 2024 | 3 | 2 |
| 2 | May 25, 2022 | May 25, 2022 | 7 | 20 |
| 3 | August 9, 2019 | August 9, 2019 | 2 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
12 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 21, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | August 2, 2024 |
| June 21, 2024 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | August 2, 2024 |
| June 21, 2024 | 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 | August 2, 2024 |
| June 21, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | August 2, 2024 |
| May 25, 2022 | 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 | June 30, 2022 |
| May 25, 2022 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | June 30, 2022 |
| May 25, 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | June 30, 2022 |
| May 25, 2022 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | June 30, 2022 |
| May 25, 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | June 30, 2022 |
| May 25, 2022 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | June 30, 2022 |
| May 25, 2022 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | June 30, 2022 |
| August 9, 2019 | 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 | September 25, 2019 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | QUEENS BOULEVARD EXTENDED CARE FACILITY MANAGEMENT LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1995-12-29 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Queens |
| Telephone Number | 7182050288 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 280 |
| Average Number of Residents per Day | 269.8 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-10-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Oct2026.csv, processed on October 1, 2026.
Get an email when this record changes
One email a day naming what moved on Queens Boulevard Extended Care Facility: 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 November 18, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Queens Boulevard Extended Care Facility
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 York 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 335791.