Skilled nursing facility · CMS certification number 345050

Jacob's Creek Nursing and Rehabilitation Center

Madison, North Carolina · Medicare and Medicaid

Certified beds, as filed in Care Compare: 170

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: 3 · Fines: 2 · Fines, total amount: $16,801.00 · Payment denials: 1. The most recent penalty on file: September 18, 2024, Fine, $12,784. Every penalty on file ↓

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

Finances, as filed

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

Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 10, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$15,196,052	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,537,604	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,733,656	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,049,888	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$683,768	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$454,457	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,138,225	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,138,225 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	62,220	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	884	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	38,805	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	10,238	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	49,927	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	16	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	91	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	88	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	195	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	426.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	256.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440674, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended September 30, 2023

Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 27, 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$14,353,872	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$664,729	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,018,601	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,540,588	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$521,987	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$422,188	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$99,799	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$99,799 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	47,162	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	182	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	533.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	259.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1404283, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended September 30, 2022

Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$12,984,957	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,378,317	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,363,274	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,367,752	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$4,478	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$846,482	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$842,004	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $842,004 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	45,887	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	141	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	86.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	486.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	325.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1372120, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended September 30, 2021

Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 31, 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$11,469,123	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$508,260	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,977,383	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,925,731	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$51,652	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,068,871	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,120,523	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,120,523 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	40,798	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	146	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.37	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	446.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	279.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360430, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended September 30, 2020

Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 30, 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$14,164,993	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,376,100	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,788,893	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,473,225	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$315,668	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$357,913	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$673,581	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $673,581 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	53,362	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	249	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	77.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	268.34	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	214.31	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330895, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended September 30, 2019

Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$14,072,517	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,295,103	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,777,414	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,622,783	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$845,369	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$329,132	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$516,237	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$516,237 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	53,853	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	203	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	433.19	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	265.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1298765, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended September 30, 2018

Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 14, 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$12,880,816	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,999,850	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,880,966	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,384,138	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,503,172	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$309,110	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,194,062	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,194,062 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	49,270	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	196	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	392.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	251.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1267415, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended September 30, 2017

Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2020.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$12,705,121	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,109,298	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,595,823	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,410,254	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$814,431	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$247,891	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$566,540	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$566,540 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	48,685	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	246	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	436.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	197.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1248928, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended September 30, 2016

Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$13,559,039	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,301,663	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,257,376	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,967,103	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$290,273	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$330,087	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$620,360	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $620,360 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	52,014	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	234	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	384.97	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	222.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1218373, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended September 30, 2015

Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 7, 2018.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$14,365,070	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,875,339	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,489,731	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,492,057	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,326	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$377,807	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$375,481	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $375,481 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	51,744	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	248	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	438.7	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	208.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1215168, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended September 30, 2014

Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$14,013,498	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,738,167	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,275,331	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,642,938	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$367,607	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$400,526	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$32,919	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $32,919 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	53,011	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	284	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	342.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	186.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1111604, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended September 30, 2013

Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 17, 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$13,698,101	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,829,502	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,868,599	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,571,755	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$296,844	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$411,830	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$708,674	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $708,674 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	55,853	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	318	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	282.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	175.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1078154, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended September 30, 2012

Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 20, 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$14,489,828	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,482,920	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,006,908	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,093,536	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$913,372	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$384,836	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,298,208	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,298,208 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	58,701	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	365	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	294.76	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	160.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1050892, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended September 30, 2011

Cost report for January 1, 2011 to September 30, 2011 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled with audit, processed by CMS on January 24, 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$8,953,745	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,421,756	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$531,989	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$309,771	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $841,760 (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.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	44,397	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	312	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.77	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	259.07	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	142.3	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 434044, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for October 1, 2010 to December 31, 2010 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 30, 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,811,222	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,561,405	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$249,817	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$106,994	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $356,811 (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.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,151	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	212	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56.28	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	104.31	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	71.47	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433497, read from the public cost report file SNFFY2011.zip.

Fiscal year 2009, ended September 30, 2009

Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 18, 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$10,001,837	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,524,638	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,477,199	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$365,712	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,842,911 (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.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	59,126	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	388	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.83	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	288.02	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	152.39	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 399707, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended September 30, 2008

Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 9, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$9,256,324	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,008,293	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,248,031	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$350,893	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,598,924 (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.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	58,626	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	511	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.06	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	289.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	114.73	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 358937, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended September 30, 2007

Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 15, 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$8,430,143	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,716,363	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$713,780	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$395,876	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,109,656 (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.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	57,893	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	480	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.72	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	357.74	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	120.61	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 326836, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended September 30, 2006

Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 30, 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$8,487,414	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,419,289	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$1,068,125	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$422,355	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,490,480 (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.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	59,628	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	390	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.87	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	339.12	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	152.89	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 279885, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended September 30, 2005

Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 27, 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$8,624,813	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,624,070	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$1,000,743	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$441,499	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,442,242 (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.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	59,348	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	391	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.82	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	345.42	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	151.79	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 263983, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended September 30, 2004

Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 3, 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$8,648,591	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,815,330	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$833,261	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$454,755	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,288,016 (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.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	59,891	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	430	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.47	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	328.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	139.28	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 248409, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended September 30, 2003

Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 23, 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$7,500,558	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,183,217	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$317,341	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$368,443	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $685,784 (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.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	59,780	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	413	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.95	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	339.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	144.75	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 237459, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended September 30, 2002

Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 17, 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$7,504,034	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,163,353	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$340,681	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$378,280	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $718,961 (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.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	58,903	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	400	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.95	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	316.51	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	147.26	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 199916, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended September 30, 2001

Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on February 12, 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$6,485,725	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,364,382	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$121,343	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$312,784	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $434,127 (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.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	57,501	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	201	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	83.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	364.11	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	286.07	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 116564, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended September 30, 2000

Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$6,251,832	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,026,029	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$225,803	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$290,399	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $516,202 (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.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	57,958	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	237	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	318.26	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	244.55	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 39750, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended September 30, 1999

Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on February 11, 2003.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$5,907,580	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,858,166	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$49,414	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$302,257	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $351,671 (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.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	59,036	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	219	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.1	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	389.91	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	269.57	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 115388, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended September 30, 1998

Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 12, 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$5,902,340	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,151,687	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$249,347	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$444,677	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $195,330 (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.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	59,696	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	259	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	385.74	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	230.49	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 39746, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended September 30, 1997

Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 1, 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$6,234,796	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,160,739	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$74,057	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$65,065	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $139,122 (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.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	60,355	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	323	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.65	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	305.62	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	186.86	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 39744, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended September 30, 1996

Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 9, 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$6,295,831	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,917,694	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$378,137	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$91,212	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $469,349 (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.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	170	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	60,594	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	244	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	39.17	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	336.81	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	248.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 39743, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
GOFORTH, JAMES	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/12/2025
PRINCIPLE LONG TERM CARE, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/14/2025
WILSON, KATHLEEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/12/2025
BOICE, GALE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/05/2018
JOHNSON, DIANNE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2011
GOFORTH, JAMES	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2025
PRINCIPLE LONG TERM CARE, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2011
WILSON, KATHLEEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GRANITE FALLS LTC, LLC (enrollment ID O20110413000355).

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
PRINCIPLE IT SERVICES, INC.	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	50	1/1/2011	Private equity company: No Real estate investment trust: No Holding company: No
PRINCIPLE LONG TERM CARE, INC.	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	50	1/1/2011	Private equity company: No Real estate investment trust: No Holding company: No
RAYMOND GREGG HILL	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	18	1/1/2011	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ROBERT O'NEIL HILL	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	20	1/1/2011	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
STEPHEN BRITT HILL	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	20	1/1/2011	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JAMES WALTER GOFORTH	Individual	ADP OF THE SNF	Not stated in the filing	5/12/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
KATHLEEN S WILSON	Individual	ADP OF THE SNF	Not stated in the filing	5/12/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PRINCIPLE LONG TERM CARE, INC.	Organization	ADP OF THE SNF	Not stated in the filing	4/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
DIANNE JOHNSON	Individual	CORPORATE OFFICER	Not stated in the filing	1/1/2011	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
GALE R BOICE	Individual	CORPORATE OFFICER	Not stated in the filing	3/5/2018	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JAMES WALTER GOFORTH	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	1/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
KATHLEEN S WILSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PRINCIPLE LONG TERM CARE, INC.	Organization	OPERATIONAL/MANAGERIAL CONTROL	50	1/1/2011	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

March 1, 2026: ROGER HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: ROGER HILL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: STEPHEN BRITT HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: ROBERT O'NEIL HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: RAYMOND GREGG HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: JAMES WALTER GOFORTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: JAMES WALTER GOFORTH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: KATHLEEN S WILSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: KATHLEEN S WILSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: PRINCIPLE LONG TERM CARE, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv

Recent changes on this record

March 1, 2026: ROGER HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: ROGER HILL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: STEPHEN BRITT HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: ROBERT O'NEIL HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: RAYMOND GREGG HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: JAMES WALTER GOFORTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: JAMES WALTER GOFORTH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: KATHLEEN S WILSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: KATHLEEN S WILSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: PRINCIPLE LONG TERM CARE, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
October 10, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
February 27, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
January 17, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
July 31, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
August 30, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
September 16, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
September 14, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
January 16, 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
January 24, 2019: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
December 7, 2018: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
October 16, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
September 17, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
November 20, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
January 24, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
October 30, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2011.zip
March 7, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
May 18, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
November 9, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
October 15, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
May 30, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
September 27, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
May 3, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
November 23, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
November 17, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
February 12, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
February 11, 2003: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
March 18, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
December 12, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
February 1, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
March 9, 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	December 18, 2025	December 18, 2025	0	2
2	September 18, 2024	September 18, 2024	4	4
3	April 27, 2023	April 27, 2023	4	4

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

8 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
September 18, 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J	Yes	Past Non-Compliance	August 5, 2024
September 18, 2024	Health	F 0687	Quality of Life and Care Deficiencies	Provide appropriate foot care.	D	No	Deficient, Provider has date of correction	October 11, 2024
September 18, 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	October 11, 2024
September 18, 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	October 11, 2024
April 27, 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	May 25, 2023
April 27, 2023	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	May 25, 2023
April 27, 2023	Health	F 0626	Resident Rights Deficiencies	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.	D	No	Deficient, Provider has date of correction	May 25, 2023
April 27, 2023	Health	F 0867	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	D	No	Deficient, Provider has date of correction	May 25, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
September 18, 2024	Fine	$12,784			42519
September 18, 2024	Fine	$4,017			42529
September 18, 2024	Payment Denial		October 9, 2024	2

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	GRANITE FALLS LTC, LLC
Date First Approved to Provide Medicare and Medicaid Services	1968-05-08
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Rockingham
Telephone Number	3365489658
Chain Name	PRINCIPLE LONG TERM CARE
Chain ID	423
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	170
Average Number of Residents per Day	152.2
Overall Rating	5
Health Inspection Rating	4
QM Rating	5
Long-Stay QM Rating	5
Processing Date	2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

Get an email when this record changes

One email a day naming what moved on Jacob's Creek Nursing and Rehabilitation Center: 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 October 10, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

Follow this record for $99/month

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for Jacob's Creek Nursing and Rehabilitation Center

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 North Carolina at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

The citable document with full history — $295

Other public records in North Carolina

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 345050.