Velarion Records

Skilled nursing facility · CMS certification number 345090

Westchester Manor at Providence Place

High Point, North Carolina · Medicare and Medicaid

Certified beds, as filed in Care Compare: 129

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,018.00 · Payment denials: 0. The most recent penalty on file: May 23, 2024, Fine, $8,018. 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 March 21, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$17,306,187CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$902,335CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$16,403,852CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,670,366CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,266,514CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$85,792CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,180,722CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,180,722 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components47,214CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,387CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days26,958CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days14,659CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components44,004CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges50CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges21CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges101CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components172CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.74CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,283.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days255.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405649, 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 March 5, 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$15,216,806CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$384,581CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,601,387CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,421,325CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$180,062CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$445,418CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$625,480CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $625,480 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,297CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components299CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.44CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days309.94CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days141.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1404671, 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 June 26, 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$12,843,908CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$426,180CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,270,088CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,051,069CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$219,019CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$238,901CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$457,920CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $457,920 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,919CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components332CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days215.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days111.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1386785, 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 17, 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$11,290,930CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$135,643CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,155,287CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,151,834CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$3,453CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,997,235CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,000,688CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,000,688 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,942CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components259CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.38CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days285.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days127.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358953, 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 September 19, 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$13,917,856CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,143,151CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,774,705CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,307,763CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$466,942CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$878,113CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,345,055CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,345,055 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components41,292CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components341CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days355.61CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days121.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332794, 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 17, 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$14,323,615CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,775,411CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,548,204CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,507,683CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$40,521CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$25,607CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$66,128CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $66,128 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,132CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components365CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.79CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days346.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days115.43CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1300497, 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 18, 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$13,502,160CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,487,512CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,014,648CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,122,563CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$107,915CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$37,015CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$70,900CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$70,900 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,328CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components379CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days295.61CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days111.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1268710, 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 February 28, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$12,800,366CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,191,808CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,608,558CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,910,411CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$301,853CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$39,525CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$262,328CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$262,328 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,697CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components390CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days323.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days109.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1184348, 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 September 19, 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$13,314,346CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,093,812CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,220,534CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,578,899CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$641,635CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$38,606CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$680,241CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $680,241 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components43,408CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components310CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days439.49CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days140.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1211989, 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 May 3, 2018.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$13,997,814CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,085,663CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,912,151CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,051,544CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$860,607CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$29,570CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$890,177CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $890,177 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components43,987CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components307CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days393.95CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days143.28CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1189287, 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 August 29, 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$14,113,070CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,050,239CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,062,831CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,522,809CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$540,022CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$25,006CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$565,028CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $565,028 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components44,609CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components262CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days838.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days170.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142839, 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 November 25, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$13,242,676CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,815,151CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,427,525CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,821,906CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$394,381CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$66,409CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$327,972CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$310,364 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,294CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components231CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days644.16CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days196.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1080932, 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 5, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$14,507,626CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,969,606CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,538,020CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,697,897CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$159,877CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$141,858CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$18,019CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$292,069 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,652CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components269CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days625.35CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days169.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1049771, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended September 30, 2011

Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 19, 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$11,699,730CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,301,134CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$398,596CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$378,859CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $777,455 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,872CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components277CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days56.24CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days368.15CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days165.6CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 434390, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended September 30, 2010

Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on March 22, 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$11,410,214CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,013,805CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$396,409CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,910CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $402,319 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,403CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components320CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days49.43CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days991.88CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days141.88CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 426507, read from the public cost report file SNFFY2010.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 April 20, 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$10,293,794CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,934,706CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$359,088CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$465,574CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $824,662 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,640CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components250CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days49.52CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days476.34CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days182.56CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 397727, 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, reopened, processed by CMS on December 2, 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$9,511,707CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,752,697CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$240,990CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$188,842CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$52,148 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components46,319CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components245CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days68.45CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days534.02CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days189.06CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 390304, 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 November 13, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$8,512,683CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,869,274CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,356,591CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$304,449CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,052,142 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,179CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components380CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.01CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days323.47CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days118.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 328364, 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 February 15, 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$9,349,973CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,158,899CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$808,926CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$207,127CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$601,799 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,718CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components434CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days366.13CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days105.34CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 302339, 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 February 23, 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$9,855,851CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,115,709CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$259,858CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$230,699CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$29,159 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,284CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components233CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days64.41CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days423.79CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days194.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 273269, 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 June 6, 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$9,518,687CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,309,532CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$209,155CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$658,326CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $867,481 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,877CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components206CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days67.85CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days612.72CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days222.7CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 251633, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended September 30, 2003

Cost report for January 27, 2003 to September 30, 2003 — a reporting period of 246 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 4, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$5,012,752CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,755,006CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$742,254CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$419,614CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$322,640 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components30,745CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components119CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days72.09CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days535.45CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days258.36CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 215795, 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 June 15, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$8,179,758CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,882,133CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$2,702,375CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,987,747CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$714,628 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components198CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components64,359CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components102CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days81CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,119.89CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days630.97CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 182378, 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, settled, processed by CMS on February 13, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$7,072,251CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,436,427CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$2,364,176CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,117,148CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$247,028 (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
FigureAs filedWhere it comes from
Total facility beds, all components198CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components66,257CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components85CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days72CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,025.32CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days779.49CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 129725, 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 February 12, 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$6,813,296CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,327,238CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$513,942CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$930,253CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $416,311 (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
FigureAs filedWhere it comes from
Total facility beds, all components198CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components65,603CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components136CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days94.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days702.09CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days482.38CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 123930, 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, settled, processed by CMS on September 12, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$6,772,347CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,921,696CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$149,349CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$956,619CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $807,270 (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
FigureAs filedWhere it comes from
Total facility beds, all components198CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components64,858CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components166CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days97CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days453.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days390.71CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 39796, 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
FigureAs filedWhere it comes from
Net patient revenue$6,253,647CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,002,884CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$749,237CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$791,389CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $42,152 (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
FigureAs filedWhere it comes from
Total facility beds, all components198CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components64,830CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components143CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days62.37CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days757.43CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days453.36CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 39795, 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
FigureAs filedWhere it comes from
Net patient revenue$5,067,026CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,453,786CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$1,386,760CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,068,029CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$318,731 (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
FigureAs filedWhere it comes from
Total facility beds, all components200CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components64,705CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components151CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days74.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days421.95CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days428.51CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 39793, 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 October 7, 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$5,001,951CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,511,967CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$1,510,016CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,364,461CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$145,555 (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
FigureAs filedWhere it comes from
Total facility beds, all components200CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components69,064CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components192CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days211.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days268.91CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days359.71CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 39791, 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 managerRoleTypeOwnership percentageAssociation
EVERYAGE5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 10/01/2024
ABERNETHY, JULIUSADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
ALCORN, GREGORYADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
BOLICK, LAWRENCEADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
BRANCH, ANTHONYADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
CLAPP, KENNETHADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2025
CUTTS, DAWNADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
ERDMAN, CHARLESADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
EVERYAGEADP OF THE SNFOrganizationNOT APPLICABLEsince 01/02/2026
GILLIAM, JEFFREY JADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
GRAY, PAULADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
HORTON, MICHELLEADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
HOWELL, PARKERADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
MADDOX, LAMONTADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
MARCH, MILLSADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
NILES, MARIAADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
SLADE-HARTMAN, VENEZELAADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
SMITH, SHANEADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
STONE, SUSANADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2025
STREET, JODYADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
SULLIVAN, DIANAADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
THIE, RONALDADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
TOBIN, CORYADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
WILEY, MARGARETADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
WOOD, KATHYADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
ABERNETHY, JULIUSCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2022
ALCORN, GREGORYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2021
BOLICK, LAWRENCECORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2020
BRANCH, ANTHONYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2017
CLAPP, KENNETHCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2025
ERDMAN, CHARLESCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2024
GILLIAM, JEFFREY JCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2020
GRAY, PAULCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2023
HORTON, MICHELLECORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2022
HOWELL, PARKERCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2013
MADDOX, LAMONTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2024
MARCH, MILLSCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2017
SMITH, SHANECORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2022
STONE, SUSANCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2025
STREET, JODYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2023
SULLIVAN, DIANACORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2024
THIE, RONALDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2015
TOBIN, CORYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2020
WILEY, MARGARETCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2018
WOOD, KATHYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2024
JONES, TAMMYCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/01/2023
REIMANN, AIMEECORPORATE OFFICERIndividualNOT APPLICABLEsince 06/01/2013
SLOAN, HEATHERCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/12/2025
SYRIA, LEECORPORATE OFFICERIndividualNOT APPLICABLEsince 10/01/2012
SYRIA, LEEINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 10/02/2025
ABERNETHY, JULIUSMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
ALCORN, GREGORYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
BOLICK, LAWRENCEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
BRANCH, ANTHONYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
CLAPP, KENNETHMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2025
ERDMAN, CHARLESMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
GILLIAM, JEFFREY JMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
GRAY, PAULMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
HORTON, MICHELLEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
HOWELL, PARKERMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
JONES, TAMMYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/01/2023
MADDOX, LAMONTMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
MARCH, MILLSMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
REIMANN, AIMEEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 06/01/2023
SMITH, SHANEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
STONE, SUSANMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2025
STREET, JODYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
SULLIVAN, DIANAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
SYRIA, LEEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2012
THIE, RONALDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
TOBIN, CORYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
WILEY, MARGARETMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
WOOD, KATHYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
CUTTS, DAWNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2024
EVERYAGEOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2024
JONES, TAMMYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2024
NILES, MARIAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/31/2024
REIMANN, AIMEEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2024
SYRIA, LEEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2024

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PROVIDENCE PLACE, LLC (enrollment ID O20250314002074).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
EVERYAGEOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTNot stated in the filing10/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
EVERYAGEOrganization5% OR GREATER SECURITY INTERESTNot stated in the filing10/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
ANTHONY BRANCHIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CHARLES W ERDMANIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CORY SCOTT TOBINIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DAWN BRITT CUTTSIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DIANA R SULLIVANIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EVERYAGEOrganizationADP OF THE SNFNot stated in the filing1/2/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
GREGORY ALCORNIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEFFREY J GILLIAMIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JODY STREETIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JULIUS W ABERNETHYIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KATHY WOODIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KENNETH WAYNE CLAPPIndividualADP OF THE SNFNot stated in the filing10/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAMONT D MADDOXIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAWRENCE RAY BOLICKIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARGARET N WILEYIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARIA R NILESIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHELLE HORTONIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MILLS HUNTER MARCHIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PARKER DAUGHTRY HOWELLIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PAUL ALLEN GRAYIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RONALD BRADLEY THIEIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHANE SMITHIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SUSAN STONEIndividualADP OF THE SNFNot stated in the filing10/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
VENEZELA THOMAS SLADE-HARTMANIndividualADP OF THE SNFNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANTHONY BRANCHIndividualCORPORATE DIRECTORNot stated in the filing10/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CHARLES W ERDMANIndividualCORPORATE DIRECTORNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CORY SCOTT TOBINIndividualCORPORATE DIRECTORNot stated in the filing10/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DIANA R SULLIVANIndividualCORPORATE DIRECTORNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GREGORY ALCORNIndividualCORPORATE DIRECTORNot stated in the filing10/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEFFREY J GILLIAMIndividualCORPORATE DIRECTORNot stated in the filing10/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JODY STREETIndividualCORPORATE DIRECTORNot stated in the filing10/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JULIUS W ABERNETHYIndividualCORPORATE DIRECTORNot stated in the filing10/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KATHY WOODIndividualCORPORATE DIRECTORNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KENNETH WAYNE CLAPPIndividualCORPORATE DIRECTORNot stated in the filing10/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAMONT D MADDOXIndividualCORPORATE DIRECTORNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAWRENCE RAY BOLICKIndividualCORPORATE DIRECTORNot stated in the filing10/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARGARET N WILEYIndividualCORPORATE DIRECTORNot stated in the filing10/1/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHELLE HORTONIndividualCORPORATE DIRECTORNot stated in the filing10/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MILLS HUNTER MARCHIndividualCORPORATE DIRECTORNot stated in the filing10/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PARKER DAUGHTRY HOWELLIndividualCORPORATE DIRECTORNot stated in the filing10/1/2013
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PAUL ALLEN GRAYIndividualCORPORATE DIRECTORNot stated in the filing10/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RONALD BRADLEY THIEIndividualCORPORATE DIRECTORNot stated in the filing10/1/2015
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHANE SMITHIndividualCORPORATE DIRECTORNot stated in the filing10/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SUSAN STONEIndividualCORPORATE DIRECTORNot stated in the filing10/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AIMEE N REIMANNIndividualCORPORATE OFFICERNot stated in the filing6/1/2013
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
HEATHER SLOANIndividualCORPORATE OFFICERNot stated in the filing4/12/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LEE B SYRIAIndividualCORPORATE OFFICERNot stated in the filing10/1/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TAMMY JONESIndividualCORPORATE OFFICERNot stated in the filing2/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AIMEE N REIMANNIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing6/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANTHONY BRANCHIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CHARLES W ERDMANIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CORY SCOTT TOBINIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DIANA R SULLIVANIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GREGORY ALCORNIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEFFREY J GILLIAMIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JODY STREETIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JULIUS W ABERNETHYIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KATHY WOODIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KENNETH WAYNE CLAPPIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAMONT D MADDOXIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAWRENCE RAY BOLICKIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LEE B SYRIAIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARGARET N WILEYIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHELLE HORTONIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MILLS HUNTER MARCHIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PARKER DAUGHTRY HOWELLIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PAUL ALLEN GRAYIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RONALD BRADLEY THIEIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHANE SMITHIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SUSAN STONEIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TAMMY JONESIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing2/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AIMEE N REIMANNIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DAWN BRITT CUTTSIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EVERYAGEOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing10/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
LEE B SYRIAIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARIA R NILESIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing10/31/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TAMMY JONESIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing10/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1July 24, 2025May 23, 202458
2May 23, 2024February 23, 202314
3February 23, 2023October 20, 202110

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

Deficiencies cited

7 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
July 24, 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correctionAugust 22, 2025
July 24, 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionAugust 22, 2025
July 24, 2025HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correctionAugust 22, 2025
July 24, 2025HealthF 0809Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.ENoDeficient, Provider has date of correctionAugust 22, 2025
July 24, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionAugust 22, 2025
May 23, 2024HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.BYesDeficient, Provider has plan of correctionJune 10, 2024
May 23, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesDeficient, Provider has date of correctionJune 11, 2024

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
May 23, 2024Fine$8,01842381

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NamePROVIDENCE PLACE, LLC
Date First Approved to Provide Medicare and Medicaid Services1973-05-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishGuilford
Telephone Number3368842222
Chain NameEVERYAGE SENIOR LIVING
Chain ID675
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds129
Average Number of Residents per Day118.9
Overall Rating3
Health Inspection Rating3
QM Rating2
Long-Stay QM Rating1
Short-Stay QM Rating2
Processing Date2026-09-01

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

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On March 1, 2026: SARAH ABERNETHY no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. That is one line of the alert.

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