Skilled nursing facility · CMS certification number 345106
Trinity Ridge
Hickory, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
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 15, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,693,224 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,291,492 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,401,732 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,596,941 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$195,209 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $542,130 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $346,921 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $346,921 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,569 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 20,269 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 15,638 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 40,476 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 141 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 27 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 170 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 338 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 750.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440939, 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 28, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,985,448 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,692,778 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,292,670 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,355,550 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$62,880 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $318,350 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $255,470 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $255,470 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,313 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 305 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 497.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373990, 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 April 11, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,283,013 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,303,460 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,979,553 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,610,785 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $368,768 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,224,167 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,592,935 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,592,935 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,576 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 235 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 921.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376263, 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 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,668,184 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,430,111 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,238,073 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,602,418 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $635,655 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $883,732 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,519,387 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,519,387 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,636 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 289 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 837 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358692, 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 July 27, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,513,846 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,885,927 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,627,919 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,962,855 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $665,064 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $486,860 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,151,924 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,151,924 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,642 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 362 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 484.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328080, 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 April 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,083,412 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,847,906 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,235,506 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,243,895 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,389 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $203,640 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $195,251 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $195,251 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,462 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 477 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 648.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254319, 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 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,016,437 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,560,105 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,456,332 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,572,137 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$115,805 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $185,199 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $69,394 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $69,394 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,545 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 441 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 755.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1267977, 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 August 15, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,850,329 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,543,348 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,306,981 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,159,098 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $147,883 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $196,722 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $344,605 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $344,605 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,639 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 431 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 663 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240985, 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 July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,414,303 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,425,550 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,988,753 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,013,402 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$24,649 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $93,233 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $68,584 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $68,584 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,795 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 382 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 573.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1201194, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,931,135 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,157,598 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,773,537 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,901,733 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$128,196 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $177,411 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $49,215 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $49,215 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,158 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 321 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 685.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189289, 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 28, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,467,500 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,234,183 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,233,317 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,957,170 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$723,853 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $182,207 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$541,646 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$541,646 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,914 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 389 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,083.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111997, 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 April 17, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,641,702 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,905,243 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,736,459 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,849,068 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$112,609 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $148,772 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $36,163 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $36,163 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,599 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 260 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 315.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088741, 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 April 18, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,985,912 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,649,844 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,336,068 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,860,837 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $475,231 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$1,537,781 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,062,550 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,062,550 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,466 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 236 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 340.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058226, 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 August 13, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,218,868 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,984,593 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,234,275 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $209,566 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,443,841 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,284 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 174 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 449.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 237.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431599, 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, processed by CMS on December 16, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,521,210 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,361,540 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $159,670 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $210,915 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $469 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $370,116 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,725 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 195 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 334.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 213.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 421983, 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 March 15, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,366,869 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,884,079 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $482,790 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $132,078 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $614,868 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,118 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 196 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 474.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 395500, 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 March 31, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,330,544 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,113,683 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $216,861 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $270,213 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $487,074 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,352 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 130 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 724.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 318.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 336486, 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 February 17, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,798,185 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,570,234 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $227,951 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $149,064 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $377,015 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,735 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 107.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,168.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 403.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333614, 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 August 14, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,432,808 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,178,769 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $254,039 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $142,039 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $19,488 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $376,590 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,605 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 95.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,206 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 462.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 291894, 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 October 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,147,555 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,788,829 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $358,726 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $173,280 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$39,987 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $571,993 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,079 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 228 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 440 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 180.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264146, 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 February 1, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,510,308 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,582,059 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$71,751 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $110,026 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $38,275 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,567 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 111.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 890.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 436.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242044, 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 May 4, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,797,477 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,106,964 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $690,513 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $88,834 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $131,284 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $648,063 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,908 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 88.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 548.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 327.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 215797, 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 September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,437,675 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,767,661 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$329,986 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $142,461 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$187,525 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,458 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 231 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 337.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 193804, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,307,205 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,347,225 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$40,020 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,670 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $795 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$20,145 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,160 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,023.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 318.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 118399, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,127,575 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,980,352 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $147,223 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,362 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $159,585 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,985 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 96.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 456.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 267.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 124353, 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 24, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,732,979 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,674,333 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $58,646 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,921 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $64,567 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,269 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 141 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 125.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 367.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 278.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39850, 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 October 17, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,659,397 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,665,081 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$5,684 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,402 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $10,718 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,062 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 314.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 270.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39849, 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 September 30, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,538,302 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,499,304 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $38,998 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $87,634 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $126,632 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,574 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 79.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 298.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 237.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39847, 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 August 6, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,534,295 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,264,076 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $270,219 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,891 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $286,110 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,988 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 145 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 398.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 285.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39845, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CORDER, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2012 |
| HUFFMAN, HANNAH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/28/2018 |
| LSA MANAGEMENT, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/25/2025 |
| LUTHERAN HOME HICKORY WEST PROPERTY, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/14/2025 |
| NICKERSON, KIRBY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/25/2012 |
| SMITH, KESHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2012 |
| SMITH, KESHA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/08/2023 |
| MADDRY, KAREN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2012 |
| NICKERSON, KIRBY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2012 |
| GOINS, TED | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2004 |
| HERMAN, RICHARD | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2021 |
| NELSON, DOUGLAS | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/21/2022 |
| CORDER, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2012 |
| GOINS, TED | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2004 |
| HUFFMAN, HANNAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/28/2018 |
| LSA MANAGEMENT, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/04/2004 |
| LUTHERAN HOME HICKORY WEST PROPERTY, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/05/1988 |
| SMITH, KESHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2004 |
| GOINS, TED | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2004 |
| HERMAN, RICHARD | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2021 |
| LSA MANAGEMENT, INC. | TRUSTEE OF THE SNF | Organization | NOT APPLICABLE | since 11/04/2004 |
| LUTHERAN SERVICES FOR THE AGING, INC. | TRUSTEE OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2004 |
| NELSON, DOUGLAS | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| NICKERSON, KIRBY | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 06/25/2012 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LUTHERAN HOME - HICKORY WEST, INC (enrollment ID O20041101000676).
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 |
|---|---|---|---|---|---|
| HANNAH HUFFMAN | Individual | ADP OF THE SNF | Not stated in the filing | 10/28/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN STEVEN CORDER | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KESHA L SMITH | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIRBY NICKERSON | Individual | ADP OF THE SNF | Not stated in the filing | 6/25/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LSA MANAGEMENT, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 4/25/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUTHERAN HOME HICKORY WEST PROPERTY, 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 |
| KESHA L SMITH | Individual | CORPORATE DIRECTOR | 0 | 9/8/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN MADDRY | Individual | CORPORATE OFFICER | 0 | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIRBY NICKERSON | Individual | CORPORATE OFFICER | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS E NELSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/21/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD HERMAN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TED W GOINS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HANNAH HUFFMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/28/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN STEVEN CORDER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KESHA L SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LSA MANAGEMENT, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/4/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUTHERAN HOME HICKORY WEST PROPERTY, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/5/1988 | Private equity company: No Real estate investment trust: No Holding company: No |
| TED W GOINS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS E NELSON | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIRBY NICKERSON | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 6/25/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LSA MANAGEMENT, INC. | Organization | TRUSTEE OF THE SNF | Not stated in the filing | 11/4/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUTHERAN SERVICES FOR THE AGING, INC. | Organization | TRUSTEE OF THE SNF | Not stated in the filing | 10/1/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| RICHARD HERMAN | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 6/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TED W GOINS | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 10/1/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MARY M FINKLEA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: GEORGE E BRAMLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TONYA A HILLARD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LSA MANAGEMENT, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LSA MANAGEMENT, INC. (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 4, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KIRBY NICKERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 25, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KIRBY NICKERSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 25, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 5, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DOUGLAS E NELSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DOUGLAS E NELSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HANNAH HUFFMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 28, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HANNAH HUFFMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 28, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RICHARD HERMAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RICHARD HERMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JOHN STEVEN CORDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JOHN STEVEN CORDER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 8, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
Recent changes on this record
- October 15, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MARY M FINKLEA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: GEORGE E BRAMLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TONYA A HILLARD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LSA MANAGEMENT, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LSA MANAGEMENT, INC. (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 4, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KIRBY NICKERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 25, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KIRBY NICKERSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 25, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 5, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DOUGLAS E NELSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DOUGLAS E NELSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HANNAH HUFFMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 28, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HANNAH HUFFMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 28, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RICHARD HERMAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RICHARD HERMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JOHN STEVEN CORDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JOHN STEVEN CORDER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 8, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- April 11, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- February 28, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 14, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 27, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 16, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- April 21, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 15, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 19, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- May 3, 2018: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- October 28, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- April 17, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- April 18, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 18, 2026 | March 27, 2025 | 1 | 2 |
| 2 | March 27, 2025 | November 29, 2023 | 3 | 2 |
| 3 | November 29, 2023 | June 9, 2022 | 1 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
5 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 18, 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | July 2, 2026 |
| March 27, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | April 16, 2025 |
| March 27, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | April 17, 2025 |
| March 27, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 16, 2025 |
| November 29, 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 | Yes | Past Non-Compliance | August 21, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | LUTHERAN HOME - HICKORY WEST, INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1973-12-10 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Catawba |
| Telephone Number | 8283226995 |
| Chain Name | LUTHERAN SERVICES CAROLINAS |
| Chain ID | 327 |
| 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 | 120 |
| Average Number of Residents per Day | 111.3 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 1 |
| Short-Stay QM Rating | 3 |
| 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 Trinity Ridge: 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 15, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Trinity Ridge
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.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 345106.