Skilled nursing facility · CMS certification number 345131
Cedar Hills Center for Nursing and Rehabilitation
Clemmons, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 94
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.
CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)
In Care Compare’s provider information: Penalties: 2 · Fines: 1 · Fines, total amount: $11,333.00 · Payment denials: 1. The most recent penalty on file: February 13, 2026, Payment Denial. 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 January 1, 2024 to July 31, 2024 — a reporting period of 212 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 26, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,526,491 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $294,137 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,232,354 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,121,387 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $110,967 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$10,226 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $100,741 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $100,741 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 20,022 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 781 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,410 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,275 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,466 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 21 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 114 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 131 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 266 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 108.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448800, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,188,508 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $458,466 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,730,042 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,824,585 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,094,543 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,923 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,090,620 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,090,620 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,361 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 388 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 158.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1434919, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,325,966 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,151,748 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,477,714 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,789,704 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,311,990 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$587,130 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,899,120 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,899,120 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,880 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 261 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 173.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397019, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 29, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,581,813 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $19,886 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,561,927 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,408,093 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $153,834 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $386,617 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $540,451 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $540,451 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,303 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 309 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 201.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365840, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,370,290 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $200,535 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,169,755 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,529,318 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $640,437 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $718,908 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,359,345 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,359,345 (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 | 28,900 | 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 | 73.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 164.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340249, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 7, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,386,296 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $788,485 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,597,811 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,446,776 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $151,035 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$806 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $150,229 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $150,229 (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 | 28,660 | 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 | 45.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 177.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309993, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for December 1, 2017 to December 31, 2018 — a reporting period of 395 days, on form CMS-2540-10, settled, processed by CMS on December 29, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,939,872 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,065,433 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,874,439 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,188,874 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$314,435 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $185 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$314,250 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$314,250 (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 | 30,870 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 358.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1277728, 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 March 18, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,956,918 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,544,292 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,412,626 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,891,785 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$479,159 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $83,855 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$395,304 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$395,304 (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 | 26,533 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252718, 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 17, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,347,973 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,480,822 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,867,151 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,581,571 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$714,420 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $80,559 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$633,861 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$633,861 (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 | 30,361 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 668 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 285.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1211461, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 11, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,645,472 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,024,760 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,620,712 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,199,579 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$578,867 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $49,642 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$529,225 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$529,225 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| 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 | 27,496 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 312 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 173.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179716, 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 September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,543,477 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,078,500 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,464,977 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,070,466 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$605,489 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $68,568 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$536,921 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$536,921 (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 |
| Total patient days, all components | 29,904 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 329 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 205.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144106, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,524,146 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,129,059 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,395,087 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,976,858 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$581,771 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,934 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$543,837 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$543,837 (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 | 28,199 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 235.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080933, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,758,900 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,219,011 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,539,889 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,653,857 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$113,968 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $65,153 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$48,815 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$48,815 (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 | 27,919 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 161 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 236.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 173.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049772, 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 with audit, processed by CMS on May 7, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,332,550 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,522,026 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$189,476 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $69,780 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,753 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$122,449 (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 | 26,900 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 389.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 169.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434583, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for April 1, 2010 to September 30, 2010 — a reporting period of 182 days, not a full year, on form CMS-2540-96, settled, processed by CMS on September 25, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,072,691 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,631,439 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$558,748 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,805 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$542,943 (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 | 13,688 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 188.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435374, 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 June 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,987,687 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,419,774 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$432,087 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $86,790 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$345,297 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,726 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 221.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 154.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 405665, 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 10, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,643,252 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,496,689 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$853,437 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,782 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,368 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$788,023 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,180 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 183 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 264.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 153.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 365182, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for November 18, 2006 to September 30, 2007 — a reporting period of 316 days, on form CMS-2540-96, settled, processed by CMS on March 12, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,478,499 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,727,991 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,249,492 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,894 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,602 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,225,200 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,365 | 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 | 80.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 300.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 195.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 335187, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended November 17, 2006
Cost report for October 1, 2006 to November 17, 2006 — a reporting period of 47 days, not a full year, on form CMS-2540-96, settled, processed by CMS on November 16, 2011.
None of these figures is carried on this report.
CMS report record 420303, read from the public cost report file SNFFY2007.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 May 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,056,999 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,011,096 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $45,903 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,924 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $57,827 (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 | 28,302 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 333 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 176.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 277486, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended May 31, 2004
Cost report for October 1, 2003 to May 31, 2004 — a reporting period of 243 days, not a full year, on form CMS-2540-96, settled, processed by CMS on July 25, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,956,235 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,035,204 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$78,969 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $376,772 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $297,803 (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 | 19,087 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 237 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 132.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 288738, 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 April 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,149,463 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,476,995 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$327,532 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,508 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$311,024 (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 | 34,086 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 237 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 256.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 143.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 213353, 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 January 27, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,982,688 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,030,268 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$47,580 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,496 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$26,084 (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 | 39,927 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 312 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 227.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205581, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,775,719 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,868,538 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$92,819 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,856 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$51,963 (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 | 39,716 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 333 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 259.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 129957, 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 | $4,185,266 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,376,857 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$191,591 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,101 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$163,490 (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 | 38,313 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 334 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 265.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 114.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 124354, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,845,077 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,973,064 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$127,987 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,772 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$99,215 (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 | 33,708 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 204 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 324.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 165.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 131345, 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 September 7, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,320,276 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,785,106 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$464,830 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,055 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$445,775 (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 | 39,179 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 274 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 226.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 142.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39944, 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 October 12, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,883,827 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,921,898 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$38,071 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,759 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$5,312 (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 | 41,484 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 281 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 307.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 147.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39942, 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 July 31, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,515,665 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,680,706 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$165,041 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $101,796 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$63,245 (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 | 40,430 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 261 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 265.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 154.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39941, 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 |
|---|---|---|---|---|
| STOVER, KRISTIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2024 |
| EMANUEL, YOSEF | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/01/2024 |
| STOVER, KRISTIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CLEMMONS ROAD OPERATING COMPANY, LLC (enrollment ID O20241205000406).
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 |
|---|---|---|---|---|---|
| ALIGNMENT HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| COALITION GROUP LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 8/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| YOSEF EMANUEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRISTIN N STOVER | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YOSEF EMANUEL | Individual | CORPORATE OFFICER | 0 | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRISTIN N STOVER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- February 1, 2026: SHNZ OPERATIONS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: HC FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ACCORDIUS HEALTH AT CLEMMONS, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ZANZIPER FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SAMUEL STERN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MC M53 SPE OPCO HOLDCO no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SHNZ HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DELORIS WILLIAMS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ACCORDIUS SNF HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: YOSEF EMANUEL (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: YOSEF EMANUEL (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: COALITION GROUP LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KRISTIN N STOVER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KRISTIN N STOVER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ALIGNMENT HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- April 14, 2023: NAFTALI ZANZIPER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: SIMCHA MELECH HYMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: SHNZ OPERATIONS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: HC FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: ZANZIPER FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: MC M53 SPE OPCO HOLDCO (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: SHNZ HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: ACCORDIUS SNF HOLDCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- March 26, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- February 13, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- February 1, 2026: SHNZ OPERATIONS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: HC FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ACCORDIUS HEALTH AT CLEMMONS, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ZANZIPER FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SAMUEL STERN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MC M53 SPE OPCO HOLDCO no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SHNZ HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DELORIS WILLIAMS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ACCORDIUS SNF HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: YOSEF EMANUEL (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: YOSEF EMANUEL (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: COALITION GROUP LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KRISTIN N STOVER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KRISTIN N STOVER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ALIGNMENT HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: enrollment_id: O20180116002173 → O20241205000406. Skilled_Nursing_Facility_Enrollments_:_2026-02-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 16, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 29, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- April 14, 2023: NAFTALI ZANZIPER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: SIMCHA MELECH HYMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: SHNZ OPERATIONS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: HC FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: ZANZIPER FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: MC M53 SPE OPCO HOLDCO (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: SHNZ HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: ACCORDIUS SNF HOLDCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- January 17, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- February 7, 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- December 29, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- March 18, 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- September 17, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- May 9, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2018.zip
- December 11, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- September 30, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- November 25, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- November 5, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- September 25, 2013: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 13, 2026 | February 13, 2026 | 25 | 16 |
| 2 | November 8, 2024 | November 8, 2024 | 18 | 12 |
| 3 | November 17, 2023 | November 17, 2023 | 13 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
56 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 26, 2026 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | July 1, 2026 |
| June 26, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | July 1, 2026 |
| June 26, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Yes | Deficient, Provider has date of correction | July 1, 2026 |
| April 22, 2026 | 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 | Deficient, Provider has date of correction | June 26, 2026 |
| April 22, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | June 26, 2026 |
| April 22, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | June 26, 2026 |
| April 22, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | June 26, 2026 |
| April 22, 2026 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | Yes | Deficient, Provider has date of correction | June 26, 2026 |
| April 22, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Yes | Deficient, Provider has date of correction | July 1, 2026 |
| February 13, 2026 | 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 | Deficient, Provider has date of correction | June 26, 2026 |
| February 13, 2026 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | No | No revisit needed | March 11, 2026 |
| February 13, 2026 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | April 22, 2026 |
| February 13, 2026 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | April 22, 2026 |
| February 13, 2026 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | No | Deficient, Provider has date of correction | April 22, 2026 |
| February 13, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | April 22, 2026 |
| February 13, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | June 26, 2026 |
| February 13, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | April 22, 2026 |
| February 13, 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 | April 22, 2026 |
| February 13, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | July 1, 2026 |
| February 13, 2026 | Health | F 0770 | Administration Deficiencies | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Yes | Deficient, Provider has date of correction | April 22, 2026 |
| February 13, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | April 22, 2026 |
| February 13, 2026 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | April 22, 2026 |
| February 13, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | April 22, 2026 |
| February 13, 2026 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | F | No | Deficient, Provider has date of correction | April 22, 2026 |
| February 13, 2026 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | April 22, 2026 |
| November 8, 2024 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Yes | Deficient, Provider has date of correction | December 10, 2024 |
| November 8, 2024 | Health | F 0575 | Resident Rights Deficiencies | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | Yes | Deficient, Provider has plan of correction | December 10, 2024 |
| November 8, 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | December 10, 2024 |
| November 8, 2024 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Yes | Deficient, Provider has date of correction | December 10, 2024 |
| November 8, 2024 | Health | F 0624 | Resident Rights Deficiencies | Prepare residents for a safe transfer or discharge from the nursing home. | D | Yes | Deficient, Provider has date of correction | December 10, 2024 |
| November 8, 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Yes | Deficient, Provider has date of correction | December 10, 2024 |
| November 8, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | December 10, 2024 |
| November 8, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Yes | Deficient, Provider has date of correction | December 10, 2024 |
| November 8, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | December 10, 2024 |
| November 8, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | December 10, 2024 |
| November 8, 2024 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Yes | Deficient, Provider has date of correction | December 10, 2024 |
| November 8, 2024 | Health | F 0914 | Environmental Deficiencies | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | No | Deficient, Provider has date of correction | December 10, 2024 |
| September 20, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| September 20, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| September 20, 2024 | 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 | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| September 20, 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| September 20, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| September 20, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| November 17, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | Yes | Deficient, Provider has date of correction | December 15, 2023 |
| November 17, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor 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. | B | Yes | Deficient, Provider has plan of correction | December 15, 2023 |
| November 17, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | December 15, 2023 |
| November 17, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | December 15, 2023 |
| November 17, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Yes | Deficient, Provider has date of correction | December 15, 2023 |
| November 17, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | December 15, 2023 |
| November 17, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | December 15, 2023 |
| November 17, 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | No | Deficient, Provider has date of correction | December 15, 2023 |
| November 17, 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | No | Deficient, Provider has date of correction | December 15, 2023 |
| November 17, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | Yes | Deficient, Provider has date of correction | December 15, 2023 |
| November 17, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Yes | Deficient, Provider has date of correction | December 15, 2023 |
| November 17, 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | December 15, 2023 |
| November 17, 2023 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Yes | Deficient, Provider has date of correction | December 15, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| February 13, 2026 | Payment Denial | May 13, 2026 | 49 | ||
| November 8, 2024 | Fine | $11,333 | 42594 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | CLEMMONS ROAD OPERATING COMPANY, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1974-10-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Davidson |
| Telephone Number | 3367669158 |
| Chain Name | ALLIANCE HEALTH GROUP |
| Chain ID | 714 |
| Special Focus Status | SFF Candidate |
| 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 | 94 |
| Average Number of Residents per Day | 84.3 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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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 345131.