Skilled nursing facility · CMS certification number 345134

Pelican Health Randolph LLC

Charlotte, North Carolina · Medicare and Medicaid

Certified beds, as filed in Care Compare: 100

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

In Care Compare’s provider information: Penalties: 3 · Fines: 3 · Fines, total amount: $19,663.00 · Payment denials: 0. The most recent penalty on file: April 24, 2024, Fine, $7,823. 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 December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 27, 2026.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$11,060,729	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$559,943	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,500,786	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,223,135	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$277,651	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,988	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$286,639	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $286,639 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	36,600	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,291	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	21,650	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	6,378	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	29,319	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	26	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	100	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	102	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	228	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	216.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	128.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1447044, 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 May 23, 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$9,368,993	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$296,749	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,072,244	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,236,354	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$164,110	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$1,255	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$165,365	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$165,365 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,037	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	220	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	217.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	127.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1424189, 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 June 11, 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$10,152,873	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$668,154	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,484,719	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,465,482	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$19,237	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$195,754	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$214,991	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $214,991 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,419	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	239	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	261.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	123.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1382594, 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 May 31, 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$9,387,410	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$610,242	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,777,168	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,583,324	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,193,844	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$378,998	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,572,842	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,572,842 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,212	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	36.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	273.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	90.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1349027, 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.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$8,019,829	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$338,138	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,681,691	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,581,589	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,100,102	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$607,729	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,707,831	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,707,831 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,259	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	219	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.72	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	255.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	110.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339956, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for October 1, 2019 to December 31, 2019 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 26, 2022.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$1,685,546	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$115,716	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,569,830	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,533,661	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$36,169	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$36,169	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $36,169 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	6,868	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	38	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	308.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	180.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1309443, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for June 1, 2018 to December 31, 2018 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 24, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$5,572,602	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,468,892	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,103,710	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,296,375	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$192,665	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$48,638	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$144,027	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$144,027 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,717	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	166	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	366.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	100.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1248595, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended May 31, 2017

Cost report for June 1, 2016 to May 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 15, 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$6,735,828	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,447,275	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,288,553	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,486,293	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,197,740	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$24,826	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,222,566	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,222,566 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,386	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	200	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.81	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	251.84	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	111.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1212900, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended May 31, 2016

Cost report for June 1, 2015 to May 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 18, 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$6,638,651	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,815,843	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,822,808	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,930,868	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,108,060	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$76,188	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,031,872	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,031,872 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,216	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	150	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.95	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	279.47	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	161.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169563, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended May 31, 2015

Cost report for June 1, 2014 to May 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 19, 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$7,847,248	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,751,937	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,095,311	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,285,816	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,190,505	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$10,857	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,201,362	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,201,362 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,137	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	209	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	301.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	139.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1144973, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended May 31, 2014

Cost report for June 1, 2013 to May 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 30, 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$8,419,411	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,354,112	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,065,299	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,399,469	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$334,170	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,309	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$322,861	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$322,861 (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%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,807	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	274	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	339.49	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	119.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1106085, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended May 31, 2013

Cost report for June 1, 2012 to May 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 7, 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$8,040,650	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,205,460	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,835,190	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,465,174	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$629,984	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$17,618	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$612,366	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$612,366 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,032	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	203	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.18	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	728.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	157.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1075199, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2012, ended May 31, 2012

Cost report for June 1, 2011 to May 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 10, 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$7,617,728	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$632,694	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,985,034	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,371,313	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$386,279	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,187	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$382,092	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$382,092 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,878	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	222	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	472.27	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	148.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1051845, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2011, ended May 31, 2011

Cost report for June 1, 2010 to May 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 15, 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$7,346,080	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,357,206	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$11,126	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$72,904	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$84,030 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,273	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	232	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.52	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	402.79	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	143.42	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 429002, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended May 31, 2010

Cost report for June 1, 2009 to May 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 30, 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$6,848,000	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,992,414	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$144,414	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$7,079	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$151,493 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,904	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	210	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	420.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	161.45	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 418678, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended May 31, 2009

Cost report for June 1, 2008 to May 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 30, 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$6,715,166	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,015,423	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$300,257	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$203,976	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$96,281 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,408	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	250	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	271.65	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	133.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 388328, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended May 31, 2008

Cost report for June 1, 2007 to May 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$7,430,852	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,819,968	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$389,116	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$8,516	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$397,632 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,483	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	228	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	59.39	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	317.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	142.47	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 356300, read from the public cost report file SNFFY2007.zip.

Fiscal year 2007, ended May 31, 2007

Cost report for June 1, 2006 to May 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 16, 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$7,546,467	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,992,352	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$445,885	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$19,828	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$426,057 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,803	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	68.1	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	350.08	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	146.85	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 325914, read from the public cost report file SNFFY2006.zip.

Fiscal year 2006, ended May 31, 2006

Cost report for June 1, 2005 to May 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 16, 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$5,978,555	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,459,889	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$2,481,334	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$3,219	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$2,484,553 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,013	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	248	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	73.48	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	286.63	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	141.18	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 294570, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended May 31, 2005

Cost report for June 1, 2004 to May 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on June 7, 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$6,806,954	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,063,178	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$1,256,224	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$24,455	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,280,679 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,499	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	423	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.94	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	113.85	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	81.56	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 281754, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended May 31, 2004

Cost report for June 1, 2003 to May 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled with audit, processed by CMS on June 15, 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$5,667,238	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,033,665	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$1,366,427	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$28,412	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,338,015 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,679	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	276	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.81	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	998.18	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	125.65	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 253982, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended May 31, 2003

Cost report for June 1, 2002 to May 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on April 16, 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$7,683,311	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,537,753	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$145,558	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$12,196	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $133,362 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,823	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	455	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.93	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	363.98	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	76.53	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 213121, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended May 31, 2002

Cost report for June 1, 2001 to May 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on April 27, 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$6,645,812	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,139,483	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$493,671	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$18,183	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$475,488 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,258	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	332	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	60.36	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	276.4	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	106.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 173567, read from the public cost report file SNFFY2001.zip.

Fiscal year 2001, ended May 31, 2001

Cost report for June 1, 2000 to May 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on August 25, 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$5,427,853	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,149,388	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$721,535	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,687	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$708,848 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,014	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	215	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	61.37	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	271.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	162.86	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 157457, read from the public cost report file SNFFY2000.zip.

Fiscal year 2000, ended May 31, 2000

Cost report for June 1, 1999 to May 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled with audit, processed by CMS on February 11, 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$4,569,670	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,104,033	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$534,363	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,933	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$530,430 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,754	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	211	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.06	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	271.21	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	164.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 115196, read from the public cost report file SNFFY1999.zip.

Fiscal year 1999, ended May 31, 1999

Cost report for June 1, 1998 to May 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on May 4, 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$4,930,108	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,344,562	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$414,454	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,479	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$407,975 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,346	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	280	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.94	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	192.79	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	115.52	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 69744, read from the public cost report file SNFFY1998.zip.

Fiscal year 1998, ended May 31, 1998

Cost report for June 1, 1997 to May 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 22, 2001.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$6,425,647	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,658,910	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$1,766,737	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,033	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	−$24,459	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $1,801,229 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,323	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	363	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.06	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	114.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	97.31	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 69742, read from the public cost report file SNFFY1997.zip.

Fiscal year 1997, ended May 31, 1997

Cost report for June 1, 1996 to May 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on June 9, 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$4,709,451	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,694,973	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$14,478	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,952	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $27,430 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,185	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	197	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	62.8	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	273.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	178.6	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 66753, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
No owner named in the filing	Ownership Data Not Available	Not stated in the filing	Not stated in the filing	Not stated in the filing

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of RANDOLPH GARDENS OPCO LLC (enrollment ID O20200128001658).

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
KIMBERLY MORROW	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	5	12/1/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MC M53 SPE OPCO HOLDCO	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	12/1/2021	Private equity company: No Real estate investment trust: No Holding company: Yes
ACCORDIUS SNF HOLDCO LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	12/1/2021	Private equity company: No Real estate investment trust: No Holding company: Yes
HC FAMILY TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	47.5	12/1/2021	Private equity company: No Real estate investment trust: No Holding company: No
SHNZ HOLDINGS LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	95	12/1/2021	Private equity company: No Real estate investment trust: No Holding company: Yes
WYNCOTE LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5	12/1/2021	Private equity company: No Real estate investment trust: No Holding company: Yes
ZANZIPER FAMILY TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	47.5	12/1/2021	Private equity company: No Real estate investment trust: No Holding company: No
ACCORDIUS HEALTH LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	1/1/2020	Private equity company: No Real estate investment trust: No Holding company: No
NAFTALI ZANZIPER	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	5/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

July 1, 2026: KIMBERLY MORROW no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: BATYA GORELICK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NAFTALI ZANZIPER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Recent changes on this record

July 1, 2026: KIMBERLY MORROW no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: BATYA GORELICK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: NAFTALI ZANZIPER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
January 27, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
May 23, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
June 11, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
May 31, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
January 17, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
January 26, 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2020.zip
April 27, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
December 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
June 13, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
October 15, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
July 18, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
October 19, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
July 30, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
August 7, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
December 10, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
May 15, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
September 30, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
September 30, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
September 8, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
September 16, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
October 16, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
June 7, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
June 15, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
April 16, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
April 27, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
August 25, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
February 11, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
May 4, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
March 22, 2001: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
June 9, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	September 17, 2025	June 27, 2024	15	3
2	June 27, 2024	February 28, 2023	5	10
3	February 28, 2023	November 22, 2021	27	1

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

Deficiencies cited

47 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
September 17, 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	Yes	Deficient, Provider has date of correction	October 17, 2025
September 17, 2025	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.	E	Yes	Deficient, Provider has date of correction	October 17, 2025
September 17, 2025	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	October 17, 2025
September 17, 2025	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 17, 2025
September 17, 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	Yes	Deficient, Provider has date of correction	October 17, 2025
September 17, 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	October 17, 2025
September 17, 2025	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	October 17, 2025
September 17, 2025	Health	F 0687	Quality of Life and Care Deficiencies	Provide appropriate foot care.	D	No	Deficient, Provider has date of correction	October 17, 2025
September 17, 2025	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	October 17, 2025
September 17, 2025	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 17, 2025
September 17, 2025	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	No	Deficient, Provider has date of correction	October 17, 2025
September 17, 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	October 17, 2025
September 17, 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	October 17, 2025
September 17, 2025	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	D	No	Deficient, Provider has date of correction	October 17, 2025
September 17, 2025	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	Yes	Deficient, Provider has date of correction	October 17, 2025
June 27, 2024	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	July 23, 2024
June 27, 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	E	No	Deficient, Provider has date of correction	July 23, 2024
June 27, 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	July 23, 2024
June 27, 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	E	No	Deficient, Provider has date of correction	July 23, 2024
June 27, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	July 23, 2024
May 3, 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	B	Yes	Deficient, Provider has plan of correction	May 4, 2024
May 3, 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	May 4, 2024
May 3, 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	Yes	Deficient, Provider has plan of correction	May 4, 2024
April 24, 2024	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	Yes	Deficient, Provider has date of correction	May 4, 2024
April 24, 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	J	Yes	Past Non-Compliance	January 24, 2024
April 24, 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.	J	Yes	Past Non-Compliance	January 24, 2024
February 28, 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 2023	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 2023	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	E	No	Deficient, Provider has date of correction	June 14, 2023
February 28, 2023	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	May 23, 2023
February 28, 2023	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	May 23, 2023
February 28, 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.	E	No	Deficient, Provider has plan of correction	March 24, 2023
February 28, 2023	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	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 2023	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	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 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	May 23, 2023
February 28, 2023	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 2023	Health	F 0646	Resident Assessment and Care Planning Deficiencies	Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.	D	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 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	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 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	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 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	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 2023	Health	F 0712	Nursing and Physician Services Deficiencies	Ensure that the resident and his/her doctor meet face-to-face at all required visits.	E	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 2023	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	E	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 2023	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 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.	D	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	May 23, 2023
February 28, 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	No	Deficient, Provider has date of correction	June 14, 2023
February 28, 2023	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	D	No	Deficient, Provider has date of correction	May 23, 2023

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

Penalties

Penalty date	Type	Fine amount	Fine ID
April 24, 2024	Fine	$7,823	42340
April 24, 2024	Fine	$7,823	42403
April 24, 2024	Fine	$4,017	42404

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	Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid Services	1980-10-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Mecklenburg
Telephone Number	7043648363
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	100
Average Number of Residents per Day	81.6
Overall Rating	1
Health Inspection Rating	2
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	3
Processing Date	2026-09-01

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

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