Skilled nursing facility · CMS certification number 345151
White Oak Manor-Kings Mountain
Kings Mountain, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 154
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $53,811.00 · Payment denials: 0. The most recent penalty on file: August 12, 2025, Fine, $53,811. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,498,596 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,221,935 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,276,661 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,534,366 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,742,295 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$4,924 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,737,371 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,737,371 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 56,210 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,595 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 35,405 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 12,326 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 49,326 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 29 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 65 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 121 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 215 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 544.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 229.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402915, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,943,642 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,270,569 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,673,073 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,826,357 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $846,716 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$3,140 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $843,576 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $843,576 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,741 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 683.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 271.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373584, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,356,349 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,969,991 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,386,358 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,110,557 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $275,801 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $916,933 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,192,734 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,192,734 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,607 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 164 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 577.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 241.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1356464, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 25, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,622,943 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,545,634 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,077,309 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,115,754 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,961,555 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $107 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,961,662 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,961,662 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,096 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 526.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 197.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330619, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 13, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,829,560 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,504,157 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,325,403 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,958,353 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $367,050 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $713 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $367,763 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $367,763 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,709 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 242 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 428.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 193.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1293684, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,059,558 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,239,069 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,820,489 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,763,002 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $57,487 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,300 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $62,787 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $62,787 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,992 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 804.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 282.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1263199, 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 13, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,787,515 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,180,416 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,607,099 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,501,183 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $105,916 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,975 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $112,891 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $112,891 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,575 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 630.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 273.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252445, 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 August 23, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,926,079 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,045,975 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,880,104 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,978,882 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$98,778 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,691 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$62,087 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$62,087 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,258 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 741.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 287.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1210295, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,739,790 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,091,999 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,647,791 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,835,524 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$187,733 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,310 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$184,423 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$184,423 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,086 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 235 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 600.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 200.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1187894, 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 | $9,583,631 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,067,281 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,516,350 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,021,332 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$504,982 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,122 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$503,860 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$503,860 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,967 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 228 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 566.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 210.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143618, 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 August 11, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,229,557 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,071,495 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,158,062 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,084,889 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $73,173 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,857 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $78,030 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $78,030 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,270 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 199 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 592.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 252.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107556, 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 March 25, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,870,547 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $851,964 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,018,583 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,888,360 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $130,223 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $711 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $130,934 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $130,934 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,627 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 553.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 249.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1057364, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,346,141 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,102,742 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $243,399 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $638 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $244,037 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,680 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 229 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 480.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 230.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434491, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 7, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,027,294 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,298,083 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$270,789 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $726 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$270,063 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,757 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 299 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 279.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 425590, 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 | $9,483,033 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,907,515 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $575,518 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$2,635 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $572,883 (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 patient days, all components | 53,179 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 329 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 421.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 161.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 405667, 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 16, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,601,872 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,311,326 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $290,546 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $840 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $291,386 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,099 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 538 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 214.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 365969, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 21, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,424,019 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,987,704 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $436,315 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,420 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $437,735 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,771 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 439 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 313.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 327076, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 8, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,104,760 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,802,347 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $302,413 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,149 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $304,562 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,403 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 487 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 242.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 111.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 278160, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 20, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,009,035 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,593,877 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $415,158 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,170 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $416,328 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,747 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 487 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 246.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 112.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264889, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,631,451 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,972,130 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $659,321 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,460 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $660,781 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,093 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 467 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 271.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 115.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264140, 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 October 25, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,516,050 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,419,062 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $96,988 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,075 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $98,063 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,935 | 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 | 29.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 283.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 151.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 235258, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 2, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,542,303 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,278,886 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $263,417 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,110 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $265,527 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,618 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 357 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 277.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 152.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 158414, 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 April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,503,811 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,081,195 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $422,616 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,428 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $425,044 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,804 | 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 | 32.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 288.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 174474, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 19, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,598,278 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,429,903 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $168,375 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,168 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $171,543 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,339 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 328 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 308.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 165.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 40051, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 19, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,547,224 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,458,699 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $88,525 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,700 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $90,225 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,027 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 239 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 345.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 188.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 40050, 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 | $4,371,882 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,084,865 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $287,017 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,207 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $757 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $295,467 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,653 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 169 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 510.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 264.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 40048, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 1, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,275,912 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,951,551 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $324,361 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,895 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $640 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $325,616 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,834 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 521.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 320.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 40046, 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 | $4,078,011 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,755,938 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $322,073 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$796 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $321,277 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,596 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 502.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 318.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 40044, 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 |
|---|---|---|---|---|
| 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 WHITE OAK MANOR KINGS MOUNTAIN INC. (enrollment ID O20040507000149).
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 |
|---|---|---|---|---|---|
| WHITE OAK MANOR INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/1/2002 | Private equity company: No Real estate investment trust: No Holding company: No |
| BETH C CECIL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21 | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOROTHY D CECIL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21 | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS M CECIL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 19 | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENI C FEESER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21 | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OLIVER K CECIL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18 | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BETH C CECIL | Individual | CORPORATE DIRECTOR | 5 | 5/7/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID J HANEY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/7/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOROTHY D CECIL | Individual | CORPORATE DIRECTOR | 5 | 5/7/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS M CECIL | Individual | CORPORATE DIRECTOR | 5 | 5/7/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENI C FEESER | Individual | CORPORATE DIRECTOR | 5 | 5/7/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN P BARBER | Individual | CORPORATE DIRECTOR | 5 | 5/7/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OLIVER K CECIL | Individual | CORPORATE DIRECTOR | 5 | 5/7/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID J HANEY | Individual | CORPORATE OFFICER | 1 | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS M CECIL | Individual | CORPORATE OFFICER | 5 | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN P BARBER | Individual | CORPORATE OFFICER | 5 | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OLIVER K CECIL | Individual | CORPORATE OFFICER | 5 | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID J HANEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/3/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WHITE OAK MANAGEMENT, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | 24 | 10/1/2002 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- November 1, 2025: BRITTNEY T GRIGG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID J HANEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 3, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- March 15, 2023: JONATHAN THOMAS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: BRITTNEY T GRIGG (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since December 31, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- November 1, 2025: BRITTNEY T GRIGG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID J HANEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 3, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- January 30, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- February 20, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- July 14, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- March 15, 2023: JONATHAN THOMAS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: BRITTNEY T GRIGG (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since December 31, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- August 25, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- August 13, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 11, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- March 13, 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 23, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- May 2, 2018: 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
- August 11, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- March 25, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- April 19, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- March 7, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- June 20, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- March 16, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- October 21, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- May 8, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- October 20, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- October 16, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- October 25, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- April 27, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- September 2, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- March 19, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- September 19, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- September 7, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- February 1, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- July 31, 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 12, 2025 | May 2, 2024 | 9 | 3 |
| 2 | May 2, 2024 | January 12, 2023 | 3 | 13 |
| 3 | January 12, 2023 | January 6, 2022 | 1 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
13 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| August 12, 2025 | 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 | September 10, 2025 |
| August 12, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | September 10, 2025 |
| August 12, 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. | J | No | Deficient, Provider has date of correction | September 10, 2025 |
| August 12, 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. | E | No | Deficient, Provider has date of correction | September 10, 2025 |
| August 12, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | No | Deficient, Provider has date of correction | September 10, 2025 |
| August 12, 2025 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | No | Deficient, Provider has date of correction | September 10, 2025 |
| August 12, 2025 | 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 | September 10, 2025 |
| August 12, 2025 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | No | Deficient, Provider has date of correction | September 10, 2025 |
| August 12, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | September 10, 2025 |
| May 2, 2024 | 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 | June 14, 2024 |
| May 2, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 14, 2024 |
| May 2, 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 | June 14, 2024 |
| January 12, 2023 | 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 | No | Deficient, Provider has date of correction | February 8, 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 |
|---|---|---|---|---|---|
| August 12, 2025 | Fine | $53,811 | 135069 |
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 | 1976-02-27 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Cleveland |
| Telephone Number | 7047398132 |
| 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 | 154 |
| Average Number of Residents per Day | 132.9 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on White Oak Manor-Kings Mountain: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On January 30, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.
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The citable document for White Oak Manor-Kings Mountain
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 345151.