Skilled nursing facility · CMS certification number 345152
Trinity Village
Hickory, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 104
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,512.00 · Payment denials: 0. The most recent penalty on file: April 23, 2024, Fine, $8,512. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 31, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,989,074 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,170,558 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,818,516 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,814,867 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$996,351 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,051,122 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $54,771 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $54,771 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 71,004 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,916 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 18,460 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 38,911 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 61,287 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 109 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 39 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 213 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 361 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 473.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 169.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445848, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,982,142 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,071,671 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,910,471 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,170,426 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,259,955 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $820,221 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$439,734 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$439,734 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,614 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 365 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 292.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402806, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 17, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,995,537 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,148,560 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,846,977 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,328,947 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$481,970 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,452,530 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,970,560 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,970,560 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 61,303 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 354 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 423.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 173.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376473, 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 | $17,727,865 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,252,893 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,474,972 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,772,959 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,297,987 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,759,382 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $461,395 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $461,395 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,096 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 378 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 294.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358504, 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 4, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,976,261 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,837,161 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,139,100 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,785,901 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$646,801 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $833,798 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $186,997 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $186,997 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 61,884 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 369 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 430.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328915, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,577,778 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,800,692 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,777,086 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,968,396 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$191,310 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $310,478 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $119,168 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $119,168 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 65,696 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 441 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 545.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254321, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 17, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,978,156 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,474,921 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,503,235 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,944,808 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$441,573 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $394,908 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$46,665 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$46,665 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 64,292 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 460 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 499.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1268437, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 13, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,232,678 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,442,279 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,790,399 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,878,720 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$88,321 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $414,418 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $326,097 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $326,097 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 66,786 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 405 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 502.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 164.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240607, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,544,051 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,884,914 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,659,137 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,123,784 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$464,647 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $276,074 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$188,573 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$188,573 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 65,757 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 508 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 465.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200476, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 3, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,706,945 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,858,419 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,848,526 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,773,283 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $75,243 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $203,974 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $279,217 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $279,217 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 63,383 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 407 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 603.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 155.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189291, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 28, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,824,341 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,277,609 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,546,732 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,487,673 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $59,059 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $300,509 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $359,568 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $359,568 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,691 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 445 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 530.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1112000, 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 May 20, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,244,752 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,135,108 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,109,644 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,686,840 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $422,804 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $280,328 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $703,132 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $703,132 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 61,199 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 472 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 538.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1090976, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 22, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,267,571 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,865,169 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,402,402 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,754,365 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $648,037 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $126,802 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $774,839 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $774,839 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,526 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 425 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 737.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1051012, 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 November 2, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,716,711 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,664,262 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,052,449 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $187,005 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,239,454 (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 | 194 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,666 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 411 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 429.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433573, 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 February 14, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,537,757 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,007,382 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $530,375 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $295,130 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $825,505 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,134 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 311 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 407.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 196.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424629, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,806,635 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,542,323 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $264,312 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $238,764 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $503,076 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,591 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 258 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 568.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 238.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397730, 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 April 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,109,762 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,422,485 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$312,723 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $361,945 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $49,222 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,528 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 936.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 312.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 336849, 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 15, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,165,925 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,337,691 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$171,766 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $287,867 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $116,101 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,509 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 219 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 809.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 294.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 326642, 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 September 13, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,169,423 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,626,037 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$456,614 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $431,813 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $19,623 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$44,424 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 67,305 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 196 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,045.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 343.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 293463, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,141,526 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,381,585 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$240,059 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $329,556 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $89,497 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,888 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,727.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 389.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264147, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 17, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,304,470 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,929,050 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$624,580 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $247,350 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$377,230 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,735 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 774.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 373.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243206, 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 September 26, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,068,032 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,300,917 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$232,885 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $474,249 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $237,364 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,927 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 741.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 485.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 233752, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 19, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,534,638 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,973,972 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$439,334 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $261,964 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$177,370 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,621 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 223 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 312.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 307.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 204054, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,835,625 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,689,917 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$854,292 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $647,208 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $35,329 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$242,413 (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 | 173 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 55,903 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,006.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 673.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 129958, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,631,743 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,175,685 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$543,942 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $162,113 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $551,423 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$933,252 (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 | 138 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,337 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 453.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 477.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 40062, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 12, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,585,263 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,570,701 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $14,562 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $394,949 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $409,511 (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 | 138 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,110 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 88.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 468.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 423.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 40060, 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, reopened, processed by CMS on March 27, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,336,846 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,406,004 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$69,158 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $299,673 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $230,515 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,819 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 110 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 101.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 583.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 452.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 40057, 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 | $5,171,820 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,063,483 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $108,337 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $312,049 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $420,386 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,790 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 83.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,297.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 642.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 40055, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 27, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,890,366 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,926,755 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$36,389 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $546,423 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $510,034 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,957 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 104 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 124.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 614.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 489.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 40053, 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 |
|---|---|---|---|---|
| DESANTIS, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/03/1995 |
| HENDREN, KENDRA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| LSA MANAGEMENT, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2025 |
| LUTHERAN HOME HICKORY WEST PROPERTY, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2025 |
| NICKERSON, KIRBY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2012 |
| SMITH, KESHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2012 |
| SMITH, KESHA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2012 |
| MADDRY, KAREN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/30/2007 |
| NELSON, DOUGLAS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/01/2022 |
| NICKERSON, KIRBY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2012 |
| GOINS, TED | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2004 |
| HERMAN, RICHARD | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2021 |
| MADDRY, KAREN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 04/30/2007 |
| DESANTIS, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/03/1995 |
| GOINS, TED | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2004 |
| HENDREN, KENDRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| LSA MANAGEMENT, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2004 |
| LUTHERAN HOME HICKORY WEST PROPERTY, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2004 |
| LUTHERAN SERVICES FOR THE AGING, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2004 |
| NELSON, DOUGLAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| NICKERSON, KIRBY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2012 |
| SMITH, KESHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2012 |
| GOINS, TED | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2004 |
| HERMAN, RICHARD | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2021 |
| LUTHERAN SERVICES FOR THE AGING, INC. | TRUSTEE OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2004 |
| NELSON, DOUGLAS | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LUTHERAN HOME-HICKORY, INC. (enrollment ID O20041104000859).
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 |
|---|---|---|---|---|---|
| KENDRA HENDREN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KESHA L SMITH | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIRBY NICKERSON | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LSA MANAGEMENT, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUTHERAN HOME HICKORY WEST PROPERTY, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHAEL C DESANTIS | Individual | ADP OF THE SNF | Not stated in the filing | 7/3/1995 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KESHA L SMITH | Individual | CORPORATE DIRECTOR | 0 | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS E NELSON | Individual | CORPORATE OFFICER | 0 | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN MADDRY | Individual | CORPORATE OFFICER | 0 | 4/30/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIRBY NICKERSON | Individual | CORPORATE OFFICER | 0 | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN MADDRY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 4/30/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD HERMAN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TED W GOINS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS E NELSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KENDRA HENDREN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KESHA L SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIRBY NICKERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LSA MANAGEMENT, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUTHERAN HOME HICKORY WEST PROPERTY, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUTHERAN SERVICES FOR THE AGING, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHAEL C DESANTIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/3/1995 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TED W GOINS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS E NELSON | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LUTHERAN SERVICES FOR THE AGING, INC. | Organization | TRUSTEE OF THE SNF | Not stated in the filing | 10/1/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| RICHARD HERMAN | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 6/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TED W GOINS | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 10/1/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BETTY LOHR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ERIC HOYLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MARCHETA CAMPBELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LSA MANAGEMENT, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KIRBY NICKERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KIRBY NICKERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KENDRA HENDREN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KENDRA HENDREN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KAREN MADDRY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 30, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DOUGLAS E NELSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DOUGLAS E NELSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DOUGLAS E NELSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MICHAEL C DESANTIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 3, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MICHAEL C DESANTIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 3, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RICHARD HERMAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RICHARD HERMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
Recent changes on this record
- March 11, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- December 31, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BETTY LOHR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ERIC HOYLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MARCHETA CAMPBELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LSA MANAGEMENT, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KIRBY NICKERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KIRBY NICKERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KENDRA HENDREN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KENDRA HENDREN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KAREN MADDRY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 30, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LUTHERAN HOME HICKORY WEST PROPERTY, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DOUGLAS E NELSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DOUGLAS E NELSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DOUGLAS E NELSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MICHAEL C DESANTIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 3, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MICHAEL C DESANTIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 3, 1995. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TED W GOINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RICHARD HERMAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RICHARD HERMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KESHA L SMITH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- January 28, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- January 15, 2025: An inspection was recorded in inspection cycle 2. NH_SurveySummary_Sep2026_2.csv
- April 17, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- October 31, 2023: An inspection was recorded in inspection cycle 3. NH_SurveySummary_Sep2026_2.csv
- July 14, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- August 4, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 17, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- April 21, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 13, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 11, 2026 | January 15, 2025 | 3 | 2 |
| 1 | March 11, 2026 | March 11, 2026 | 3 | 2 |
| 2 | January 15, 2025 | October 31, 2023 | 0 | 3 |
| 2 | January 15, 2025 | January 15, 2025 | 0 | 2 |
| 3 | October 31, 2023 | April 28, 2022 | 2 | 4 |
| 3 | October 31, 2023 | October 31, 2023 | 2 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on August 1, 2026.
Deficiencies cited
5 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 11, 2026 | 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. | D | No | Deficient, Provider has date of correction | April 1, 2026 |
| March 11, 2026 | 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 | April 3, 2026 |
| March 11, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 1, 2026 |
| April 23, 2024 | 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. | G | Yes | Past Non-Compliance | January 3, 2024 |
| April 23, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Past Non-Compliance | January 3, 2024 |
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 |
|---|---|---|---|---|---|
| April 23, 2024 | Fine | $8,512 | 42350 |
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 | Non profit - Corporation |
| Legal Business Name | LUTHERAN HOME-HICKORY, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1976-07-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Catawba |
| Telephone Number | 8283282006 |
| Chain Name | LUTHERAN SERVICES CAROLINAS |
| Chain ID | 327 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 104 |
| Average Number of Residents per Day | 97.5 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| 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 Trinity Village: 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 March 11, 2026: An inspection was recorded in inspection cycle 1. That is one line of the alert.
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The citable document for Trinity Village
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 345152.