Skilled nursing facility · CMS certification number 345201
Pelican Health at Charlotte
Charlotte, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 6 · Fines: 6 · Fines, total amount: $47,037.00 · Payment denials: 0. The most recent penalty on file: March 2, 2026, Fine, $8,672. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on June 10, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,752,580 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $457,428 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,295,152 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,482,436 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$187,284 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,732 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$171,552 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$171,553 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 966 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 24,401 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,077 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 28,444 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 104 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 41 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 162 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 234.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 175.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1428336, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,176,271 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $129,940 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,046,331 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,630,612 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,584,281 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$3,635 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,587,916 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,587,916 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,156 | 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 | 43.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 221.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405991, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,448,731 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $656,435 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,792,296 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,203,147 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $589,149 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $145,819 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $734,968 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $734,968 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,296 | 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 | 74.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 195.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397128, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 22, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,096,170 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $845,412 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,250,758 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,562,031 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$311,273 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $389,108 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $77,835 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $77,835 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,439 | 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 | 57.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 324.74 | 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 1371189, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,225,905 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $974,852 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,251,053 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,288,664 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$37,611 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $793,698 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $756,087 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $756,087 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,941 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 212 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 82.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 194.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343500, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended April 30, 2019
Cost report for January 1, 2019 to April 30, 2019 — a reporting period of 119 days, not a full year, on form CMS-2540-10, settled, processed by CMS on April 29, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,157,541 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $249,243 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,908,298 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,169,325 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$261,027 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $80,673 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$180,354 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$180,354 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,560 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 187.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315030, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,571,132 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $977,390 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,593,742 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,096,322 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$502,580 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $90,399 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$412,181 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$412,181 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,162 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 349 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 134.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1268916, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for June 5, 2017 to December 31, 2017 — a reporting period of 209 days, not a full year, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,042,852 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $348,231 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,694,621 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,003,548 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$308,927 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $702 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$308,225 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$308,225 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,437 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 145.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222230, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 10, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,858,963 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,345,959 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,513,004 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,601,677 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,088,673 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,008 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,077,665 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,077,665 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,019 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 263 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 121.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1215272, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,507,460 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,390,953 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,116,507 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,531,400 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,414,893 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,764 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,389,129 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,389,129 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,754 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 271 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 124.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1176941, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,509,130 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,029,487 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,479,643 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,045,572 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,565,929 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $63,301 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,502,628 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,502,628 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,140 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 291 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 117.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1122296, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 13, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,744,221 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,134,513 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,609,708 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,091,328 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$481,620 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $110,646 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$370,974 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$370,974 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,018 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 355 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 107.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1090324, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,171,765 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,229,245 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,942,520 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,562,482 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$619,962 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $167,344 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$452,618 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$452,618 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,727 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 366 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 84.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 103.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081161, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 31, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,949,681 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,259,798 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,689,883 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,920,819 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$230,936 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60,319 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$170,617 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$170,617 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,857 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 345 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 115.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024363, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 2, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,545,950 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,431,782 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $114,168 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,752 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $139,920 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,278 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 332 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 118.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428487, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,447,557 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,512,574 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$65,017 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $112,932 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $47,915 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,230 | 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 | 45.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 129.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433166, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on January 27, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,171,689 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,998,751 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $172,938 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $34,092 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $207,030 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,284 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 327 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 123.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424198, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 30, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,184,801 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,574,254 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$389,453 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,344 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$368,109 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,436 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 273 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 144.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 338203, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for April 1, 2006 to December 31, 2006 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 31, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,266,942 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,516,457 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$249,515 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,750 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$207,765 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,854 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 181 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 170.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306049, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 20, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,063,918 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,163,156 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$99,238 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $99,468 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,004 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 164 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 250.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 275548, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 17, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,464,811 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,289,725 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$824,914 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $111,998 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$712,916 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,783 | 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 | 54.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 221.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 245321, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on August 25, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,552,003 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,489,106 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$937,103 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $92,939 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$844,164 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,234 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 224 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 166.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261926, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,831,315 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,041,232 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$209,917 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,254 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$195,663 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,569 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 195 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 202.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 203094, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,460,112 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,650,393 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$190,281 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,523 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$178,758 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,635 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 113 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 359.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 193385, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on June 12, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,686,442 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,513,204 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $173,238 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,391 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $211,629 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,866 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 264.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74569, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on August 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,662,592 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,217,949 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $444,643 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,411 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $464,054 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,933 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 188 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 223.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6717, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on January 18, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,900,758 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,649,098 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $251,660 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,219 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $280,879 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,512 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 182 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 228.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6716, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on July 31, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,089,754 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,463,117 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$373,363 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $726,892 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $353,529 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,958 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 191 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 214.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6715, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| MC M53 SPE OPCO HOLDCO | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 12/01/2021 |
| ACCORDIUS SNF HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2021 |
| MORROW, KIMBERLY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 12/01/2021 |
| WYNCOTE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2021 |
| GORELICK, BATYA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2021 |
| ACCORDIUS HEALTH LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2021 |
| WOOD, JOSHUA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 05/01/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PELICAN HEALTH AT CHARLOTTE LLC (enrollment ID O20191016001352).
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 |
|---|---|---|---|---|---|
| MC M53 SPE OPCO HOLDCO | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ACCORDIUS SNF HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| HC FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| KIMBERLY MORROW | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHNZ HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 95 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| WYNCOTE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ZANZIPER FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| BATYA GORELICK | Individual | CORPORATE OFFICER | Not stated in the filing | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ACCORDIUS HEALTH LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOSHUA G WOOD | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 5/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- September 1, 2026: special_focus_status withdrawn (was SFF Candidate). NH_ProviderInfo_Sep2026_3.csv
- June 10, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 28, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 16, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- December 22, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- February 28, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 29, 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- January 15, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- September 21, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- April 17, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- February 27, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- December 10, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- October 17, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- April 20, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- May 13, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- November 27, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- January 31, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- October 26, 2012: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- May 2, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- January 27, 2012: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- April 30, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- March 31, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- March 20, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- March 20, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- August 25, 2006: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- March 17, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- December 21, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- September 1, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- June 12, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- August 3, 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- January 18, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- July 31, 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 2, 2026 | March 2, 2026 | 10 | 9 |
| 2 | February 3, 2025 | February 3, 2025 | 9 | 7 |
| 3 | August 29, 2023 | August 29, 2023 | 20 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
39 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 29, 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | May 1, 2026 |
| March 2, 2026 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Yes | Deficient, Provider has date of correction | March 4, 2026 |
| March 2, 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | March 4, 2026 |
| March 2, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | March 4, 2026 |
| March 2, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | March 4, 2026 |
| March 2, 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. | J | Yes | Deficient, Provider has date of correction | March 4, 2026 |
| March 2, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | March 4, 2026 |
| March 2, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | March 4, 2026 |
| March 2, 2026 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | March 4, 2026 |
| March 2, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 4, 2026 |
| February 3, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | Yes | Deficient, Provider has date of correction | February 20, 2025 |
| February 3, 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. | E | Yes | Deficient, Provider has date of correction | February 20, 2025 |
| February 3, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | February 20, 2025 |
| February 3, 2025 | 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 | February 19, 2025 |
| February 3, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | February 20, 2025 |
| February 3, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | February 21, 2025 |
| February 3, 2025 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | No | Deficient, Provider has date of correction | February 21, 2025 |
| February 3, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | February 21, 2025 |
| February 3, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | February 28, 2025 |
| August 29, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | E | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | 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 | September 26, 2023 |
| August 29, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | K | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | G | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | K | No | Deficient, Provider has date of correction | September 26, 2023 |
| August 29, 2023 | 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 | September 26, 2023 |
| August 29, 2023 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | No | Deficient, Provider has date of correction | September 26, 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 |
|---|---|---|---|---|---|
| March 2, 2026 | Fine | $8,672 | 137668 | ||
| March 2, 2026 | Fine | $8,673 | 137669 | ||
| February 3, 2025 | Fine | $17,345 | 42660 | ||
| December 11, 2023 | Fine | $7,409 | 42037 | ||
| November 20, 2023 | Fine | $1,764 | 42024 | ||
| October 30, 2023 | Fine | $3,174 | 41968 |
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 - Limited Liability company |
| Legal Business Name | PELICAN HEALTH AT CHARLOTTE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1980-12-22 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Mecklenburg |
| Telephone Number | 7043335165 |
| Chain Name | SIMCHA HYMAN & NAFTALI ZANZIPER |
| Chain ID | 580 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 67.9 |
| Overall Rating | 2 |
| Health Inspection Rating | 1 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| 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 Pelican Health at Charlotte: 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 September 1, 2026: special_focus_status withdrawn (was SFF Candidate). That is one line of the alert.
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The citable document for Pelican Health at Charlotte
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 345201.