Skilled nursing facility · CMS certification number 345321
Kerr Lake Nursing and Rehabilitation Center
Henderson, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 92
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: $19,620.00 · Payment denials: 0. The most recent penalty on file: May 1, 2024, Fine, $19,620. 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 October 27, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,297,944 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$480,382 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,778,326 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,910,109 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$131,783 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $297,947 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $166,164 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $166,164 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 42,090 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,487 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 15,673 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,257 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 25,417 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 84 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 46 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 147 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 340.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441504, 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 February 10, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,535,510 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$950,457 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,485,967 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,508,509 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $977,458 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $103,438 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,080,896 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,080,896 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,598 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 266 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 343.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403452, 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 24, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,855,349 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$637,232 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,492,581 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,662,506 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$169,925 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $474,080 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $304,155 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $304,155 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,624 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 216 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 339.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376744, 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 17, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,612,634 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$71,783 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,684,417 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,215,858 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$531,441 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $792,674 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $261,233 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $261,233 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,993 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 222 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 321.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358965, 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 September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,051,158 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$119,232 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,170,390 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,587,663 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$417,273 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $86,441 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$330,832 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$330,832 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,110 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 246 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 306.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331342, 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 September 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,656,372 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,957,459 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,698,913 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,043,082 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$344,169 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $116,052 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$228,117 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$228,117 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,072 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 267 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 361.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1298410, 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 | $10,897,812 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,076,120 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,821,692 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,895,477 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$73,785 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $120,905 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $47,120 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $47,120 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,685 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 380.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1268450, 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 February 28, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,479,157 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,072,613 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,406,544 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,374,179 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $32,365 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $124,371 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $156,736 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $156,736 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,568 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 284 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 283.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251696, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 31, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,722,421 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,342,997 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,379,424 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,368,731 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $10,693 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $172,170 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $182,863 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $182,863 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,653 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 302 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 283.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1211233, 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 March 27, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,613,755 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,141,813 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,471,942 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,110,511 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $361,431 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $191,019 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $552,450 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $552,450 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,227 | 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 | 40.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 188.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221967, 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 March 16, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,684,084 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,817,483 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,866,601 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,834,565 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $32,036 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $182,973 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $215,009 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $215,009 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,995 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 311 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 227.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1120567, 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 April 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,952,209 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,293,218 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,658,991 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,897,513 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$238,522 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $154,628 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$83,894 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$83,894 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,541 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 298 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 259.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089102, 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 25, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,252,000 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,221,815 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,030,185 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,169,113 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$138,928 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $168,010 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $29,082 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $29,082 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,834 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 249 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 379.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1051114, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for January 1, 2011 to September 30, 2011 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on January 25, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,155,236 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,272,821 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$117,585 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $197,940 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $80,355 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,024 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 390.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434092, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for October 1, 2010 to December 31, 2010 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 22, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,758,574 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,720,868 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $37,706 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,904 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $102,610 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,480 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 311.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 103.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431817, read from the public cost report file SNFFY2011.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 26, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,674,495 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,386,194 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $288,301 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $296,011 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $584,312 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,280 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 211 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 493.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397977, 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 August 6, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,977,686 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,211,977 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$234,291 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $280,884 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $46,593 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,496 | 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 | 28.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 388.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 137.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384897, 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 March 12, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,833,270 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,211,294 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$378,024 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $314,809 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$63,215 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,456 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 331 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 340.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 113.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 335172, 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 June 19, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,512,290 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,771,955 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$259,665 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $279,703 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $20,038 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,750 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 342 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 225.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 285104, 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 January 11, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,458,744 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,037,316 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$578,572 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $276,126 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$302,446 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,147 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 316 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 307.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 117.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 269932, 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 1, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,309,934 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,862,330 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$552,396 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $232,103 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$320,293 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,256 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 254 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 377.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242054, 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 December 1, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,759,914 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,108,984 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$349,070 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $240,848 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$108,222 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,024 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 264 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 336.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 147.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 237806, 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 November 9, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,311,743 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,873,234 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$561,491 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $232,212 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$329,279 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,539 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 434.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 211.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 199247, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,263,289 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,549,022 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$285,733 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $208,988 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$76,745 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,700 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 447.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 266.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 129963, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,908,837 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,346,920 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$438,083 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $209,228 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$228,855 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,922 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 174 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 416.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 229.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 124408, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for November 1, 1998 to September 30, 1999 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on September 19, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,432,464 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,726,571 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$294,107 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $136,691 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$157,416 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,859 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 497.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 239.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 40838, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended October 31, 1998
Cost report for October 1, 1998 to October 31, 1998 — a reporting period of 30 days, not a full year, on form CMS-2540-96, settled, processed by CMS on December 12, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $322,210 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $320,691 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,519 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,520 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $4,039 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 3,289 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 17 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 497.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 193.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 40836, read from the public cost report file SNFFY1999.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 | $3,592,717 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,449,498 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $143,219 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,491 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $166,710 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,650 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 56 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 131.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 701.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 725.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 40832, 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, as submitted, processed by CMS on April 29, 1997.
Net income: $32,568 (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.
CMS report record 40831, 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 |
|---|---|---|---|---|
| HUGHES, NANCY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/14/2025 |
| SUNDAR, VALARMATHI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/11/2025 |
| JOHNSON, DIANNE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2011 |
| BOICE, GALE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/05/2018 |
| BOICE, GALE | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/27/2026 |
| SUNDAR, VALARMATHI | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2025 |
| HUGHES, NANCY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2011 |
| PRINCIPLE LONG TERM CARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2011 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of EAGLE PEAK LTC GROUP, LLC (enrollment ID O20110502000304).
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 |
|---|---|---|---|---|---|
| PRINCIPLE IT SERVICES, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| PRINCIPLE LONG TERM CARE, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| RAYMOND GREGG HILL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18 | 1/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT O'NEIL HILL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21 | 1/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN BRITT HILL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20 | 1/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NANCY W HUGHES | Individual | ADP OF THE SNF | Not stated in the filing | 4/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VALARMATHI SUNDAR | Individual | ADP OF THE SNF | Not stated in the filing | 6/11/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIANNE JOHNSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GALE R BOICE | Individual | CORPORATE OFFICER | Not stated in the filing | 3/5/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VALARMATHI SUNDAR | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NANCY W HUGHES | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 1/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PRINCIPLE LONG TERM CARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- July 1, 2026: STEPHEN BRITT HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERT O'NEIL HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NANCY W HUGHES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RAYMOND GREGG HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NANCY W HUGHES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: VALARMATHI SUNDAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: VALARMATHI SUNDAR (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- July 1, 2026: STEPHEN BRITT HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROBERT O'NEIL HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NANCY W HUGHES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RAYMOND GREGG HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NANCY W HUGHES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: VALARMATHI SUNDAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: VALARMATHI SUNDAR (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- February 12, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- October 27, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- February 10, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- November 6, 2024: An inspection was recorded in inspection cycle 2. NH_SurveySummary_Sep2026_2.csv
- April 24, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 23, 2023: An inspection was recorded in inspection cycle 3. NH_SurveySummary_Sep2026_2.csv
- July 17, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 16, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 16, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- September 17, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- February 28, 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- March 27, 2019: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 31, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- March 16, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- April 24, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- November 25, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- January 25, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- August 22, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2011.zip
- March 6, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- April 26, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 6, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- March 12, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- June 19, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- January 11, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- February 1, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- December 1, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- November 9, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- February 13, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 12, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- September 19, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- December 12, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1999.zip
- April 21, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- February 1, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 12, 2026 | November 6, 2024 | 2 | 0 |
| 1 | February 12, 2026 | February 12, 2026 | 2 | 3 |
| 2 | November 6, 2024 | August 23, 2023 | 2 | 2 |
| 2 | November 6, 2024 | November 6, 2024 | 2 | 0 |
| 3 | August 23, 2023 | April 21, 2022 | 6 | 0 |
| 3 | August 23, 2023 | August 23, 2023 | 6 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on August 1, 2026.
Deficiencies cited
10 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 12, 2026 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | March 13, 2026 |
| February 12, 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. | E | No | Deficient, Provider has date of correction | March 13, 2026 |
| November 6, 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | December 4, 2024 |
| November 6, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | December 4, 2024 |
| May 1, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Past Non-Compliance | April 25, 2024 |
| May 1, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | April 25, 2024 |
| May 1, 2024 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Yes | Deficient, Provider has date of correction | May 24, 2024 |
| August 23, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | September 13, 2023 |
| August 23, 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | September 13, 2023 |
| August 23, 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 13, 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 |
|---|---|---|---|---|---|
| May 1, 2024 | Fine | $19,620 | 42418 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | EAGLE PEAK LTC GROUP, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1990-07-13 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Vance |
| Telephone Number | 2524927021 |
| Chain Name | PRINCIPLE LONG TERM CARE |
| Chain ID | 423 |
| 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 | 92 |
| Average Number of Residents per Day | 69.4 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| 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
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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 February 12, 2026: An inspection was recorded in inspection cycle 1. That is one line of the alert.
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The citable document for Kerr Lake Nursing and Rehabilitation Center
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 345321.