Skilled nursing facility · CMS certification number 345415
Pineville Rehabilitation and Living Center
Pineville, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 106
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: 2 · Fines: 2 · Fines, total amount: $15,470.00 · Payment denials: 0. The most recent penalty on file: November 26, 2024, Fine, $9,318. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 6, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,784,454 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,142,089 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,642,365 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,173,376 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,468,989 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $549 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,469,538 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,469,538 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 42,456 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,349 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,115 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 13,752 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 33,216 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 92 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 84 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 391 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 567 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 191.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449021, 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 June 16, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,934,819 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,272,567 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,662,252 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,891,126 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$228,874 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $193,523 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$35,351 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$35,351 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,433 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 515 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 188.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 51.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1428359, 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 September 18, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,442,798 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,412,347 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,030,451 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,613,410 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,417,041 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $720,801 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,137,842 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,137,842 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,105 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 612 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 44.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395100, 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 September 26, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,541,398 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $893,040 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,648,358 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,310,036 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$661,678 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,917,494 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,255,816 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,255,816 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,784 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 232 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 280.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365492, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,899,317 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,196,800 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,702,517 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,128,936 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $573,581 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $748,957 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,322,538 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,322,538 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,581 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 323 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 382.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340257, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 8, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,444,370 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,477,052 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,967,318 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,601,064 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $366,254 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,265 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $367,519 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $367,519 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,484 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 421 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 244.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1311590, 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 December 29, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,856,140 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,589,457 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,266,683 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,607,657 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $659,026 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,383 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $668,409 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $668,409 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,214 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 434 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 246.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1277730, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 19, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,976,147 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,348,008 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,628,139 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,011,746 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$383,607 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,667 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$371,940 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$371,940 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,246 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 329 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 274.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1258506, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended May 31, 2016
Cost report for January 1, 2016 to May 31, 2016 — a reporting period of 151 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 25, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,804,050 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $30,049 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,774,001 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,434,616 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $339,385 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,848 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $343,233 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $343,233 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,830 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 192.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1195568, 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 May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,981,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,497,233 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,483,919 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,670,466 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$186,547 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$4,956 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$191,503 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$191,503 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,903 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 315 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 349.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188175, 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 December 15, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,171,885 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,092,013 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,079,872 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,165,622 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$85,750 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,251 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$81,499 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$81,499 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,571 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 369 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 289.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148869, 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 April 22, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,434,440 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,135,817 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,298,623 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,197,422 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,101,201 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$632 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,100,569 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,100,569 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,475 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 312 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 584 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088980, 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 5, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,935,334 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,298,748 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,636,586 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,388,724 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,247,862 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$10,386 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,237,476 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,237,476 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,698 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 357 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 363.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049874, 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 April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,055,975 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,132,751 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,923,224 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,711,810 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,211,414 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$10,646 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,200,768 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,200,768 (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 | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,011 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 408 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 298.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1027542, 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 18, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,723,653 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,535,260 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,188,393 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$14,760 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,173,633 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,588 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 303 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 428.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 120.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429268, 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, settled with audit, processed by CMS on May 18, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,332,126 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,276,958 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $55,168 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $959,812 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,014,980 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,866 | 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 | 44.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 331.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 139.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429207, 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, settled, processed by CMS on June 10, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,306,231 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,058,780 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,247,451 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $141,613 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $809 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,388,255 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,897 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 291 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 359.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 126.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 373596, 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 June 1, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,594,027 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,589,878 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,004,149 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,514 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $94,940 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $917,723 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,384 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 267 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 381.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 140.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 341305, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 3, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,225,961 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,152,999 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,072,962 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,986 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $20 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,087,928 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,017 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 260 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 382.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 142.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 297466, 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 May 4, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,496,175 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,671,648 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $824,527 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,546 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $161,902 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $681,171 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,459 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 278 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 312.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 138.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 278036, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended October 31, 2004
Cost report for October 1, 2003 to October 31, 2004 — a reporting period of 396 days, on form CMS-2540-96, settled, processed by CMS on March 9, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,780,972 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,270,854 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $510,118 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,266 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $534,384 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,087 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 209 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 524.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 163.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 273551, 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 May 4, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,433,303 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,036,736 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $396,567 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,666 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $415,233 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,328 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 176 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 376.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 178 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 215814, 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, as submitted, processed by CMS on September 17, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,891,154 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,339,806 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $551,348 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,824 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $569,172 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,087 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 185 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 280.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 160142, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,221,637 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,553,139 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$331,502 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,213 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$305,289 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,456 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 183 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 287.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 182.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 174486, 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 | $4,649,595 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,450,188 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $199,407 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,380 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $237,787 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,680 | 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 | 73.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 443.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 224.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 124169, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 24, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,907,399 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,537,382 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $370,017 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,828 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $408,843 (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 | 126 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,622 | 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 | 66.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 412.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 218.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41322, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 12, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,790,255 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,779,629 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $10,626 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,379 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $34,005 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,207 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 364 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 104.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 113.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41320, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 18, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,985,531 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,709,027 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $276,504 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,770 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $313,265 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,568 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 118 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 242.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 325.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 394.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41318, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 7, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,932,243 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,669,376 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $262,867 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,758 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $299,625 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,990 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 67 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 725.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 622.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 716.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41316, 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 |
|---|---|---|---|---|
| NCNH HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 12/29/2022 |
| NC RESOURCES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 13% | since 12/29/2022 |
| NCNH J-DEK HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5% | since 12/29/2022 |
| NCNH J-DEK LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 25% | since 12/29/2022 |
| STARLIGHT HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 38% | since 12/29/2022 |
| STERN, JACOB | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/29/2022 |
| STERN, JACOB | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/29/2022 |
| DORITY, CASSANDRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/03/2015 |
| DORITY, CASSANDRA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 12/29/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PINEVILLE HEALTHCARE LLC (enrollment ID O20160826000263).
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 |
|---|---|---|---|---|---|
| NCNH HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/29/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| 10-26 NATIONWIDE TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 37.5 | 12/29/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAPITAL HOLDINGS TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35 | 12/29/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| NC RESOURCES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13 | 12/29/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| NCNH J-DEK HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 12/29/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| NCNH J-DEK LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25 | 12/29/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| STARLIGHT HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 37.5 | 12/29/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| JACOB STERN | Individual | CORPORATE DIRECTOR | 100 | 12/29/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JACOB STERN | Individual | CORPORATE OFFICER | 100 | 12/29/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CASSANDRA DORITY | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 8/3/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CASSANDRA DORITY | Individual | W-2 MANAGING EMPLOYEE | 100 | 12/29/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 14, 2023: JACOB STERN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB STERN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB STERN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB STERN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: FORBRIGHT BANK no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: THOMAS NESHEK no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: CCH HEALTHCARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: PINEVILLE HEALTHCARE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: PINEVILLE HEALTHCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: NCNH J-DEK HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: NC RESOURCES LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: NCNH J-DEK LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB STERN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB STERN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: NCNH HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: CASSANDRA DORITY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: 10-26 NATIONWIDE TR (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: STARLIGHT HEALTHCARE LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: CAPITAL HOLDINGS TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- May 6, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 16, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 18, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 26, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- April 14, 2023: JACOB STERN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB STERN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB STERN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB STERN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: FORBRIGHT BANK no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: THOMAS NESHEK no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: CCH HEALTHCARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: PINEVILLE HEALTHCARE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: PINEVILLE HEALTHCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: NCNH J-DEK HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: NC RESOURCES LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: NCNH J-DEK LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB STERN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: JACOB STERN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: NCNH HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: CASSANDRA DORITY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: 10-26 NATIONWIDE TR (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: STARLIGHT HEALTHCARE LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: CAPITAL HOLDINGS TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since December 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- January 17, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- March 8, 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- December 29, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- June 19, 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- June 25, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- May 2, 2018: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 3, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- December 15, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- April 22, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- November 5, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- April 19, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- May 18, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- May 18, 2012: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- June 10, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- June 1, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- December 3, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- May 4, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 6, 2025 | January 25, 2024 | 6 | 6 |
| 2 | January 25, 2024 | July 29, 2022 | 11 | 4 |
| 3 | July 29, 2022 | October 8, 2021 | 19 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
36 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 6, 2025 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | No | Deficient, Provider has date of correction | June 29, 2025 |
| June 6, 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 | June 29, 2025 |
| June 6, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | June 29, 2025 |
| June 6, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | June 29, 2025 |
| June 6, 2025 | 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 | June 29, 2025 |
| June 6, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | June 29, 2025 |
| November 26, 2024 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | G | Yes | Past Non-Compliance | October 4, 2024 |
| January 25, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Yes | Deficient, Provider has date of correction | February 21, 2024 |
| January 25, 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | B | No | Deficient, Provider has plan of correction | February 21, 2024 |
| January 25, 2024 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | B | No | Deficient, Provider has plan of correction | February 21, 2024 |
| January 25, 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | February 21, 2024 |
| January 25, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | February 21, 2024 |
| January 25, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Yes | Deficient, Provider has date of correction | February 21, 2024 |
| January 25, 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | February 21, 2024 |
| January 25, 2024 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | Yes | Deficient, Provider has date of correction | February 21, 2024 |
| January 25, 2024 | 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 | February 21, 2024 |
| January 25, 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. | E | No | Deficient, Provider has date of correction | February 21, 2024 |
| July 29, 2022 | 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 | August 21, 2022 |
| July 29, 2022 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | 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 | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | 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 | August 21, 2022 |
| July 29, 2022 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | 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. | B | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | 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 | August 21, 2022 |
| July 29, 2022 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | E | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | 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. | E | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | August 21, 2022 |
| July 29, 2022 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | No | Deficient, Provider has date of correction | August 21, 2022 |
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 |
|---|---|---|---|---|---|
| November 26, 2024 | Fine | $9,318 | 42606 | ||
| January 25, 2024 | Fine | $6,152 | 42263 |
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 | PINEVILLE HEALTHCARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-03-02 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Mecklenburg |
| Telephone Number | 7048892273 |
| Chain Name | CCH HEALTHCARE |
| Chain ID | 124 |
| 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 | 106 |
| Average Number of Residents per Day | 97.5 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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On May 6, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Pineville Rehabilitation and Living 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 345415.