Velarion Records

Skilled nursing facility · CMS certification number 345502

Lake Park Nursing and Rehabilitation Center

Indian Trail, North Carolina · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $34,624.00 · Payment denials: 0. The most recent penalty on file: April 24, 2025, Fine, $25,879. 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 June 29, 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$11,755,337CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$588,109CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,343,446CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,895,919CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$552,473CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$256,043CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$296,430CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$296,430 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,920CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,528CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days22,420CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days10,812CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components34,760CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges45CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges69CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges193CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components307CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days324.93CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.22CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1450647, 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 14, 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$11,965,785CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$735,714CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,701,499CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,731,925CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$30,426CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$182,539CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$152,113CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $152,113 (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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,430CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components256CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days466.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days134.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403704, 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.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$10,953,806CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$841,633CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,795,439CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,750,806CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$44,633CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$580,279CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$624,912CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $624,912 (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%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,360CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components269CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days285.24CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days127.73CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376748, 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 28, 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$9,224,871CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$714,689CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,939,560CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,037,840CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$98,280CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$856,254CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$757,974CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $757,974 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,318CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components299CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days218.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days98.05CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360322, 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 29, 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$9,267,128CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$593,745CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,673,383CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,923,537CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$250,154CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$151,869CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$98,285CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$98,285 (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%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,841CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components212CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days291.69CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days159.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334621, 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 July 15, 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$8,755,311CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,700,981CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,054,330CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,787,235CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,732,905CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$163,670CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,569,235CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,569,235 (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%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,421CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components179CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days462.24CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days175.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1288936, 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 9, 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$8,773,473CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,688,906CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,084,567CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,228,310CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,143,743CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$125,139CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,018,604CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,018,604 (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%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,240CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components205CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.79CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days282.51CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days147.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1266505, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended September 30, 2017

Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 9, 2020.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$7,787,516CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,397,576CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,389,940CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,538,391CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,148,451CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$90,026CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,058,425CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,058,425 (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%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,944CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components146CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days453.76CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days177.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252104, 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 September 17, 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$7,892,571CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,649,060CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,243,511CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,965,553CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$722,042CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$213,377CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$508,665CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$508,665 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,329CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components180CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days268.76CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days140.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1211479, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended September 30, 2015

Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$11,163,501CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,235,354CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,928,147CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,612,046CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$316,101CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$236,888CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$552,989CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $552,989 (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%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,160CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components262CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.15CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days369.87CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days134.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188941, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended September 30, 2014

Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 30, 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$12,987,315CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,215,883CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,771,432CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,577,071CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,194,361CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$213,116CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,407,477CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,407,477 (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%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,626CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components369CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days484.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days104.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1143880, 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 July 25, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$13,923,316CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,752,934CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,170,382CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,372,691CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,797,691CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$222,369CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,020,060CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,020,060 (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%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components41,048CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components434CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days511.23CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days94.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1104003, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended September 30, 2012

Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 17, 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$12,600,141CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,311,589CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,288,552CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,681,768CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,606,784CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$164,711CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,771,495CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,771,495 (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%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,932CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components454CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.51CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days502.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days90.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1056955, 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 October 26, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$9,252,342CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,517,218CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,735,124CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$155,774CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,890,898 (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.

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,927CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components344CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.42CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days456.27CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days87CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 432690, 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 October 30, 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$3,005,740CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,522,275CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$483,465CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$53,855CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $537,320 (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.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components10,338CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components200CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.78CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days126.46CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days51.69CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433501, 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 March 15, 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$10,814,818CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,658,068CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$2,156,750CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$159,882CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $2,316,632 (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.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,133CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components572CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days395.29CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days73.66CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 395487, 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 January 29, 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$9,117,592CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,400,849CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$716,743CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$55,260CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $772,003 (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.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components41,392CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components571CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days366.65CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days72.49CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 363240, 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 December 12, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$8,810,683CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,874,544CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$936,139CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$169,885CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,106,024 (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.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,692CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components518CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days36.85CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days453.06CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days78.56CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 330167, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended September 30, 2006

Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 13, 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$6,305,551CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,300,120CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$5,431CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$164,384CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $169,815 (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.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,060CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components323CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.73CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days451.43CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days102.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 293629, 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.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$5,898,150CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,507,815CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$390,335CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$197,514CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $587,849 (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.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,988CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components303CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.49CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days488.25CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days105.57CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 270262, 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.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$5,368,769CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,254,707CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$114,062CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$113,307CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $227,369 (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.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,066CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components243CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.58CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days391.93CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days131.96CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 242065, 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 February 23, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$4,848,499CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,711,342CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$137,157CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$94,932CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $232,089 (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.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,114CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components183CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.93CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days645CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days175.49CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 208607, 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 October 1, 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$4,605,922CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,634,552CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$28,630CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$108,153CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $79,523 (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.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,918CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components262CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.57CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days363.29CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days121.82CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 161330, 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.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$3,633,191CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,215,000CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$581,809CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$105,116CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$476,693 (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.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,489CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components136CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.19CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days451.49CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days187.42CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 129721, read from the public cost report file SNFFY2001.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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
BARNABEI, ROBERTADP OF THE SNFIndividualNOT APPLICABLEsince 03/01/2022
BOICE, GALEADP OF THE SNFIndividualNOT APPLICABLEsince 03/05/2018
HILL, RAYMONDADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2011
HILL, ROBERTADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2011
HILL, STEPHENADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2011
JACKSON, RAFAELADP OF THE SNFIndividualNOT APPLICABLEsince 07/03/2025
BOICE, GALECORPORATE OFFICERIndividualNOT APPLICABLEsince 03/05/2018
JOHNSON, DIANNECORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2011
JACKSON, RAFAELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/24/2024
PRINCIPLE LONG TERM CARE, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/01/2011

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of EVEREST LONG TERM CARE, LLC (enrollment ID O20111021000154).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
PRINCIPLE IT SERVICES, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST501/1/2011
Private equity company: No
Real estate investment trust: No
Holding company: No
PRINCIPLE LONG TERM CARE, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST501/1/2011
Private equity company: No
Real estate investment trust: No
Holding company: No
RAYMOND GREGG HILLIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST18.471/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT O'NEIL HILLIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST20.61/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHEN BRITT HILLIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST20.021/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GALE R BOICEIndividualADP OF THE SNFNot stated in the filing3/5/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RAFAEL JACKSONIndividualADP OF THE SNFNot stated in the filing7/3/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RAYMOND GREGG HILLIndividualADP OF THE SNFNot stated in the filing1/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT A BARNABEIIndividualADP OF THE SNFNot stated in the filing3/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT O'NEIL HILLIndividualADP OF THE SNFNot stated in the filing1/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHEN BRITT HILLIndividualADP OF THE SNFNot stated in the filing1/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DIANNE JOHNSONIndividualCORPORATE OFFICERNot stated in the filing1/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GALE R BOICEIndividualCORPORATE OFFICERNot stated in the filing3/5/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PRINCIPLE LONG TERM CARE, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL501/1/2011
Private equity company: No
Real estate investment trust: No
Holding company: No
RAFAEL JACKSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/24/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

  • June 29, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • January 1, 2026: ROGER HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
  • January 1, 2026: DIANNE JOHNSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
  • January 1, 2026: STEPHEN BRITT HILL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
  • January 1, 2026: ROBERT O'NEIL HILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
  • January 1, 2026: ROBERT O'NEIL HILL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
  • January 1, 2026: RAYMOND GREGG HILL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
  • January 1, 2026: RAFAEL JACKSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
  • January 1, 2026: RAFAEL JACKSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 24, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
  • January 1, 2026: GALE R BOICE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 5, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
  • January 1, 2026: STEPHEN BRITT HILL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
  • January 1, 2026: ROBERT O'NEIL HILL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
  • January 1, 2026: ROBERT A BARNABEI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
  • January 1, 2026: RAYMOND GREGG HILL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
  • February 14, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • April 24, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • July 28, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • September 29, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • July 15, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • September 9, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • March 9, 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • September 17, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • May 2, 2018: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • September 30, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • July 25, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • March 17, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • October 30, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2011.zip
  • October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
  • March 12, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • March 15, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • January 29, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • December 12, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • September 13, 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
  • February 23, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
  • October 1, 2003: 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

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1January 22, 2026January 22, 202638
2October 24, 2024October 24, 2024116
3May 5, 2023May 5, 202383

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

22 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
January 22, 2026HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.BNoNo revisit neededFebruary 9, 2026
January 22, 2026HealthF 0578Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionFebruary 9, 2026
January 22, 2026HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionFebruary 9, 2026
April 24, 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GYesDeficient, Provider has date of correctionMay 16, 2025
October 24, 2024HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.ENoDeficient, Provider has date of correctionNovember 21, 2024
October 24, 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.BNoDeficient, Provider has plan of correctionNovember 21, 2024
October 24, 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedBNoDeficient, Provider has plan of correctionNovember 21, 2024
October 24, 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionNovember 21, 2024
October 24, 2024HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.ENoDeficient, Provider has date of correctionNovember 21, 2024
October 24, 2024HealthF 0687Quality of Life and Care DeficienciesProvide appropriate foot care.ENoDeficient, Provider has date of correctionNovember 21, 2024
October 24, 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DYesDeficient, Provider has date of correctionNovember 21, 2024
October 24, 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has plan of correctionNovember 21, 2024
October 24, 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.EYesDeficient, Provider has date of correctionNovember 21, 2024
October 24, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correctionNovember 21, 2024
November 3, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correctionNovember 27, 2023
May 5, 2023HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correctionJune 2, 2023
May 5, 2023HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.BNoDeficient, Provider has date of correctionJune 2, 2023
May 5, 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionJune 2, 2023
May 5, 2023HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.GNoDeficient, Provider has date of correctionJune 2, 2023
May 5, 2023HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.GNoDeficient, Provider has date of correctionJune 2, 2023
May 5, 2023HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correctionJune 2, 2023
May 5, 2023HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DNoDeficient, Provider has date of correctionJune 2, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
April 24, 2025Fine$25,87942746
November 3, 2023Fine$8,74542011

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameEVEREST LONG TERM CARE, LLC
Date First Approved to Provide Medicare and Medicaid Services2000-06-07
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishUnion
Telephone Number7048823420
Chain NamePRINCIPLE LONG TERM CARE
Chain ID423
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day104.3
Overall Rating4
Health Inspection Rating3
QM Rating3
Long-Stay QM Rating3
Short-Stay QM Rating3
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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