Skilled nursing facility · CMS certification number 345511
Autumn Care of Statesville
Statesville, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 103
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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. 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 7, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,494,849 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,248,337 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,246,512 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,857,535 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,388,977 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,257 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,403,234 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,403,234 (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 | 113 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 41,358 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,356 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 24,591 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,564 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 39,511 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 109 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 78 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 183 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 370 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 315.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449395, 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 August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,845,581 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $587,710 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,257,871 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,764,854 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,493,017 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,007 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,501,024 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,501,024 (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 | 113 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,081 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 258.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437565, 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 25, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,246,763 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $591,853 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,654,910 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,265,793 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,610,883 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,526,414 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $915,531 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $915,531 (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 | 113 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,946 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 311 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 383.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395899, 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 May 25, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,997,684 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,123,527 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,874,157 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,509,818 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,635,661 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,536,129 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $900,468 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $900,468 (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 | 113 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,514 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 247 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1317002, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for December 31, 2019 to December 31, 2020 — a reporting period of 366 days, on form CMS-2540-10, settled, processed by CMS on December 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,423,561 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,036,224 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,387,337 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,238,702 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $148,635 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,489,998 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,638,633 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,638,633 (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 | 113 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,903 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 288.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338754, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 30, 2019
Cost report for January 1, 2019 to December 30, 2019 — a reporting period of 363 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,734,913 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,677,139 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,057,774 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,587,526 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,470,248 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,806 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,478,054 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,478,054 (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 | 113 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,800 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 412 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 291.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309812, 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 11, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,693,411 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,850,506 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,842,905 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,658,960 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,183,945 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,988 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,192,933 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,192,933 (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 | 113 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,369 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 459 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 240.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275898, 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 5, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,396,839 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,456,722 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,940,117 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,825,229 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,114,888 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,437 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,118,325 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,118,325 (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 | 113 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,173 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 474 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 430.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1257005, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,953,843 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,138,313 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,815,530 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,400,106 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $415,424 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,353 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $428,777 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $428,777 (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 | 113 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,304 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 383 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 465.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208694, 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 16, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,536,962 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,141,299 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,395,663 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,394,848 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $815 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $148,459 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $149,274 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $149,274 (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 | 113 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,508 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 330 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,798.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157331, 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 August 12, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,082,514 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,692,304 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,390,210 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,118,705 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $271,505 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $176,112 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $447,617 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $447,617 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,937 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 481 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 94.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107623, 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 October 14, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,025,228 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,136,334 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,888,894 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,877,133 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $11,761 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $130,271 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $142,032 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $142,032 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,023 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 354 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 118.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078737, 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 July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,732,232 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,172,563 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,559,669 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,583,363 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$23,694 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $132,451 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $108,757 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $108,757 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,922 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 385 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 117.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042840, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,825,301 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,432,449 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $392,852 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $120,252 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $513,104 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,247 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 344 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 128.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 96.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433353, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on May 16, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,237,855 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,210,519 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $27,336 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $126,665 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $154,001 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,164 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 192 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.99 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,053.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 172.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429013, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 21, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,276,111 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,810,073 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $466,038 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $107,304 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $573,342 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,819 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 596.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,086.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 643.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387980, 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 November 5, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,889,629 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,522,139 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $367,490 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $114,039 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $481,529 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,350 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 483.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,166.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 673.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358748, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 29, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,394,626 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,284,251 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $110,375 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $101,497 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $211,872 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,156 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 597.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,081.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 669.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 327508, 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 May 18, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,237,741 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,115,241 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $122,500 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $96,700 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $219,200 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,163 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 660.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 965.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 650.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 278933, 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 December 18, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,803,878 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,776,567 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $27,311 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $78,340 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $105,651 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,138 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 647.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,002.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 649.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 268943, 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 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,420,712 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,527,765 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$107,053 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $82,493 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$24,560 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,162 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 515.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,006.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 650.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243085, 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 October 19, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,874,125 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,070,729 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$196,604 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $65,266 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$131,338 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,765 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 610.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 744.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 603.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 235005, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for December 19, 2001 to September 30, 2002 — a reporting period of 285 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 28, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,538,424 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,973,990 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$435,566 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,891 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$395,675 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,259 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 467.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 179.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 259.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 161886, read from the public cost report file SNFFY2002.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 |
|---|---|---|---|---|
| WILLIAM I WEISBERG FAMILY DYNASTY TRUST (DATED JUNE 1, 2011) | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 67% | since 01/01/2023 |
| AYOUBI, NASIB | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/02/2023 |
| BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| BNV DYNASTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| CITRIN COOPERMAN ADVISORS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/31/2019 |
| DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| HOPPING, DARIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/21/2021 |
| NICOLUZAKIS, GREGORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/31/2019 |
| RABUCK, TAMBRIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/16/2022 |
| SABER GOVERNANCE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/31/2019 |
| SABER HEALTHCARE GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/31/2019 |
| SHG 4 MT, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/15/2026 |
| SHG MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/31/2019 |
| STATESVILLE REAL ESTATE HOLDINGS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/15/2026 |
| VOLPE, BENJAMIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/31/2019 |
| WALKER & ASSOCIATES PC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/31/2019 |
| WEISBERG, WILLIAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/31/2019 |
| WIW DYNASTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| VOLPE, BENJAMIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/31/2019 |
| WEISBERG, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/31/2019 |
| NICOLUZAKIS, GREGORY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/31/2019 |
| VOLPE, BENJAMIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/31/2019 |
| WEISBERG, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/31/2019 |
| WEISBERG, WILLIAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/15/2026 |
| HOPPING, DARIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/21/2021 |
| RABUCK, TAMBRIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/16/2022 |
| SABER GOVERNANCE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/31/2019 |
| SHG MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/31/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of AUTUMN CARE OF STATESVILLE LLC (enrollment ID O20200217004333).
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 |
|---|---|---|---|---|---|
| AUTUMN CORPORATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/31/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| BNV DYNASTY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| SABER HEALTHCARE HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/31/2019 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SHG AUTUMN, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/31/2019 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SHH HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/31/2019 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| WILLIAM I WEISBERG FAMILY DYNASTY TRUST (DATED JUNE 1, 2011) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 67 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| WIW DYNASTY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 67 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| WWBV HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/31/2019 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BENJAMIN N VOLPE | Individual | CORPORATE DIRECTOR | 50 | 12/31/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM I WEISBERG | Individual | CORPORATE DIRECTOR | 50 | 12/31/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN N VOLPE | Individual | OFFICER | Not stated in the filing | 12/31/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY NICOLUZAKIS | Individual | OFFICER | Not stated in the filing | 12/31/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM I WEISBERG | Individual | OFFICER | Not stated in the filing | 12/31/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SABER GOVERNANCE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 12/31/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHG MANAGEMENT LLC | Organization | OTHER | Not stated in the filing | 12/31/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| TAMBRIA RABUCK | Individual | W-2 MANAGING EMPLOYEE | 100 | 5/16/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2024: DARRYL P EHLERS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 15, 2023: CLEARVIEW III HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DARIN HOPPING no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DARRYL P EHLERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since January 4, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: BNV DYNASTY, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
Recent changes on this record
- May 7, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 29, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 25, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 1, 2024: DARRYL P EHLERS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 15, 2023: CLEARVIEW III HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DARIN HOPPING no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DARRYL P EHLERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since January 4, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: BNV DYNASTY, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- December 21, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- May 25, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- February 2, 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- December 11, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- June 5, 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 21, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- June 6, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2017.zip
- May 16, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 12, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- October 14, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 23, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- May 16, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- September 21, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- November 5, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- October 29, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- May 18, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- December 18, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- February 16, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- October 19, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- October 28, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 1, 2026 | April 16, 2025 | 2 | 3 |
| 2 | April 16, 2025 | February 8, 2024 | 3 | 3 |
| 3 | February 8, 2024 | August 25, 2022 | 3 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 1, 2026 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Past Non-Compliance | April 2, 2026 |
| July 1, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | July 21, 2026 |
| April 16, 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | May 9, 2025 |
| April 16, 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | May 9, 2025 |
| April 16, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 9, 2025 |
| February 8, 2024 | 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 | February 27, 2024 |
| February 8, 2024 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | No | Deficient, Provider has date of correction | February 27, 2024 |
| February 8, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | February 27, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | AUTUMN CARE OF STATESVILLE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2001-12-19 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Iredell |
| Telephone Number | 7048839700 |
| Chain Name | SABER HEALTHCARE GROUP |
| Chain ID | 461 |
| 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 | 103 |
| Average Number of Residents per Day | 97.4 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Autumn Care of Statesville: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On May 7, 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 Autumn Care of Statesville
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 345511.