Skilled nursing facility · CMS certification number 345512
Cypress Glen Retirement Community
Greenville, North Carolina · Medicare
Certified beds, as filed in Care Compare: 6
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 October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 5, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,530,796 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $711,298 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,819,498 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,450,790 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$631,292 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,189,640 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,558,348 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,558,348 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 26,352 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 693 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 18,747 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,440 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 71 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 196.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403231, 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 January 22, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,535,099 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $543,254 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,991,845 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,872,771 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $119,074 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,097,642 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,216,716 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,216,716 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,342 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 311.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372336, 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 December 28, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,052,322 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $598,594 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,453,728 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,627,097 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$173,369 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,401,990 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,228,621 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,228,621 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,382 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 339.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1339105, 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 January 13, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,696,278 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $583,586 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,112,692 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,646,419 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$533,727 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,474,538 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,940,811 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,940,811 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,028 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 220.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308378, 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 December 29, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,165,305 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $622,183 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,543,122 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,808,781 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$265,659 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,093,792 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,828,133 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,828,133 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,006 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 64 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 265.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1277732, 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 January 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,779,172 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $554,157 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,225,015 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,402,132 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$177,117 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,336,952 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,159,835 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,159,835 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,387 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 224.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249417, 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 January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,939,451 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $541,410 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,398,041 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,847,073 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$449,032 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,557,259 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,108,227 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,108,227 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,326 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 218.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217841, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 15, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,227,535 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $493,029 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,734,506 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,902,756 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$168,250 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,143,226 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,974,976 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,974,976 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,923 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 103 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 174.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183914, 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 January 31, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,915,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $317,711 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,597,441 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,367,853 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $229,588 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,466,940 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,696,528 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,696,528 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,197 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 14.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 197.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152216, 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 February 5, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,472,141 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $350,063 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,122,078 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,247,117 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$125,039 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,479,674 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,354,635 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,354,635 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,241 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 188.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1118646, 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 January 28, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,727,422 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $448,019 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,279,403 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,444,810 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$165,407 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,570,785 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,405,378 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,405,378 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,484 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 111 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 166.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085085, 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 January 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,981,783 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $449,473 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,532,310 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,931,778 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,399,468 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,763,008 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,363,540 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,363,540 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,637 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 155.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1054318, 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 February 14, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,469,310 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $516,154 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,953,156 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,294,199 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,341,043 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,287,152 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,946,109 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,946,109 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,699 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 153.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024790, 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 February 2, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,810,416 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,095,039 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,715,377 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,303,732 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $31,626 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $2,987,483 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,505 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 109 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 169.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424347, 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, processed by CMS on February 28, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,881,207 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,752,829 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,128,378 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $811,408 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,939,786 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,606 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 86 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 227.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394656, 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 November 22, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,565,191 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,508,369 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,056,822 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,138,579 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,195,401 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,599 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 86 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 227.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 389912, 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 March 17, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,108,624 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,393,933 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $714,691 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $138,908 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $853,599 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,766 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 201.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 335513, 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 February 20, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,385,788 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,037,650 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $348,138 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,118,946 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,467,084 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,745 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 316.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302683, 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 March 28, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,866,526 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,284,795 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $581,731 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $989,921 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,571,652 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,145 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 213.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 275994, 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 April 11, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,593,577 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,619,490 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$25,913 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $579,014 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $553,101 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,118 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 236.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247038, 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 June 30, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,485,685 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,714,015 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$228,330 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$125,471 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$353,801 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,242 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 249.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 226251, 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 April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,284,428 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,725,240 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$440,812 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $824,455 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $383,643 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,450 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 269.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 174237, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for January 10, 2002 to September 30, 2002 — a reporting period of 263 days, not a full year, on form CMS-2540-96, as submitted, processed by CMS on August 4, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,962,377 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,176,794 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$214,417 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $447,749 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $233,332 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,778 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 281.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156099, 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 |
|---|---|---|---|---|
| THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 10/01/2013 |
| US BANK, N.A. | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 09/01/2014 |
| GONZALEZ RODRIGUEZ, GERARDO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/26/2025 |
| HAYES, TERRY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2026 |
| LIFE CARE SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/16/2025 |
| DAVISON, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| ERICKSON, JONATHAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/01/2006 |
| EVANS, SPENCE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| HARRISS, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/07/2019 |
| LEE, WOO | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/31/2018 |
| LITTLE, NANCY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/23/2023 |
| MARTIN, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/23/2023 |
| PARKER, MACK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/03/2022 |
| PATTERSON, GAYNELLE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| SOUTHERN, HARVEY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/29/2020 |
| STEINWEG, KENNETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/04/2021 |
| TAYLOR, SHERYL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/23/2023 |
| VAN ANTWERP, NANCY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/07/2019 |
| DOBSON, STACY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/10/2006 |
| ERICKSON, JONATHAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2006 |
| HARRISS, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/03/2022 |
| PARKER, MACK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/30/2025 |
| SOUTHERN, HARVEY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/30/2025 |
| VAN ANTWERP, NANCY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/30/2025 |
| GONZALEZ RODRIGUEZ, GERARDO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2023 |
| HAYES, TERRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/17/2022 |
| LIFE CARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2000 |
| STALLINGS, LAURIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/24/1994 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED (enrollment ID O20130924000862).
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 |
|---|---|---|---|---|---|
| THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| US BANK NATIONAL ASSOCIATION | Organization | 5% OR GREATER SECURITY INTEREST | 0 | 9/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| GERARDO GONZALEZ RODRIGUEZ | Individual | ADP OF THE SNF | Not stated in the filing | 3/26/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LIFE CARE SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/16/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TERRY E HAYES | Individual | ADP OF THE SNF | Not stated in the filing | 1/2/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GAYNELLE PATTERSON | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HARVEY G SOUTHERN | Individual | CORPORATE DIRECTOR | 0 | 10/29/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES E MARTIN | Individual | CORPORATE DIRECTOR | 0 | 2/23/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN DAVISON | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONATHAN ERICKSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/1/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KENNETH K STEINWEG | Individual | CORPORATE DIRECTOR | 0 | 11/4/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MACK B PARKER | Individual | CORPORATE DIRECTOR | 0 | 11/3/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NANCY J. VAN ANTWERP | Individual | CORPORATE DIRECTOR | 0 | 11/7/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NANCY R LITTLE | Individual | CORPORATE DIRECTOR | 0 | 2/23/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHERYL B TAYLOR | Individual | CORPORATE DIRECTOR | 0 | 2/23/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SPENCE EVANS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM HARRISS | Individual | CORPORATE DIRECTOR | 0 | 11/7/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WOO IL LEE | Individual | CORPORATE DIRECTOR | 0 | 12/31/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HARVEY G SOUTHERN | Individual | CORPORATE OFFICER | 0 | 10/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONATHAN ERICKSON | Individual | CORPORATE OFFICER | 0 | 11/1/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MACK B PARKER | Individual | CORPORATE OFFICER | 0 | 10/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NANCY J. VAN ANTWERP | Individual | CORPORATE OFFICER | 0 | 10/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STACY DOBSON | Individual | CORPORATE OFFICER | 0 | 7/10/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM HARRISS | Individual | CORPORATE OFFICER | 0 | 11/3/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GERARDO GONZALEZ RODRIGUEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURIE STALLINGS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/24/1994 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LIFE CARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 1/1/2000 | Private equity company: No Real estate investment trust: No Holding company: No |
| TERRY E HAYES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/17/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2026: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER SECURITY INTEREST in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: US BANK, N.A. appears as 5% OR GREATER SECURITY INTEREST in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- February 1, 2026: CHARLES H MERCER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUSAN C EZEKIEL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUSAN C EZEKIEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CARL J HARDY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SPENCE EVANS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: HARVEY G SOUTHERN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since October 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOHN DAVISON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: GAYNELLE PATTERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- August 1, 2025: STACY DOBSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BRANCH BANKING & TRUST COMPANY no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LAURIE STALLINGS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOHN LINK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CLYDE L MCKEE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: NORTH CAROLINA MEDICAL CARE COMMISSION no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: RICHARD H EVANS JR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KATHRYN BRADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JONATHAN ERICKSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DEBORAH MONTAGUE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CHARLES H MERCER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 4, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: US BANK NATIONAL ASSOCIATION (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GERARDO GONZALEZ RODRIGUEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GERARDO GONZALEZ RODRIGUEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SUSAN C EZEKIEL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 4, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SUSAN C EZEKIEL (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 26, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MACK B PARKER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MACK B PARKER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 26, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JAMES E MARTIN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JONATHAN ERICKSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 1, 2006. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: NANCY J. VAN ANTWERP (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WILLIAM HARRISS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LIFE CARE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: TERRY E HAYES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: TERRY E HAYES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 17, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KENNETH K STEINWEG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 4, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: NANCY R LITTLE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHERYL B TAYLOR (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: STACY DOBSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 10, 2006. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LAURIE STALLINGS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 24, 1994. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- September 1, 2026: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER SECURITY INTEREST in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: US BANK, N.A. appears as 5% OR GREATER SECURITY INTEREST in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- February 1, 2026: CHARLES H MERCER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUSAN C EZEKIEL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUSAN C EZEKIEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CARL J HARDY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SPENCE EVANS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: HARVEY G SOUTHERN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since October 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOHN DAVISON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: GAYNELLE PATTERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- August 1, 2025: STACY DOBSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BRANCH BANKING & TRUST COMPANY no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LAURIE STALLINGS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JOHN LINK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CLYDE L MCKEE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: NORTH CAROLINA MEDICAL CARE COMMISSION no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: RICHARD H EVANS JR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KATHRYN BRADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JONATHAN ERICKSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: DEBORAH MONTAGUE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CHARLES H MERCER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 4, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: US BANK NATIONAL ASSOCIATION (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GERARDO GONZALEZ RODRIGUEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GERARDO GONZALEZ RODRIGUEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SUSAN C EZEKIEL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 4, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SUSAN C EZEKIEL (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 26, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MACK B PARKER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MACK B PARKER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 26, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JAMES E MARTIN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JONATHAN ERICKSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 1, 2006. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: NANCY J. VAN ANTWERP (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WILLIAM HARRISS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LIFE CARE SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: TERRY E HAYES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: TERRY E HAYES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 17, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: KENNETH K STEINWEG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since November 4, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: NANCY R LITTLE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHERYL B TAYLOR (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: STACY DOBSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 10, 2006. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 14, 2025 | September 19, 2024 | 0 | 1 |
| 2 | September 19, 2024 | July 26, 2023 | 1 | 2 |
| 3 | July 26, 2023 | June 1, 2022 | 0 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
1 deficiency on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| September 19, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | October 10, 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 |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED |
| Date First Approved to Provide Medicare and Medicaid Services | 2002-01-10 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Pitt |
| Telephone Number | 2528300036 |
| Chain Name | LIFE CARE SERVICES |
| Chain ID | 312 |
| 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 | 6 |
| Average Number of Residents per Day | 3.4 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Cypress Glen Retirement Community: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 1, 2026: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER SECURITY INTEREST in the Care Compare ownership file. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Cypress Glen Retirement Community
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 345512.