Skilled nursing facility · CMS certification number 345553
Autumn Care of Fayetteville
Fayetteville, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 90
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 11, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,008,141 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $549,945 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,458,196 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,940,404 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,517,792 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $740 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,518,532 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,518,532 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 32,940 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,363 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 18,164 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,028 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 30,555 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 84 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 59 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 193 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 336 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 307.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449735, 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 March 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,190,950 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,476,217 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,667,167 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,513,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,153,892 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,525 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,161,417 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,161,417 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,023 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 333 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 258.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1406000, 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 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,163,438 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,509,095 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,672,533 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,557,836 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $114,697 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,385,961 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,500,658 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,500,658 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,517 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 340 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 275.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 86.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395197, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 22, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,214,322 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,188,424 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,402,746 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,897,786 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$495,040 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,063,600 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,568,560 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,568,560 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,837 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 328 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 297.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365273, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 2, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,990,647 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $715,204 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,275,443 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,408,486 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$133,043 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $774,630 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $641,587 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $641,587 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,598 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 334 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 225.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1337230, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,488,806 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,212,701 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,276,105 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,225,875 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $50,230 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $53,675 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $103,905 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $103,905 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,670 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 427 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 227.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301289, 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 November 10, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,160,879 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,525,553 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,635,326 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,390,344 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $244,982 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,288 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $248,270 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $248,270 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,481 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 523 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 156.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1273349, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for April 1, 2017 to December 31, 2017 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 19, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,202,895 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,268,494 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,934,401 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,499,438 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $434,963 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,209 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $437,172 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $437,172 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,047 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 343 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 273.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1255787, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 31, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,544,881 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,459,669 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,085,212 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,968,859 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $116,353 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,996 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $131,349 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $131,349 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,180 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 390 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 426.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1211243, 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 June 23, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,897,423 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,258,018 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,639,405 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,023,767 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$384,362 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $128,686 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$255,676 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$255,676 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,945 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 340 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,338.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1165811, 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 | $9,729,677 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,141,437 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,588,240 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,070,086 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$481,846 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $103,797 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$378,049 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$378,049 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,892 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 562 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 70.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107624, 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 | $9,501,889 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,868,000 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,633,889 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,699,019 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$65,130 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $116,636 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $51,506 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $51,506 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,900 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 472 | 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 | 102.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078738, 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 | $8,676,662 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,386,410 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,290,252 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,488,084 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$197,832 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $132,681 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$65,151 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$65,151 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,539 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 443 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 91.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042841, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for March 24, 2011 to September 30, 2011 — a reporting period of 190 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 26, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,684,480 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,692,781 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,008,301 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,999 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$949,302 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,883 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 67.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 56.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434348, read from the public cost report file SNFFY2011.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 |
|---|---|---|---|---|
| OHI ASSET (NC) FAYETTEVITTE LP | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 04/01/2017 |
| CIBC BANK USA | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/31/2021 |
| CITRIN COOPERMAN ADVISORS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| COLLINS, BARBARA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/20/2021 |
| NICOLUZAKIS, GREGORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2015 |
| OHI ASSET (NC) FAYETTEVITTE LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| SABER GOVERNANCE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2019 |
| SABER HEALTHCARE GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| SABER HEALTHCARE HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/08/2026 |
| SHG AUTUMN, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/08/2026 |
| SHG MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2019 |
| SHG MT, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/11/2026 |
| SULLIVAN, MELISSA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/17/2023 |
| TAIWO, ADEBUKOLA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2017 |
| VOLPE, BENJAMIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2019 |
| VOLPE, BENJAMIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2019 |
| WEISBERG, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2019 |
| NICOLUZAKIS, GREGORY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2019 |
| VOLPE, BENJAMIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2019 |
| WEISBERG, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2019 |
| COLLINS, BARBARA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/20/2021 |
| SHG MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2019 |
| SULLIVAN, MELISSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/17/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of AUTUMN CARE OF FAYETTEVILLE, LLC (enrollment ID O20170330000082).
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 | 4/1/2017 | 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 |
| DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 67 | 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 | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SHG AUTUMN, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 4/1/2017 | 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 |
| OHI ASSET (NC) FAYETTEVITTE LP | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 4/1/2017 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| ADEBUKOLA A TAIWO | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BARBARA COLLINS | Individual | ADP OF THE SNF | Not stated in the filing | 9/20/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN N VOLPE | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CIBC BANK USA | Organization | ADP OF THE SNF | Not stated in the filing | 3/31/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| CITRIN COOPERMAN ADVISORS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| GREGORY NICOLUZAKIS | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MELISSA THOMPSON SULLIVAN | Individual | ADP OF THE SNF | Not stated in the filing | 12/17/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OHI ASSET (NC) FAYETTEVITTE LP | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2017 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| SABER GOVERNANCE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SABER HEALTHCARE GROUP LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| SABER HEALTHCARE HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/8/2026 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SHG AUTUMN, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/8/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHG MANAGEMENT LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHG MT, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/11/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENJAMIN N VOLPE | Individual | CORPORATE DIRECTOR | 50 | 3/1/2019 | 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 | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN N VOLPE | Individual | CORPORATE OFFICER | 0 | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY NICOLUZAKIS | Individual | CORPORATE OFFICER | 0 | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM I WEISBERG | Individual | CORPORATE OFFICER | 0 | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BARBARA COLLINS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/20/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MELISSA THOMPSON SULLIVAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/17/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHG MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- July 1, 2026: SHH HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRIAN JOINER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SABER GOVERNANCE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHG MANAGEMENT LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: WWBV HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BARBARA COLLINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHG MT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MELISSA THOMPSON SULLIVAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 17, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MELISSA THOMPSON SULLIVAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 17, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CIBC BANK USA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BARBARA COLLINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 20, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BARBARA COLLINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 20, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CITRIN COOPERMAN ADVISORS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHG AUTUMN, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SABER HEALTHCARE HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BENJAMIN N VOLPE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SABER HEALTHCARE GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SABER GOVERNANCE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHG MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHG MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GREGORY NICOLUZAKIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ADEBUKOLA A TAIWO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: OHI ASSET (NC) FAYETTEVITTE LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: OHI ASSET (NC) FAYETTEVITTE LP (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- August 1, 2023: BRANDON DEL WOOD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BARBARA COLLINS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since September 20, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
Recent changes on this record
- July 1, 2026: SHH HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRIAN JOINER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SABER GOVERNANCE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHG MANAGEMENT LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: WWBV HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BARBARA COLLINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHG MT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MELISSA THOMPSON SULLIVAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 17, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MELISSA THOMPSON SULLIVAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 17, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CIBC BANK USA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BARBARA COLLINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 20, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BARBARA COLLINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 20, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CITRIN COOPERMAN ADVISORS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHG AUTUMN, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SABER HEALTHCARE HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BENJAMIN N VOLPE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SABER HEALTHCARE GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SABER GOVERNANCE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHG MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHG MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GREGORY NICOLUZAKIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ADEBUKOLA A TAIWO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: OHI ASSET (NC) FAYETTEVITTE LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: OHI ASSET (NC) FAYETTEVITTE LP (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- May 11, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 28, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 19, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 22, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- August 1, 2023: BRANDON DEL WOOD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BARBARA COLLINS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since September 20, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- December 2, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 28, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- November 10, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 19, 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 31, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- September 8, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- June 23, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- June 6, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2017.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
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 23, 2026 | January 9, 2025 | 1 | 5 |
| 2 | January 9, 2025 | December 14, 2023 | 1 | 5 |
| 3 | December 14, 2023 | August 25, 2022 | 1 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
3 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 23, 2026 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | D | No | Deficient, Provider has date of correction | April 30, 2026 |
| January 9, 2025 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | January 21, 2025 |
| December 14, 2023 | Health | F 0809 | Nutrition and Dietary Deficiencies | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Yes | Deficient, Provider has date of correction | December 21, 2023 |
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 - Corporation |
| Legal Business Name | AUTUMN CARE OF FAYETTEVILLE, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2011-03-24 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Cumberland |
| Telephone Number | 9108674960 |
| Chain Name | SABER HEALTHCARE GROUP |
| Chain ID | 461 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 90 |
| Average Number of Residents per Day | 86.0 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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On May 11, 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 Fayetteville
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 345553.