Skilled nursing facility · CMS certification number 345554
Trinity Grove
Wilmington, North Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 100
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: 4 · Fines: 4 · Fines, total amount: $102,910.00 · Payment denials: 0. The most recent penalty on file: September 18, 2025, Fine, $64,740. 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 March 21, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,228,331 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,990,779 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,237,552 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,402,330 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$164,778 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $570,550 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $405,772 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $405,772 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 36,600 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,645 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,059 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 19,787 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 34,491 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 135 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 153 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 305 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 532.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405663, 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 March 14, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,176,401 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,293,976 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,882,425 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,569,134 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $313,291 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $248,616 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $561,907 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $561,907 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,402 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 372 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 743.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374975, 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 March 20, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,180,985 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,008,070 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,172,915 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,258,456 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $914,459 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,228,125 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,142,584 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,142,584 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,917 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 290 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 338.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344608, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,193,231 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $243,517 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,949,714 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,208,129 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$258,415 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $782,853 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $524,438 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $524,438 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,404 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 273 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 616.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358713, 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 August 5, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,956,897 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $804,396 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,152,501 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,207,892 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$55,391 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $373,359 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $317,968 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $317,968 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,186 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 226 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 700.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329087, 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 April 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,818,769 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,321,375 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,497,394 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,143,254 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $354,140 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $201,035 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $555,175 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $555,175 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,769 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 342 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 501.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254323, 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 March 19, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,248,836 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,118,705 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,130,131 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,240,718 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$110,587 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $183,453 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $72,866 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $72,866 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,808 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 417 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 374.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221455, 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 28, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,627,252 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $935,064 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,692,188 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,782,157 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$89,969 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $210,159 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $120,190 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $120,190 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,223 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 396 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 702.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1184352, 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 February 16, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,034,498 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $760,773 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,273,725 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,331,643 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$57,918 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $156,806 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $98,888 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $98,888 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,218 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 391 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 518.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153016, 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 26, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,718,735 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $583,313 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,135,422 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,083,921 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $51,501 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $174,826 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $226,327 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $226,327 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,061 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 288 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,089.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119659, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,224,891 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $886,397 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,338,494 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,740,255 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$401,761 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $162,002 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$239,759 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$239,759 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,031 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 308 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,096 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144358, 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 December 4, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,421,455 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $224,737 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,196,718 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,224,012 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$27,294 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $171,545 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $144,251 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $144,251 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,909 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 552.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081803, 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, reopened, processed by CMS on September 9, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,687,197 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $15,615 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,671,582 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,743,723 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$72,141 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $146,691 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $74,550 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $74,550 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,480 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 330 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 482.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077882, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for June 29, 2011 to September 30, 2011 — a reporting period of 93 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 19, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $845,939 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,594,501 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$748,562 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,431 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$724,131 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 2,679 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 526 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 65.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 426325, 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 |
|---|---|---|---|---|
| GOINS, TED | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/04/2004 |
| LSA MANAGEMENT, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/16/2025 |
| LUTHERAN HOME WILMINGTON PROPERTY, INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/14/2025 |
| LUTHERAN SERVICES FOR THE AGING, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/25/2025 |
| NICKERSON, KIRBY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2012 |
| PARRISH, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/25/2022 |
| SUTTON-SURAK, AUDREY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2012 |
| SMITH, KESHA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/08/2003 |
| MADDRY, KAREN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/30/2007 |
| NICKERSON, KIRBY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2012 |
| GOINS, TED | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/04/2004 |
| HERMAN, RICHARD | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2021 |
| NELSON, DOUGLAS | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/01/2022 |
| GOINS, TED | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/04/2004 |
| LSA MANAGEMENT, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/30/2007 |
| LUTHERAN HOME WILMINGTON PROPERTY, INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/05/1988 |
| LUTHERAN SERVICES FOR THE AGING, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/30/2007 |
| PARRISH, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/25/2022 |
| SMITH, KESHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2012 |
| SUTTON-SURAK, AUDREY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/25/2022 |
| GOINS, TED | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 11/04/2004 |
| HERMAN, RICHARD | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2021 |
| LUTHERAN SERVICES FOR THE AGING, INC. | TRUSTEE OF THE SNF | Organization | NOT APPLICABLE | since 04/30/2007 |
| NELSON, DOUGLAS | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LUTHERAN HOME - WILMINGTON, INC. (enrollment ID O20110222000205).
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 |
|---|---|---|---|---|---|
| LUTHERAN SERVICES FOR THE AGING, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/30/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| AUDREY L SUTTON-SURAK | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES PARRISH | Individual | ADP OF THE SNF | Not stated in the filing | 2/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIRBY NICKERSON | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LSA MANAGEMENT, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 3/16/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUTHERAN HOME WILMINGTON PROPERTY, INC | Organization | ADP OF THE SNF | Not stated in the filing | 4/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUTHERAN SERVICES FOR THE AGING, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 4/25/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TED W GOINS | Individual | ADP OF THE SNF | Not stated in the filing | 11/4/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KESHA L SMITH | Individual | CORPORATE DIRECTOR | 0 | 9/8/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN MADDRY | Individual | CORPORATE OFFICER | 0 | 4/30/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIRBY NICKERSON | Individual | CORPORATE OFFICER | 0 | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS E NELSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD HERMAN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TED W GOINS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/4/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AUDREY L SUTTON-SURAK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES PARRISH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KESHA L SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LSA MANAGEMENT, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/30/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUTHERAN HOME WILMINGTON PROPERTY, INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/5/1988 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUTHERAN SERVICES FOR THE AGING, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/30/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| TED W GOINS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/4/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS E NELSON | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LUTHERAN SERVICES FOR THE AGING, INC. | Organization | TRUSTEE OF THE SNF | Not stated in the filing | 4/30/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| RICHARD HERMAN | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 6/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TED W GOINS | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 11/4/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2025: KAREN MADDRY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KAREN MADDRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BETTY LOHR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ERIC HOYLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TED W GOINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TED W GOINS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TED W GOINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KESHA L SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LSA MANAGEMENT, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KIRBY NICKERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KIRBY NICKERSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JAMES PARRISH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JAMES PARRISH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 30, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 30, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: AUDREY L SUTTON-SURAK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: AUDREY L SUTTON-SURAK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DOUGLAS E NELSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DOUGLAS E NELSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LUTHERAN HOME WILMINGTON PROPERTY, INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LUTHERAN HOME WILMINGTON PROPERTY, INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 5, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TED W GOINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 4, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TED W GOINS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 4, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TED W GOINS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 4, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RICHARD HERMAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RICHARD HERMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KESHA L SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KESHA L SMITH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 8, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
Recent changes on this record
- July 1, 2025: KAREN MADDRY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KAREN MADDRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BETTY LOHR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ERIC HOYLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TED W GOINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TED W GOINS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TED W GOINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KESHA L SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LSA MANAGEMENT, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KIRBY NICKERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KIRBY NICKERSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JAMES PARRISH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JAMES PARRISH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 30, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LUTHERAN SERVICES FOR THE AGING, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 30, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: AUDREY L SUTTON-SURAK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: AUDREY L SUTTON-SURAK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DOUGLAS E NELSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DOUGLAS E NELSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LUTHERAN HOME WILMINGTON PROPERTY, INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LUTHERAN HOME WILMINGTON PROPERTY, INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 5, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TED W GOINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 4, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TED W GOINS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 4, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TED W GOINS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 4, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RICHARD HERMAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RICHARD HERMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KESHA L SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KESHA L SMITH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 8, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- March 21, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 14, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 14, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- March 20, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 5, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 21, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- March 19, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- February 28, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- February 16, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- September 30, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- February 26, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 18, 2025 | October 10, 2024 | 5 | 6 |
| 2 | October 10, 2024 | July 13, 2023 | 3 | 2 |
| 3 | July 13, 2023 | April 28, 2022 | 7 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
15 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| September 18, 2025 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 18, 2025 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | B | No | No revisit needed | October 8, 2025 |
| September 18, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | September 26, 2025 |
| September 18, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | No revisit needed | October 8, 2025 |
| September 18, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | October 8, 2025 |
| October 10, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | No | Deficient, Provider has date of correction | October 30, 2024 |
| October 10, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | October 30, 2024 |
| October 10, 2024 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | No | Deficient, Provider has date of correction | October 30, 2024 |
| August 5, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Yes | Past Non-Compliance | November 21, 2023 |
| August 5, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Yes | Past Non-Compliance | November 21, 2023 |
| August 5, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | August 25, 2024 |
| July 13, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | August 15, 2023 |
| July 13, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | August 15, 2023 |
| July 13, 2023 | Health | F 0811 | Nutrition and Dietary Deficiencies | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | No | Deficient, Provider has date of correction | August 15, 2023 |
| July 13, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | August 15, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| September 18, 2025 | Fine | $64,740 | 136099 | ||
| October 10, 2024 | Fine | $21,085 | 42610 | ||
| August 5, 2024 | Fine | $8,543 | 42477 | ||
| August 5, 2024 | Fine | $8,542 | 42551 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Church related |
| Legal Business Name | LUTHERAN HOME - WILMINGTON, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 2011-06-29 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | New Hanover |
| Telephone Number | 9104423000 |
| Chain Name | LUTHERAN SERVICES CAROLINAS |
| Chain ID | 327 |
| 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 | 100 |
| Average Number of Residents per Day | 94.9 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| 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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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 345554.