Velarion Records

Skilled nursing facility · CMS certification number 345562

Clear Creek Nursing & Rehabilitation Center

Mint Hill, North Carolina · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

Download this facility’s record (CSV)

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

In Care Compare’s provider information: Penalties: 3 · Fines: 2 · Fines, total amount: $105,396.00 · Payment denials: 1. The most recent penalty on file: April 23, 2024, Fine, $16,801. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 29, 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$12,506,321CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$208,419CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,297,902CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,984,595CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$686,693CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$240,092CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$446,601CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$446,601 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,920CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,811CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days20,578CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days10,162CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components32,551CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges33CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges61CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges146CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components240CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days337.34CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days135.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1450651, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended September 30, 2023

Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 27, 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$11,170,507CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$267,723CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,438,230CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,560,315CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$122,085CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$282,208CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$160,123CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $160,123 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,484CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components257CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.44CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days373.72CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days118.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1404295, 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 June 5, 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$9,200,081CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$416,542CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,616,623CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,108,789CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$492,166CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$567,751CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$75,585CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $75,585 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,802CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components535CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days113.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days48.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1381308, 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 27, 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$8,717,226CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$2,473,730CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,190,956CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,954,039CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$236,917CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$725,777CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$962,694CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $962,694 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,336CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components705CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.98CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days82.36CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days34.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360077, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended September 30, 2020

Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$11,089,806CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$319,170CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,408,976CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,257,854CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,151,122CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$54,350CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,205,472CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,205,472 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,340CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components330CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days146.61CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days104.06CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331577, 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 September 16, 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$10,310,588CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,856,456CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,454,132CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,700,991CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,246,859CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$73,860CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,172,999CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,172,999 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,045CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components287CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days208.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days111.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1299755, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended September 30, 2018

Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$9,505,243CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,745,562CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,759,681CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,263,523CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$503,842CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$44,061CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$459,781CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$459,781 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,026CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components246CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days309.94CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1266508, 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 September 19, 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$9,909,916CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,787,661CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,122,255CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,319,468CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$197,213CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$32,282CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$164,931CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$164,931 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,016CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components296CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days352CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days94.65CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1243319, 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.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$11,935,796CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,033,106CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,902,690CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,276,106CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$626,584CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$37,237CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$663,821CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $663,821 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,395CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components352CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days449.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days89.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1211244, 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 August 22, 2018.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$10,815,631CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,187,941CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,627,690CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,679,441CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$948,249CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$86,885CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,035,134CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,035,134 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,411CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components426CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days207.36CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days64.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210094, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended September 30, 2014

Cost report for November 7, 2013 to September 30, 2014 — a reporting period of 327 days, on form CMS-2540-10, settled, processed by CMS on January 26, 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$5,743,592CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$329,291CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,414,301CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,864,007CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$449,706CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$42,471CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$407,235CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$407,235 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,211CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components232CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days276.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days56.94CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118092, read from the public cost report file SNF10FY2014.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
BOICE, GALEADP OF THE SNFIndividualNOT APPLICABLEsince 03/05/2018
HILL, RAYMONDADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2011
HILL, ROBERTADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2011
HILL, STEPHENADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2011
JOHNSON, ROBERTADP OF THE SNFIndividualNOT APPLICABLEsince 06/13/2025
LONG, WILLIAMADP OF THE SNFIndividualNOT APPLICABLEsince 05/16/2025
PRINCIPLE LONG TERM CARE, INC.ADP OF THE SNFOrganizationNOT APPLICABLEsince 04/09/2025
BOICE, GALECORPORATE OFFICERIndividualNOT APPLICABLEsince 03/05/2018
JOHNSON, DIANNECORPORATE OFFICERIndividualNOT APPLICABLEsince 09/19/2013
HILL, RAYMONDDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2011
HILL, ROBERTDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2011
HILL, STEPHENDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2011
BOICE, GALEINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 02/12/2026
LONG, WILLIAMMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2025
JOHNSON, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/15/2025
PRINCIPLE LONG TERM CARE, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/01/2011

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SPRUCE LTC GROUP, LLC (enrollment ID O20130926000647).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
PRINCIPLE IT SERVICES, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST509/19/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
PRINCIPLE LONG TERM CARE, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST509/19/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
RAYMOND GREGG HILLIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST18.471/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT O'NEIL HILLIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST20.61/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHEN BRITT HILLIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST20.021/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GALE R BOICEIndividualADP OF THE SNFNot stated in the filing3/5/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PRINCIPLE LONG TERM CARE, INC.OrganizationADP OF THE SNFNot stated in the filing4/9/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
RAYMOND GREGG HILLIndividualADP OF THE SNFNot stated in the filing1/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT JOHNSONIndividualADP OF THE SNFNot stated in the filing6/13/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT O'NEIL HILLIndividualADP OF THE SNFNot stated in the filing1/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHEN BRITT HILLIndividualADP OF THE SNFNot stated in the filing1/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WILLIAM J LONGIndividualADP OF THE SNFNot stated in the filing5/16/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DIANNE JOHNSONIndividualCORPORATE OFFICER59/19/2013
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GALE R BOICEIndividualCORPORATE OFFICERNot stated in the filing3/5/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RAYMOND GREGG HILLIndividualDIRECT OWNERSHIP INTEREST18.471/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT O'NEIL HILLIndividualDIRECT OWNERSHIP INTEREST20.61/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHEN BRITT HILLIndividualDIRECT OWNERSHIP INTEREST20.021/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WILLIAM J LONGIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PRINCIPLE LONG TERM CARE, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL1001/1/2011
Private equity company: No
Real estate investment trust: No
Holding company: No
ROBERT JOHNSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/15/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1May 15, 2026March 21, 202553
1May 15, 2026May 15, 202654
2March 21, 2025November 17, 202372
2March 21, 2025March 21, 202573
3November 17, 2023May 26, 2022204
3November 17, 2023November 17, 2023173

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on August 1, 2026.

Deficiencies cited

32 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
May 15, 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionJune 16, 2026
May 15, 2026HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correctionJune 16, 2026
May 15, 2026HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DNoDeficient, Provider has date of correctionJune 16, 2026
May 15, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionJune 16, 2026
May 15, 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BNoNo revisit neededJune 16, 2026
March 21, 2025HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.ENoDeficient, Provider has date of correctionApril 18, 2025
March 21, 2025HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correctionApril 18, 2025
March 21, 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correctionApril 18, 2025
March 21, 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionApril 18, 2025
March 21, 2025HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.DNoDeficient, Provider has date of correctionApril 18, 2025
March 21, 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.ENoDeficient, Provider has date of correctionApril 18, 2025
March 21, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionApril 18, 2025
November 17, 2023HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.ENoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.ENoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DNoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0585Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GNoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DNoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DNoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0807Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.BNoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0810Nutrition and Dietary DeficienciesProvide special eating equipment and utensils for residents who need them and appropriate assistance.ENoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FNoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correctionDecember 27, 2023
November 17, 2023HealthF 0882Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FNoDeficient, Provider has date of correctionDecember 27, 2023
August 11, 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesDeficient, Provider has date of correctionSeptember 20, 2023
August 11, 2023HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.GYesDeficient, Provider has date of correctionSeptember 20, 2023
August 11, 2023HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.KYesDeficient, Provider has date of correctionSeptember 20, 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
April 23, 2024Fine$16,80142341
November 17, 2023Fine$88,59542129
November 17, 2023Payment DenialDecember 20, 20237

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameSPRUCE LTC GROUP, LLC
Date First Approved to Provide Medicare and Medicaid Services2013-11-07
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishMecklenburg
Telephone Number7045452377
Chain NamePRINCIPLE LONG TERM CARE
Chain ID423
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day111.7
Overall Rating3
Health Inspection Rating3
QM Rating3
Long-Stay QM Rating5
Short-Stay QM Rating2
Processing Date2026-09-01

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

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