Skilled nursing facility · CMS certification number 365666
INDIAN LAKE REHABILITATION CENTER
LAKEVIEW, Ohio · Medicare and Medicaid
Certified beds, as filed in Care Compare: 40
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,669,094 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,647,021 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,022,073 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,477,871 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$455,798 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,487 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$452,311 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$452,311 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 14,640 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 972 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 10,238 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,206 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 13,416 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 77 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 787.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437654, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 7, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,354,025 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $750,066 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,603,959 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,264,212 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$660,253 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $335,740 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$324,513 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$324,513 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,929 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 113 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 398.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391402, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,350,041 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $859,148 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,490,893 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,935,493 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$444,600 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $534,146 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $89,546 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $89,546 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,296 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 719.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 177.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376518, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 30, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,225,641 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,066,547 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,159,094 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,474,606 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$315,512 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $211,639 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$103,873 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$103,873 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,763 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 856.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 196.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345229, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 30, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,504,702 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,462,580 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,042,122 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,545,558 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$503,436 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $181,874 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$321,562 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$321,562 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,205 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,430.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 231.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301676, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 14, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,315,498 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,359,176 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,956,322 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,132,502 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$176,180 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$176,180 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$176,180 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,902 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 700 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 153.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1271061, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,284,830 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,426,994 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,857,836 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,908,994 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$51,158 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$51,139 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$51,139 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,763 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 398.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1244445, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for December 1, 2016 to December 31, 2017 — a reporting period of 395 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,319,563 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,380,263 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,939,300 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,363,072 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$423,772 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $134 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$423,638 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$423,638 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,579 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 478.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207691, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended November 30, 2016
Cost report for January 1, 2016 to November 30, 2016 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on December 7, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,381,011 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,165,449 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,215,562 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,604,292 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$388,730 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,922 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$380,808 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$386,712 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,450 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 151 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 120.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179472, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 24, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,271,455 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,316,857 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,954,598 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,225,948 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$271,350 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,212 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$261,138 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$266,721 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,783 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 146.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145351, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,343,995 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,241,868 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,102,127 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,492,951 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$390,824 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,054 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$380,770 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$391,123 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,839 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 155 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 100 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1136568, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,846,779 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,094,920 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,751,859 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,321,776 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$569,917 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,749 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$559,168 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$569,420 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,406 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 93.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088721, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 24, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,132,371 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $728,300 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,404,071 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,050,997 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$646,926 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,114 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$637,812 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$648,632 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,971 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 121.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055944, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,253,262 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $879,044 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,374,218 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,639,627 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$265,409 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,694 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$259,715 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$273,651 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,354 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 175.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047562, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,268,072 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,145,639 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $122,433 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,021 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $24,631 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $101,823 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,552 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 211.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 103.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428077, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 22, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,287,131 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,123,398 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $163,733 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,467 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,121 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $168,079 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,565 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 114 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 294.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 118.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 395990, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for December 20, 2007 to December 31, 2008 — a reporting period of 377 days, on form CMS-2540-96, settled, processed by CMS on March 19, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,876,502 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,593,856 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $282,646 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,977 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $291,623 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,942 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 305.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 106.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 366205, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 19, 2007
Cost report for January 1, 2007 to December 19, 2007 — a reporting period of 352 days, on form CMS-2540-96, settled, processed by CMS on February 20, 2009.
None of these figures is carried on this report.
CMS report record 333959, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2008.
None of these figures is carried on this report.
CMS report record 300788, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 29, 2006.
None of these figures is carried on this report.
CMS report record 269858, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 8, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,052,588 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,071,662 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$19,074 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,266 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$14,808 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,401 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 245 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 173.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 87.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 238510, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,383,041 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,525,938 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$142,897 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,662 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$138,235 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,115 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 227 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 277.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 106.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205182, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 28, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,203,519 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,074,186 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $129,333 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,770 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $137,103 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,278 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 423.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 135.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 162078, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 3, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,809,638 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,785,444 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $24,194 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,266 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $31,460 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,512 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 193 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 273.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 135600, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 28, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,021,873 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,682,353 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $339,520 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,566 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,970 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $345,116 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,296 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 223 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 293.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 117.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 47200, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 27, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,571,768 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,593,528 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$21,760 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,740 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $23,761 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$33,781 (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 | 127 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,030 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 169 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 361.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 165.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 47198, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on August 4, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,795,835 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,612,898 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,817,063 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,070 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $25,982 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$2,829,975 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,369 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 223 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 265.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 155841, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on September 30, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,505,043 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,875,175 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$370,132 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,316 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $23,479 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$380,295 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,053 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 429.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 47193, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on September 15, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,065,469 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,134,981 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$69,512 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,006 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$15,564 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$40,942 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,431 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 219 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 274.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 152.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 47190, read from the public cost report file SNFFY1996.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 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| BNV DYNASTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| CITRIN COOPERMAN ADVISORS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2016 |
| DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| FULMER, GREGG | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/02/2018 |
| HOHLEFELDER, JASON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/19/2022 |
| INDIAN LAKE RE GROUP, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2016 |
| NICOLUZAKIS, GREGORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2019 |
| SABER GOVERNANCE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2019 |
| SENTER, ALAYNA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/05/2019 |
| SHG MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2019 |
| VOLPE, BENJAMIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2019 |
| WIW DYNASTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2023 |
| VOLPE, BENJAMIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2019 |
| WEISBERG, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2019 |
| NICOLUZAKIS, GREGORY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2019 |
| VOLPE, BENJAMIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2019 |
| WEISBERG, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2019 |
| SABER HEALTHCARE HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 12/01/2016 |
| WIW DYNASTY LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2023 |
| HOHLEFELDER, JASON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/19/2022 |
| SABER GOVERNANCE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2019 |
| SENTER, ALAYNA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/05/2019 |
| SHG MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2019 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of INDIAN LAKE HEALTHCARE GROUP LLC (enrollment ID O20170206002723).
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 |
|---|---|---|---|---|---|
| SABER HEALTHCARE HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/1/2016 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| BNV DYNASTY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 67 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| WIW DYNASTY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 67 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALAYNA SENTER | Individual | ADP OF THE SNF | Not stated in the filing | 8/5/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN N VOLPE | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| BNV DYNASTY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| CITRIN COOPERMAN ADVISORS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| GREGG SCOTT FULMER | Individual | ADP OF THE SNF | Not stated in the filing | 4/2/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY NICOLUZAKIS | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| INDIAN LAKE RE GROUP, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON HOHLEFELDER | Individual | ADP OF THE SNF | Not stated in the filing | 12/19/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SABER GOVERNANCE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHG MANAGEMENT LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| WIW DYNASTY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENJAMIN N VOLPE | Individual | CORPORATE DIRECTOR | 50 | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM I WEISBERG | Individual | CORPORATE DIRECTOR | 50 | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN N VOLPE | Individual | CORPORATE OFFICER | 0 | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY NICOLUZAKIS | Individual | CORPORATE OFFICER | 0 | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM I WEISBERG | Individual | CORPORATE OFFICER | 0 | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SABER HEALTHCARE HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 12/1/2016 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| WIW DYNASTY LLC | Organization | INDIRECT OWNERSHIP INTEREST | 67 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALAYNA SENTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/5/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON HOHLEFELDER | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 12/19/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SABER GOVERNANCE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHG MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- October 1, 2025: SHH HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SABER HEALTHCARE GROUP, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ALAYNA SENTER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WWBV HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WIW DYNASTY LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WIW DYNASTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CITRIN COOPERMAN ADVISORS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GREGG SCOTT FULMER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 2, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BENJAMIN N VOLPE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BNV DYNASTY, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SABER GOVERNANCE, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SHG MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GREGORY NICOLUZAKIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ALAYNA SENTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 5, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ALAYNA SENTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 5, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: INDIAN LAKE RE GROUP, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JASON HOHLEFELDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 19, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SABER HEALTHCARE HOLDINGS, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- June 15, 2023: MICHAEL RABUKA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: JASON HOHLEFELDER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since December 19, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
Recent changes on this record
- September 1, 2026: ownership_type: For profit - Corporation → For profit - Limited Liability company. NH_ProviderInfo_Sep2026_3.csv
- May 28, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- October 1, 2025: SHH HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SABER HEALTHCARE GROUP, LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ALAYNA SENTER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WWBV HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WIW DYNASTY LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WIW DYNASTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CITRIN COOPERMAN ADVISORS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GREGG SCOTT FULMER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 2, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BENJAMIN N VOLPE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BNV DYNASTY, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SABER GOVERNANCE, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SHG MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GREGORY NICOLUZAKIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ALAYNA SENTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 5, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ALAYNA SENTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 5, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: INDIAN LAKE RE GROUP, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JASON HOHLEFELDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 19, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SABER HEALTHCARE HOLDINGS, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 7, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- April 18, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- June 15, 2023: MICHAEL RABUKA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: JASON HOHLEFELDER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since December 19, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- March 30, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 30, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- October 14, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- October 16, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- December 7, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- October 24, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 25, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- April 16, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- February 24, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- August 29, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- April 23, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- March 22, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 28, 2026 | May 28, 2026 | 0 | 3 |
| 2 | June 20, 2024 | June 20, 2024 | 0 | 7 |
| 3 | December 16, 2021 | December 16, 2021 | 3 | 8 |
| 3 | May 2, 2019 | May 2, 2019 | 15 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
16 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| October 23, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | November 7, 2023 |
| October 23, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | November 7, 2023 |
| December 16, 2021 | Health | F 0770 | Administration Deficiencies | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | No | Deficient, Provider has date of correction | January 14, 2022 |
| May 2, 2019 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | May 28, 2019 |
| May 2, 2019 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | No | Deficient, Provider has plan of correction | May 28, 2019 |
| May 2, 2019 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | May 28, 2019 |
| May 2, 2019 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | May 28, 2019 |
| May 2, 2019 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | May 28, 2019 |
| May 2, 2019 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | May 28, 2019 |
| May 2, 2019 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | May 28, 2019 |
| May 2, 2019 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | May 28, 2019 |
| May 2, 2019 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | May 28, 2019 |
| May 2, 2019 | 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 | May 28, 2019 |
| May 2, 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | May 28, 2019 |
| May 2, 2019 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | May 28, 2019 |
| May 2, 2019 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | May 28, 2019 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | INDIAN LAKE HEALTHCARE GROUP LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1985-10-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Logan |
| Telephone Number | 9378434929 |
| Chain Name | SABER HEALTHCARE GROUP |
| Chain ID | 461 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 40 |
| Average Number of Residents per Day | 35.6 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The citable document for INDIAN LAKE REHABILITATION CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Ohio at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 365666.