Skilled nursing facility · CMS certification number 366217
AUTUMN COURT
OTTAWA, Ohio · Medicare and Medicaid
Certified beds, as filed in Care Compare: 50
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: 1 · Fines: 1 · Fines, total amount: $25,495.00 · Payment denials: 0. The most recent penalty on file: June 25, 2026, Fine, $25,495. 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 | $5,721,927 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $599,031 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,122,896 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,648,020 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $474,876 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $55,227 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $530,103 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $530,103 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 18,300 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 334 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,403 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 909 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,646 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 3 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 65 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 7 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 111.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 252.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 235.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437742, 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 January 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,973,622 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $812,630 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,160,992 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,973,286 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$812,294 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $450,019 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$362,275 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$362,275 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,661 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 139.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 251.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 223.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402954, 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 February 15, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,868,928 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,282,399 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,586,529 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,023,711 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$437,182 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $358,582 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$78,600 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$78,600 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,200 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 221.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 189.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373465, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,760,151 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,315,862 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,444,289 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,073,781 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$629,492 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,039,741 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $410,249 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $410,249 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,678 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 231.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 205.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364300, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for July 1, 2020 to December 31, 2020 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 27, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,361,201 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $379,388 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,981,813 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,964,222 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $17,591 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $116,700 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $134,291 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $134,291 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,402 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 26 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 86.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 764.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 323.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1297206, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 10, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,568,156 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,076,657 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,491,499 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,584,414 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$92,915 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $40,984 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$51,931 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$51,931 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,808 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 39 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 167.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 738.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 405.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1267126, 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 May 16, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,313,385 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $797,510 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,515,875 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,389,405 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $126,470 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,039 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $161,509 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $161,509 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,411 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 25 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,297 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 656.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1224540, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 27, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,295,975 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $695,566 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,600,409 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,288,904 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $311,505 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,770 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $333,275 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $333,275 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,990 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 832.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 499.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1212378, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 16, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,459,030 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $885,689 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,573,341 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,190,961 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $382,380 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $382,380 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $382,380 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,836 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,825.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 990.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178557, 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 December 8, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,506,250 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,035,323 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,470,927 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,239,440 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $231,487 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $61 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $231,548 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $231,548 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,653 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 20 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,100.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 882.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1147999, 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 May 12, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,250,102 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $857,885 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,392,217 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,236,596 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $155,621 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,166 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $198,787 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $198,787 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,540 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 164.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,358.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 974.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1123717, 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 March 12, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,034,401 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $727,219 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,307,182 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,157,207 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $149,975 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,906 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $166,881 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $166,881 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,425 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 21 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,716.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 829.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1087026, 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 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,210,267 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $753,952 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,456,315 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,259,069 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $197,246 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $197,246 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $197,246 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,284 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 82.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 619.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 480.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056080, 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 March 21, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,619,250 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $584,807 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,034,443 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,138,443 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$104,000 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$104,000 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$104,000 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,987 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 29 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 843.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 585.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026253, 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 May 29, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,055,948 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,190,097 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$134,149 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $62,240 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$71,909 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,391 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 795.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 527 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429536, 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 February 24, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,792,801 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,879,605 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$86,804 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$86,804 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,606 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 13 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 90 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,379.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,354.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394445, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,754,341 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,823,496 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$69,155 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$69,155 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,973 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 31 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 133 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 619.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 579.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363839, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 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 333993, 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 March 5, 2008.
None of these figures is carried on this report.
CMS report record 303733, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for June 1, 2005 to December 31, 2005 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 5, 2007.
None of these figures is carried on this report.
CMS report record 271781, 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 February 21, 2006.
None of these figures is carried on this report.
CMS report record 243316, 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 April 26, 2005.
None of these figures is carried on this report.
CMS report record 215165, 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 February 24, 2004.
None of these figures is carried on this report.
CMS report record 169454, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for May 3, 2001 to December 31, 2001 — a reporting period of 242 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
None of these figures is carried on this report.
CMS report record 139916, read from the public cost report file SNFFY2001.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| LIONSTONE HZ OPCO HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2023 |
| KAZARNOVSKY, SOLOMON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50% | since 01/01/2023 |
| STEIN, ABBA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50% | since 01/01/2023 |
| CUSNER, ADAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/27/2025 |
| DEGYANSKY, JEFFREY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2023 |
| GOLDISH, ELIEZER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/09/2023 |
| KAZARNOVSKY, SOLOMON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2023 |
| STEIN, ABBA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2023 |
| CUSNER, ADAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/27/2025 |
| DEGYANSKY, JEFFREY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2020 |
| GOLDISH, ELIEZER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/09/2023 |
| KAZARNOVSKY, SOLOMON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2023 |
| STEIN, ABBA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2023 |
| CUSNER, ADAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/27/2025 |
| DEGYANSKY, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
| GOLDISH, ELIEZER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/09/2023 |
| KAZARNOVSKY, SOLOMON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
| STEIN, ABBA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of AUTUMN COURT OPERATING COMPANY, LLC (enrollment ID O20200902001129).
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 |
|---|---|---|---|---|---|
| LIONSTONE HZ OPCO HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ABBA STEIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOLOMON KAZARNOVSKY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ABBA STEIN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ADAM CUSNER | Individual | ADP OF THE SNF | Not stated in the filing | 1/27/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELIEZER GOLDISH | Individual | ADP OF THE SNF | Not stated in the filing | 10/9/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY DEGYANSKY | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOLOMON KAZARNOVSKY | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 11/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/18/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ABBA STEIN | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ADAM CUSNER | Individual | CORPORATE OFFICER | Not stated in the filing | 1/27/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELIEZER GOLDISH | Individual | CORPORATE OFFICER | Not stated in the filing | 10/9/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY DEGYANSKY | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOLOMON KAZARNOVSKY | Individual | CORPORATE OFFICER | 50 | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ABBA STEIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ADAM CUSNER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/27/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELIEZER GOLDISH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/9/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY DEGYANSKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOLOMON KAZARNOVSKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 1, 2025: ABBA STEIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ABBA STEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ABBA STEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFFREY DEGYANSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFFREY DEGYANSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFFREY DEGYANSKY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ADAM CUSNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ADAM CUSNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ADAM CUSNER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ELIEZER GOLDISH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ELIEZER GOLDISH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ELIEZER GOLDISH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SOLOMON KAZARNOVSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SOLOMON KAZARNOVSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- July 17, 2023: ALISON HAZELBAKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: LEIGH HAZELBAKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RUSSELL DUVALL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JANA HAZELBAKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: GERALD HAZELBAKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JON HAZELBAKR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RALPH BRIAN HAZELBAKER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RALPH BRIAN HAZELBAKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RALPH BRIAN HAZELBAKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JOSEPH HAZELBAKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JOSEPH HAZELBAKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RALPH HAZELBAKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RALPH HAZELBAKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: HG OHIO OPERATIONS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ABBA STEIN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ABBA STEIN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ABBA STEIN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: LIONSTONE HZ OPCO HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: SOLOMON KAZARNOVSKY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: SOLOMON KAZARNOVSKY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Recent changes on this record
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 1, 2025: ABBA STEIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ABBA STEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ABBA STEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFFREY DEGYANSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFFREY DEGYANSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFFREY DEGYANSKY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ADAM CUSNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ADAM CUSNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ADAM CUSNER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ELIEZER GOLDISH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ELIEZER GOLDISH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ELIEZER GOLDISH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SOLOMON KAZARNOVSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SOLOMON KAZARNOVSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- January 30, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- February 15, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 9, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 17, 2023: ALISON HAZELBAKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: LEIGH HAZELBAKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RUSSELL DUVALL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JANA HAZELBAKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: GERALD HAZELBAKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JON HAZELBAKR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RALPH BRIAN HAZELBAKER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RALPH BRIAN HAZELBAKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RALPH BRIAN HAZELBAKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JOSEPH HAZELBAKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JOSEPH HAZELBAKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RALPH HAZELBAKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: RALPH HAZELBAKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: HG OHIO OPERATIONS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ABBA STEIN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ABBA STEIN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: ABBA STEIN (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: LIONSTONE HZ OPCO HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: SOLOMON KAZARNOVSKY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: SOLOMON KAZARNOVSKY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- August 27, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | October 17, 2024 | October 17, 2024 | 7 | 4 |
| 2 | July 7, 2022 | July 7, 2022 | 4 | 1 |
| 3 | June 13, 2019 | June 13, 2019 | 3 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
14 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 25, 2026 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | Yes | Past Non-Compliance | |
| October 17, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | October 30, 2024 |
| October 17, 2024 | 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 | October 30, 2024 |
| October 17, 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | October 30, 2024 |
| October 17, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | October 30, 2024 |
| October 17, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 30, 2024 |
| October 17, 2024 | Health | F 0949 | Administration Deficiencies | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | C | No | Deficient, Provider has plan of correction | October 23, 2024 |
| July 7, 2022 | 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 | No | Deficient, Provider has date of correction | September 4, 2022 |
| July 7, 2022 | 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 | September 4, 2022 |
| July 7, 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | September 4, 2022 |
| July 7, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | September 4, 2022 |
| June 13, 2019 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | No | Deficient, Provider has date of correction | July 1, 2019 |
| June 13, 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 | July 1, 2019 |
| June 13, 2019 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | July 1, 2019 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| June 25, 2026 | Fine | $25,495 | 142368 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | AUTUMN COURT OPERATING COMPANY, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2001-05-03 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Putnam |
| Telephone Number | 4195234370 |
| Chain Name | LIONSTONE CARE |
| Chain ID | 611 |
| 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 | 50 |
| Average Number of Residents per Day | 46.9 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on AUTUMN COURT: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for AUTUMN COURT
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 366217.