Skilled nursing facility · CMS certification number 385031
AVAMERE CRESTVIEW OF PORTLAND
PORTLAND, Oregon · Medicare and Medicaid
Certified beds, as filed in Care Compare: 127
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 | $11,338,652 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,416,749 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,755,401 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,184,877 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$429,476 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $237,206 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$192,270 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$192,270 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 46,482 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,057 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,663 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,332 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,052 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 33 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 82 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 144 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 259 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 166.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438600, 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 September 11, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,086,540 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,100,805 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,187,345 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,986,135 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$798,790 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $77,539 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$721,251 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$721,251 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,400 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 314.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394552, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,911,705 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$297,501 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,209,206 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,470,801 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,261,595 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,484,515 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,222,920 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,222,920 (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 | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,938 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 236 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 268.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365784, 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 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,026,015 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $50,471 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,975,544 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,251,905 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$276,361 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,170,741 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $894,380 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $894,380 (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 | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,973 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 303 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 212.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333411, 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 | $12,238,073 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $669,864 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,568,209 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,262,296 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$694,087 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,494,068 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $799,981 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $799,981 (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 | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,525 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 294 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301702, 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 December 1, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,240,744 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,473,374 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,767,370 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,726,262 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $41,108 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,635 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $82,743 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $82,743 (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 | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,660 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 372 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 208.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274636, 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 June 19, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,426,080 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,321,103 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,104,977 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,228,973 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$123,996 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,016 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$71,980 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$71,980 (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 | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,565 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 421 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 147.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1230280, 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 August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,319,815 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,607,374 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,712,441 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,893,795 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$181,354 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $53,156 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$128,198 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$128,198 (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 | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,251 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 261 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 493.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208738, 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 August 22, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,960,578 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,885,575 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,075,003 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,377,904 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$302,901 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,201 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$273,700 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$273,700 (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 | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,637 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 515 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 153.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174490, 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 August 10, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,385,594 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,581,591 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,804,003 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,040,943 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$236,940 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $66,801 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$170,139 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$170,139 (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 | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,139 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 504 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 149.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1140591, 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 September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,419,218 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,610,950 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,808,268 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,249,725 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$441,457 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $67,082 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$374,375 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$374,375 (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 | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,568 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 698 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 133.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 39.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143187, 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 August 30, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,538,736 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,035,199 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,503,537 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,750,994 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$247,457 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $149,482 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$97,975 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$97,975 (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 | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,528 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 860 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 150.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 32.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077542, 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 August 26, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,897,015 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,274,197 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,622,818 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,067,114 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$444,296 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $314,963 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$129,333 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$129,333 (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 | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,688 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 764 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 175.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 38.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047342, 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 November 12, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,594,779 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,659,966 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,934,813 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,317,769 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$382,956 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $690,336 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $307,380 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $307,380 (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 | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,454 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,054 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 90.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 28.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1019296, 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 August 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,542,618 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,649,926 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$107,308 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $237,409 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $130,101 (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 | 32,878 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 550 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 958.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 59.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415864, 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 July 29, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,262,885 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,480,128 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$217,243 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $288,621 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $71,378 (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 | 33,902 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 533 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 329.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 63.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384345, 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 August 27, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,831,941 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,486,588 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$654,647 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $150,638 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$504,009 (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 | 34,235 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 428 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 265.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 79.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355592, 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 26, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,127,460 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,379,776 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$252,316 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $84,970 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$167,346 (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 | 36,935 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 527 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 238.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 70.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 334286, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for October 6, 2006 to December 31, 2006 — a reporting period of 86 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 30, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,977,541 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,018,602 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$41,061 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,677 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$14,384 (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 | 7,963 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 156.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 59.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 307992, read from the public cost report file SNFFY2007.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 May 30, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,634,260 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,501,880 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $132,380 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,257 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $171,637 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,999 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 642 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 211.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 34.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 279914, 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 3, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,005,662 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,313,744 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$308,082 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $164,758 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$143,324 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,375 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 669 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 84.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 46.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242320, 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 June 9, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,060,377 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,710,666 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$650,289 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $71,081 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$579,208 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,832 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 681 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 40.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 45.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 221185, 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 May 7, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,063,386 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,479,651 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$416,265 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,414 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$5 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$362,846 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,677 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 660 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 49.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175602, 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 September 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,900,039 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,364,408 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $535,631 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $135,709 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $671,340 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,467 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 692 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 45.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159283, 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 April 3, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,477,281 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,052,593 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $424,688 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $122,402 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $160,711 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $386,379 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,007 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,005 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 34.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133935, 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 October 10, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,773,025 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,789,890 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$16,865 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $455,491 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $438,626 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,813 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 838 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 40.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51253, 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 June 7, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,735,292 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,302,073 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $433,219 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $180,953 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $524,144 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $90,028 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,001 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 982 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 35.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51250, 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, settled, processed by CMS on September 29, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,828,492 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,632,479 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $196,013 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $116,921 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $312,934 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,291 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 926 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 35.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51248, 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 April 12, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,278,791 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,071,374 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $207,417 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $193,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $400,417 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,919 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 797 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 42.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51246, 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 in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| MIDCAP FINCO LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 01/22/2010 |
| ADAMS, NANCY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/31/2024 |
| AEQUOR HEALTHCARE SERVICES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/20/2023 |
| AVAMERE HEALTH SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/13/2025 |
| AVAMERE SKILLED ADVISORS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/03/2025 |
| CMG CIT ACQUISITION, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/18/2023 |
| CONSOLIDATED BILLING SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/24/1998 |
| CONVERDIA HEALTH STAFFING - THERAPIES | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/09/2024 |
| DANA, JENNIFER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2022 |
| DAVIS, JULIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2024 |
| DOEPKER, ANDREA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/28/2023 |
| FEAKIN, CODY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| FUNDERBERG, MICHELLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/31/2024 |
| FUSION MEDICAL STAFFING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/12/2024 |
| GAMES, KIM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/15/2024 |
| GILES, HEATHERANN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| HARRISON, LORI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/22/2021 |
| HILL, KEVIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/12/2022 |
| INCOVATE SOLUTIONS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/21/2022 |
| INSKEEP, TODD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2022 |
| KEVALA TECHNOLOGIES, INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/31/2023 |
| KOFSTAD, MARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/13/2024 |
| LAO, PHOI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/12/2024 |
| LARSON, DAVID | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2020 |
| MOSS ADAMS LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2009 |
| MUNRO, JOLYNN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2023 |
| NATIONAL STAFFING SOLUTIONS, INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/22/2023 |
| NURSA INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2023 |
| POLSON, JUSTIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/10/2025 |
| POWELSON, MICHELE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/25/2015 |
| PRESLEY, YOLANDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/06/2025 |
| RANDE HOLDINGS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/01/2024 |
| REID, MISTY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2025 |
| SABRA HEALTH CARE LIMITED PARTNERSHIP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/17/2017 |
| SABRA HEALTH CARE REIT INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/17/2017 |
| SABRA HEALTH CARE, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/17/2017 |
| SIMPSON, ANDREW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2024 |
| STAPLES, CAROLYN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/05/2023 |
| STRUNK, COLBY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/06/2022 |
| TIJERINA, SARAH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/13/2025 |
| VANDERZANDEN, CARRIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| VENTURA MEDSTAFF, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2024 |
| HAMPOIAN, ARAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/12/2025 |
| HENRICHON, GREGORY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/12/2025 |
| KOFSTAD, MARY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/29/2025 |
| NEWELL, JO ANN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/12/2025 |
| ADAMS, NANCY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| CAVALLO, GLEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| FEAKIN, CODY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| FUNDERBERG, MICHELLE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| HILL, KEVIN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| HOSKINS, TONIA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| INSKEEP, TODD | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| KOFSTAD, MARY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| MUNRO, JOLYNN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| OKOLI, IKE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| POLSON, JUSTIN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| POWELSON, MICHELE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| REID, MISTY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| SANDERS, AMANDA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| SIMPSON, ANDREW | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| STRUNK, COLBY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| VANDERZANDEN, CARRIE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2025 |
| AVAMERE HEALTH SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2006 |
| AVAMERE SKILLED ADVISORS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2006 |
| DANA, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2022 |
| DAVIS, JULIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2024 |
| DOEPKER, ANDREA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/28/2023 |
| FEAKIN, CODY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/15/2025 |
| GILES, HEATHERANN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| HOSKINS, TONIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/19/2024 |
| KOFSTAD, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/13/2024 |
| LAO, PHOI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/12/2024 |
| LARSON, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2020 |
| MIDCAP FINCO LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/22/2010 |
| MUNRO, JOLYNN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2023 |
| POWELSON, MICHELE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/25/2015 |
| PRESLEY, YOLANDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/06/2025 |
| REID, MISTY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/02/2025 |
| SIMPSON, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2024 |
| TIJERINA, SARAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/13/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CRESTVIEW OPERATIONS LLC (enrollment ID O20060720000335).
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 |
|---|---|---|---|---|---|
| ARISO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/1/2006 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ARI OPERATIONS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 10/1/2006 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| AVAMERE GROUP LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 10/1/2006 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| KARL RICKARD MILLER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Not stated in the filing | 5/1/1997 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KARL RICKARD MILLER JR REVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/1/1997 | Private equity company: No Real estate investment trust: No Holding company: No |
| MIDCAP FINCO LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 1/22/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| AEQUOR HEALTHCARE SERVICES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/20/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREA DOEPKER | Individual | ADP OF THE SNF | Not stated in the filing | 9/28/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREW SIMPSON | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AVAMERE HEALTH SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/13/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| AVAMERE SKILLED ADVISORS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/3/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAROLYN STAPLES | Individual | ADP OF THE SNF | Not stated in the filing | 10/5/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARRIE VANDERZANDEN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CMG CIT ACQUISITION, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/18/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| CODY FEAKIN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COLBY STRUNK | Individual | ADP OF THE SNF | Not stated in the filing | 9/6/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CONSOLIDATED BILLING SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 4/24/1998 | Private equity company: No Real estate investment trust: No Holding company: No |
| CONVERDIA HEALTH STAFFING - THERAPIES | Organization | ADP OF THE SNF | Not stated in the filing | 7/9/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID P LARSON | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FUSION MEDICAL STAFFING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/12/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEATHERANN GILES | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| INCOVATE SOLUTIONS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/21/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| JENNIFER DANA | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOLYNN MUNRO | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE DAVIS | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUSTIN POLSON | Individual | ADP OF THE SNF | Not stated in the filing | 2/10/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVALA TECHNOLOGIES, INC | Organization | ADP OF THE SNF | Not stated in the filing | 10/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| KEVIN HILL | Individual | ADP OF THE SNF | Not stated in the filing | 3/12/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIM GAMES | Individual | ADP OF THE SNF | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LORI HARRISON | Individual | ADP OF THE SNF | Not stated in the filing | 2/22/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY KOFSTAD | Individual | ADP OF THE SNF | Not stated in the filing | 2/13/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELE POWELSON | Individual | ADP OF THE SNF | Not stated in the filing | 3/25/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELLE FUNDERBERG | Individual | ADP OF THE SNF | Not stated in the filing | 12/31/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MISTY DAWN REID | Individual | ADP OF THE SNF | Not stated in the filing | 1/2/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MOSS ADAMS LLP | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2009 | Private equity company: No Real estate investment trust: No Holding company: No |
| NANCY ADAMS | Individual | ADP OF THE SNF | Not stated in the filing | 12/31/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATIONAL STAFFING SOLUTIONS, INC | Organization | ADP OF THE SNF | Not stated in the filing | 11/22/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| NURSA INC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| PHOI LAO | Individual | ADP OF THE SNF | Not stated in the filing | 11/12/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDE HOLDINGS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| SABRA HEALTH CARE LIMITED PARTNERSHIP | Organization | ADP OF THE SNF | Not stated in the filing | 8/17/2017 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SABRA HEALTH CARE REIT INC | Organization | ADP OF THE SNF | Not stated in the filing | 8/17/2017 | Private equity company: No Real estate investment trust: Yes Holding company: Yes |
| SABRA HEALTH CARE, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/17/2017 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SARAH TIJERINA | Individual | ADP OF THE SNF | Not stated in the filing | 7/13/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TODD INSKEEP | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VENTURA MEDSTAFF, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| YOLANDA PRESLEY | Individual | ADP OF THE SNF | Not stated in the filing | 1/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 8/7/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMANDA SANDERS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREW SIMPSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARRIE VANDERZANDEN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CODY FEAKIN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COLBY STRUNK | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GLEN ROBERT CAVALLO | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IKE OKOLI | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOLYNN MUNRO | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUSTIN POLSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN HILL | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY KOFSTAD | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELE POWELSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELLE FUNDERBERG | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MISTY DAWN REID | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NANCY ADAMS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TODD INSKEEP | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TONIA HOSKINS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREA DOEPKER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/28/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREW SIMPSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AVAMERE HEALTH SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| AVAMERE SKILLED ADVISORS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| CODY FEAKIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID P LARSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEATHERANN GILES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER DANA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOLYNN MUNRO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE DAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY KOFSTAD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/13/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELE POWELSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/25/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIDCAP FINCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/22/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| MISTY DAWN REID | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/2/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PHOI LAO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/12/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SARAH TIJERINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/13/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TONIA HOSKINS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/19/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YOLANDA PRESLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- October 1, 2025: SARAH TIJERINA 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: MARY KOFSTAD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DAVID P LARSON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANDREW SIMPSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CARRIE VANDERZANDEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CARRIE VANDERZANDEN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PHOI LAO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PHOI LAO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MOSS ADAMS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SABRA HEALTH CARE, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 17, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CONVERDIA HEALTH STAFFING - THERAPIES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANDREA DOEPKER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANDREA DOEPKER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KEVIN HILL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 12, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KEVIN HILL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AMANDA SANDERS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MISTY DAWN REID (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MISTY DAWN REID (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MISTY DAWN REID (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CODY FEAKIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CODY FEAKIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CODY FEAKIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: INCOVATE SOLUTIONS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AEQUOR HEALTHCARE SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 20, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOLYNN MUNRO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOLYNN MUNRO (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOLYNN MUNRO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: NATIONAL STAFFING SOLUTIONS, INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 22, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SARAH TIJERINA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SARAH TIJERINA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: YOLANDA PRESLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: YOLANDA PRESLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SABRA HEALTH CARE LIMITED PARTNERSHIP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 17, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARY KOFSTAD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARY KOFSTAD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARY KOFSTAD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JULIE DAVIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JULIE DAVIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TONIA CLARK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TONIA CLARK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MICHELE POWELSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 25, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MICHELE POWELSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MICHELE POWELSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 25, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RANDE HOLDINGS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KIM GAMES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KEVALA TECHNOLOGIES, INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JUSTIN POLSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JUSTIN POLSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: COLBY STRUNK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: COLBY STRUNK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: VENTURA MEDSTAFF, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CORE MEDICAL GROUP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CONSOLIDATED BILLING SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 24, 1998. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TODD INSKEEP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TODD INSKEEP (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: IKE OKOLI (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DAVID P LARSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DAVID P LARSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AVAMERE HEALTH SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AVAMERE HEALTH SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2006. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: FUSION MEDICAL STAFFING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KARL RICKARD MILER JR REVOCABLE TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 1, 1997. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CAROLYN STAPLES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GLEN ROBERT CAVALLO (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MIDCAP FINCO LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 22, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MIDCAP FINCO LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 22, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANDREW SIMPSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANDREW SIMPSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANDREW SIMPSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JENNIFER DANA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JENNIFER DANA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 7, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MICHELLE FUNDERBERG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 31, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MICHELLE FUNDERBERG (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HEATHERANN GILES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HEATHERANN GILES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LORI HARRISON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 22, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: NSR PHYSICIANS P.A. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 17, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: NURSA INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: NANCY ADAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 31, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: NANCY ADAMS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AVAMERE SKILLED ADVISORS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AVAMERE SKILLED ADVISORS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2006. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2024: RONALD A ODERMOTT no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: RICHARD A DILLON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: CRESTVIEW OPERATIONS, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: ANDREW SIMPSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since June 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- August 1, 2024: RONALD A ODERMOTT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: ROBB MELCHER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: KARL R MILLER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: SARAH TIJERINA (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since October 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: MARY KOFSTAD (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since February 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: DAVID P LARSON (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
Recent changes on this record
- October 1, 2025: SARAH TIJERINA 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: MARY KOFSTAD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DAVID P LARSON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANDREW SIMPSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CARRIE VANDERZANDEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CARRIE VANDERZANDEN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PHOI LAO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PHOI LAO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MOSS ADAMS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SABRA HEALTH CARE, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 17, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CONVERDIA HEALTH STAFFING - THERAPIES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANDREA DOEPKER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ANDREA DOEPKER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KEVIN HILL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 12, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: KEVIN HILL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AMANDA SANDERS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MISTY DAWN REID (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MISTY DAWN REID (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MISTY DAWN REID (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CODY FEAKIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CODY FEAKIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CODY FEAKIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: INCOVATE SOLUTIONS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AEQUOR HEALTHCARE SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 20, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOLYNN MUNRO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOLYNN MUNRO (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOLYNN MUNRO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: NATIONAL STAFFING SOLUTIONS, INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since November 22, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SARAH TIJERINA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SARAH TIJERINA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: YOLANDA PRESLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: YOLANDA PRESLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SABRA HEALTH CARE LIMITED PARTNERSHIP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 17, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARY KOFSTAD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARY KOFSTAD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARY KOFSTAD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 13, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JULIE DAVIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JULIE DAVIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TONIA CLARK (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TONIA CLARK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 13, 2026 | February 13, 2026 | 9 | 2 |
| 2 | September 13, 2024 | September 13, 2024 | 24 | 1 |
| 3 | June 15, 2023 | June 15, 2023 | 24 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
57 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 13, 2026 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | March 6, 2026 |
| February 13, 2026 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | March 6, 2026 |
| February 13, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | March 6, 2026 |
| February 13, 2026 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | March 6, 2026 |
| February 13, 2026 | 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 | March 6, 2026 |
| February 13, 2026 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | March 6, 2026 |
| February 13, 2026 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | March 6, 2026 |
| February 13, 2026 | 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 | March 6, 2026 |
| February 13, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | March 6, 2026 |
| September 13, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 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 | Yes | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | 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 | October 22, 2024 |
| September 13, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | 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 | October 22, 2024 |
| September 13, 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | 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 | October 22, 2024 |
| September 13, 2024 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Yes | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Yes | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Yes | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 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. | D | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 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. | E | No | Deficient, Provider has date of correction | October 22, 2024 |
| September 13, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | October 22, 2024 |
| January 25, 2024 | 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 | Yes | Deficient, Provider has date of correction | March 15, 2024 |
| January 25, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | March 15, 2024 |
| January 25, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Yes | Deficient, Provider has date of correction | March 15, 2024 |
| October 16, 2023 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | November 28, 2023 |
| October 10, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | November 20, 2023 |
| October 10, 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 20, 2023 |
| October 10, 2023 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | Yes | Deficient, Provider has date of correction | November 20, 2023 |
| June 15, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | July 25, 2023 |
| June 15, 2023 | 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 | July 25, 2023 |
| June 15, 2023 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | July 25, 2023 |
| June 15, 2023 | 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 | July 25, 2023 |
| June 15, 2023 | 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 | July 25, 2023 |
| June 15, 2023 | 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 | July 25, 2023 |
| June 15, 2023 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | July 25, 2023 |
| June 15, 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | July 25, 2023 |
| June 15, 2023 | 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. | G | No | Deficient, Provider has date of correction | July 25, 2023 |
| June 15, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | July 25, 2023 |
| June 15, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | G | No | Deficient, Provider has date of correction | July 25, 2023 |
| June 15, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | July 25, 2023 |
| June 15, 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | July 25, 2023 |
| June 15, 2023 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | July 25, 2023 |
| June 15, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | July 25, 2023 |
| June 15, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | July 25, 2023 |
| June 15, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | K | No | Deficient, Provider has date of correction | July 25, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | CRESTVIEW OPERATIONS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1967-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Multnomah |
| Telephone Number | 5032447533 |
| Chain Name | AVAMERE |
| Chain ID | 58 |
| 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 | 127 |
| Average Number of Residents per Day | 65.3 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 2 |
| 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 AVAMERE CRESTVIEW OF PORTLAND: 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 October 1, 2025: SARAH TIJERINA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. 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 AVAMERE CRESTVIEW OF PORTLAND
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 Oregon 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.
Other public records in Oregon
- EDWARDS ADDITION PHASE 8, MONMOUTH Water discharge permit
- TREATY OAK SKILLS CENTER AND STUDENT HOUSING, THE DALLES Water discharge permit
- 16051 SE HWY 224 GRADING, CARVER Water discharge permit
- ROGUE RIVER LIL' PANTRY ICE PLANT, ROGUE RIVER Water discharge permit
- SALEM HEALTH BLDG A EXPANSION, SALEM Water discharge permit
- SYLVAN HIGHLANDS PHASE III, PORTLAND Water discharge permit
- INDEPENDENCE SUBDIVISION, INDEPENDENCE Water discharge permit
- PHILLIPS SOIL, CANBY Water discharge permit
- TIMBERLAB LAMINATORS (DIVERSIFIED WOOD RESOURCES), SWISSHOME Air emission source
- HEXION INC., SPRINGFIELD Air emission source
- ROSBORO, LLC, VAUGHN LAM COMPLEX, VAUGHN Air emission source
- ARCLIN U.S.. INC.(FORMERLY DYNEA U.S.A.), SPRINGFIELD Air emission source
- EMERALD FOREST PRODUCTS, INC.(#3), CRESWELL Air emission source
- EMERALD FOREST PRODUCTS, INC., EUGENE Air emission source
- EMERALD PEOPLE'S UTILITY DISTRICT, CRESWELL Air emission source
- EUGENE/SPRINGFIELD WATER POLLUTION CONTR, EUGENE Air emission source
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 385031.